ATI LPN
Lewis's Medical Surgical Nursing in Canada, 5th Edition
Chapter 9 Questions
Question 1 of 5
The nurse is caring for a patient in the ambulatory care setting who has chronic insomnia. Which of the following interventions should the nurse do initially?
Correct Answer: C
Rationale: The diagnosis of insomnia is made on the basis of subjective complaints and an evaluation of a 1- to 2-week sleep diary completed by the patient. Actigraphy and PSG studies/sleep studies may be used for determining specific sleep disorders, but are not necessary to make an initial insomnia diagnosis.
Question 2 of 5
Which instruction will the nurse include when teaching a patient with chronic insomnia about ways to improve sleep quality?
Correct Answer: D
Rationale: A regular evening schedule is recommended to improve sleep time and quality. Aerobic exercise may improve sleep quality, but should occur several hours before bedtime. Reading in bed is discouraged for patients with insomnia. The bedroom temperature should be slightly cool.
Question 3 of 5
After the nurse has taught a patient about the use of extended-release zopiclone for insomnia, which patient statement indicates a need for further teaching?
Correct Answer: A
Rationale: Benzodiazepine receptor agonists such as zopiclone work quickly and should be taken immediately before bedtime, not one hour before. The other patient statements are correct.
Question 4 of 5
Which action is best for the nurse to include in the plan of care in order to improve sleep quality for a critically ill patient in the intensive care unit (ICU)?
Correct Answer: B
Rationale: Lowering the level of light will help mimic normal day/night patterns and maximize the opportunity for sleep. Although frequent assessments and opioid use can disturb sleep patterns, these actions are necessary for the care of critically ill patients. For some patients, having a family member or friend at the bedside may decrease anxiety and improve sleep.
Question 5 of 5
Which information will the nurse plan to include when teaching a patient with narcolepsy about management of the disorder?
Correct Answer: B
Rationale: The accident rate for patients with narcolepsy who are receiving appropriate treatment is similar to the general population. Stimulant medications are used on an ongoing basis for patients with narcolepsy. The purpose of antidepressant drugs in the treatment of narcolepsy is the management of cataplexy, not to treat depression. Changes in sleep hygiene are recommended for patients with narcolepsy to improve sleep quality.