Question

a nurse is working with an older adult client who has been diagnosed with onset insomnia and informs the nurse about waking at least once during the night. what actions by the nurse can help promote adequate sleep? select all that apply.
the nurse teaches the client that shorter, unbroken sleep periods are not normal.
the nurse encourages the client to remove the television from the bedroom.
the nurse advises the client to exercise no closer than 6 hours to bedtime.
the nurse encourages the client to minimize caffeine intake several hours prior to bedtime.
the nurse helps the client come up with a bedtime routine that can be implemented each

Explanation:

• Removing the television from the bedroom reduces stimuli that can interfere with sleep.
• Exercising too close to bedtime (less than 6 hours) can increase alertness, so advising no closer than 6 hours is correct.
• Caffeine is a stimulant, minimizing intake several hours before bedtime helps.
• A bedtime routine promotes better sleep by signaling the body it's time to wind down.
• Shorter, unbroken sleep periods are normal in older adults, so the first statement is incorrect.

Answer:

• B. The nurse encourages the client to remove the television from the bedroom.
• C. The nurse advises the client to exercise no closer than 6 hours to bedtime.
• D. The nurse encourages the client to minimize caffeine intake several hours prior to bedtime.
• E. The nurse helps the client come up with a bedtime routine that can be implemented each.