A nurse is giving a presentation to a community group about sleep and its relationship to health. In explaining the relationship between REM sleep and body temperature, which statement by the nurse would be most appropriate?

Correct Answer: C

Rationale: The correct answer is C. REM sleep and body temperature cycles are inversely related. During REM sleep, our body temperature decreases, which is essential for the body to conserve energy and maintain a state of relaxation. This decrease in body temperature during REM sleep helps promote the restoration and rejuvenation of the body. It is crucial for the nurse to convey this information accurately to the community group to emphasize the importance of quality sleep for overall health. Choice A is incorrect because there is indeed an observable relationship between REM sleep and body temperature. Choice B is incorrect as higher levels of REM sleep are associated with lower body temperatures, not higher. Choice D is incorrect as the experience of REM sleep is not directly proportional to a rise in body temperature; instead, it is inversely related.

Correct Answer: D

Rationale: The correct answer is D because when a client makes specific threats toward an identifiable person, there is a duty to warn the potential victim to prevent harm. This duty is based on the principle of duty to protect, which overrides confidentiality in cases of imminent danger. Choices A, B, and C do not necessarily involve direct threats toward a specific individual, so the duty to warn does not apply in those situations. It is important to prioritize the safety of potential victims when making decisions regarding confidentiality and duty to warn.

Correct Answer: C

Rationale: The correct answer is C because family members are often the primary support system for individuals with serious mental illness. In treatment planning, involving the family can provide crucial insights into the patient's social and emotional needs, enhance communication between the patient and healthcare providers, and increase the likelihood of treatment adherence. Family support can also help in crisis situations and promote better outcomes for the patient. Choice A is incorrect because while family members may have valuable insights, they may not always know the patient's struggles comprehensively. Choice B is incorrect as willingness to listen is not a guarantee, especially in cases where mental illness may affect the patient's judgment. Choice D is incorrect as the patient may not always turn to family first, especially if the relationship is strained or if the family is not supportive.

Correct Answer: A

Rationale: The correct answer is A because it is important for children to be given clear and honest information about death to help them process their grief effectively. This choice provides the 4-year-old sister with a direct and simple explanation of her brother's death, which can help her understand the permanence of the situation. Choices B, C, and D use euphemisms or abstract concepts that may confuse or mislead the child, potentially causing more distress or misunderstanding. It is crucial to be honest and straightforward with children about death to support their emotional well-being.

Correct Answer: C

Rationale: The correct answer is C: functional abilities. A comprehensive geriatric assessment should focus on assessing the older adult's functional abilities to determine their ability to carry out activities of daily living independently. This is crucial in evaluating their overall health and quality of life. By assessing functional abilities, nurses can identify areas of impairment and develop appropriate interventions to maintain or improve the client's independence. Physical signs of aging (Choice A) may provide some information about the client's health status, but focusing solely on this aspect may overlook important functional deficits. Immunological function (Choice B) is important but may not be the primary focus of a geriatric assessment unless specific health concerns are present. Chronic illness (Choice D) is also important to consider but does not encompass the holistic assessment of functional abilities needed in geriatric care.

Correct Answer: C

Rationale: The correct answer is C. REM sleep and body temperature cycles are inversely related. During REM sleep, our body temperature decreases, which is essential for the body to conserve energy and maintain a state of relaxation. This decrease in body temperature during REM sleep helps promote the restoration and rejuvenation of the body. It is crucial for the nurse to convey this information accurately to the community group to emphasize the importance of quality sleep for overall health. Choice A is incorrect because there is indeed an observable relationship between REM sleep and body temperature. Choice B is incorrect as higher levels of REM sleep are associated with lower body temperatures, not higher. Choice D is incorrect as the experience of REM sleep is not directly proportional to a rise in body temperature; instead, it is inversely related.

Correct Answer: D

Rationale: The correct answer is D: Sensory losses. In this scenario, the older adult patient's agitation and readiness to strike out may be due to sensory losses such as hearing or vision impairment, leading to frustration and miscommunication. Assessing for sensory losses is crucial to understand the root cause of the patient's behavior and provide appropriate interventions. A: Panic disorder - This choice is incorrect as panic disorder typically presents with sudden and intense episodes of fear or anxiety, not necessarily leading to physical aggression. B: Epilepsy - This choice is incorrect as epilepsy is a neurological disorder characterized by seizures, not typically associated with sudden aggression. C: Bipolar disorder - This choice is incorrect as bipolar disorder involves distinct episodes of mania and depression, which may not directly cause the patient's behavior in this situation.

Correct Answer: C

Rationale: The correct answer is C: social factors. The client's situation of being late due to caring for their mother-in-law highlights social factors as a risk factor. Social factors encompass relationships, support systems, living conditions, and societal influences. In this scenario, the client's caregiving responsibilities for their mother-in-law contribute to their stress and impact their ability to arrive on time. This situation reflects the influence of social dynamics on the client's behavior and well-being. Incorrect options: A: Genetic comorbidities are not relevant in this scenario as the client's late arrival is not attributed to any genetic factors. B: Psychological factors may play a role in the client's stress related to caregiving, but the primary issue here is the social factor of caregiving responsibilities. D: Victimization does not apply as the client is not being victimized in this situation; rather, they are experiencing stress due to caregiving responsibilities.

Correct Answer: A

Rationale: Correct Answer: A Rationale: Assessing normal sleep patterns is the initial step to understand the client's current sleep habits and identify specific disturbances in their sleep pattern. This assessment is crucial for developing an individualized care plan tailored to the client's needs. By gathering information on the client's sleep patterns, the nurse can effectively determine the underlying causes of the disturbance and implement appropriate interventions. This proactive approach ensures that interventions are evidence-based and address the client's unique situation. Summary of other choices: B: Discouraging napping during the day may be relevant but should come after assessing the client's sleep patterns to determine if daytime napping is contributing to the disturbance. C: Discouraging the use of caffeine and nicotine is important, but this intervention should be based on the assessment findings and individual client factors. D: Teaching relaxation exercises can be beneficial, but without understanding the client's specific sleep patterns and needs, it may not address the root cause of the sleep pattern disturbance.