ATI LPN
Psychiatric Nursing: Contemporary Practice 6th Edition
Chapter 33 : Nursing Care of Persons with Insomnia and Sleep Problems Questions
Question 1 of 5
A female client who is receiving counseling at a community health center has complained about being unable to sleep at each of the last three weekly sessions. The nurse interviews the family members to determine the effect of the client?s problem on them. Which response would the nurse most likely expect to hear?
Correct Answer: D
Rationale: Chronic insomnia can strain family dynamics, leading to exhaustion (
D) due to disrupted routines or irritability. Minimal impact (
A), no change in relationships (
B), or positive effects (
C) are less likely given insomnia?s negative effects.
Question 2 of 5
The nurse is discussing sleep enhancing strategies with a client who is experiencing insomnia. Which of the following would be most appropriate for the nurse to suggest?
Correct Answer: D
Rationale: Establishing a regular sleep schedule (
D) promotes circadian rhythm stability, a key strategy for insomnia. Eating before bed (
A) can disrupt sleep, exercise close to bedtime (
B) may increase arousal, and tea (
C) may contain caffeine, worsening insomnia.
Question 3 of 5
A nurse is working with a psychiatric client who was admitted to the inpatient facility and is being discharged. The client asks the nurse what he should do when he goes home to promote getting adequate sleep. Which response by the nurse would be most appropriate?
Correct Answer: B
Rationale: Reserving the bedroom for sleep (
B) is a stimulus control technique that strengthens the association between the bedroom and sleep. TV watching (
A) can disrupt sleep, sleeping pills (
C) are not a first-line recommendation, and a warm bedroom (
D) may interfere with sleep.
Question 4 of 5
A client with a mental disorder is being discharged from the inpatient unit. During the client?s stay in the hospital, the client eventually was able to get an adequate night?s sleep even though the client had experienced chronic insomnia over the years. The client?s spouse asks the nurse what the family can do in the client?s home environment to promote healthy sleep. Which response by the nurse would be most appropriate?
Correct Answer: C
Rationale: Minimizing stimulating activities before bed (
C) supports sleep hygiene by reducing arousal. Relying solely on the client (
A) dismisses family support, alcohol (
B) can disrupt sleep, and spicy snacks or tea (
D) may cause discomfort or contain caffeine.
Question 5 of 5
A client has been admitted to the psychiatric unit with a diagnosis of narcolepsy. Which client statement would the nurse interpret as reflecting this condition?
Correct Answer: A
Rationale: Hallucinations while falling asleep (
A) are hypnagogic hallucinations, a hallmark of narcolepsy. Restless legs (
B) suggest restless leg syndrome, worry (
C) indicates insomnia, and past sleeping pill use (
D) is unrelated to narcolepsy.