A nurse is working with a client diagnosed with insomnia. When developing a teaching plan for the client, which sleep promotion intervention would the nurse implement first?

Correct Answer: B

Rationale: The correct answer is B because maintaining regular bedtimes and rising times helps establish a consistent sleep schedule, which is crucial for managing insomnia. This intervention promotes the client's natural sleep-wake cycle and overall sleep quality. Encouraging the client to consider stopping smoking (Choice A) is important for overall health but may not directly address the immediate sleep issue. Taking frequent naps (Choice C) can disrupt the client's ability to fall asleep at night. Administering sleep medications (Choice D) should be a last resort and not the initial intervention.

Correct Answer: D

Rationale: The correct answer is D: Tennis. Physical activities like tennis are beneficial for children with ADHD as they help release excess energy and improve focus. Tennis involves physical movement, coordination, and strategy, which can enhance concentration and self-regulation skills. Reading an adventure novel (A) may be too sedentary for a child with ADHD, limiting their ability to focus. Monopoly (B) and Checkers (C) are good for cognitive development but may not provide enough physical activity to help manage ADHD symptoms effectively. Tennis, on the other hand, offers a combination of physical exercise and mental engagement, making it the most appropriate choice for a child with ADHD.

Correct Answer: D

Rationale: The correct answer is D: QI (Quality Improvement). In this scenario, the nurse is leading a project to improve medication administration, which aligns with the goals of a QI project. The focus is on implementing evidence-based practices to enhance patient care outcomes. QI projects aim to make systematic changes to improve processes and outcomes within a healthcare setting. A: Qualitative research focuses on exploring experiences, perceptions, and meanings, rather than making systematic improvements to processes. B: PICOT is a framework used to formulate research questions for evidence-based practice projects, not a type of research project. C: Mixed methods research involves combining qualitative and quantitative methods, which is not the same as leading a QI project to improve medication administration.

Correct Answer: B

Rationale: The correct answer is B: Dramatic response to frustration. This is indicative of a Cluster B personality disorder, which includes traits such as emotional instability and impulsivity. People with Cluster B personality disorders often display intense and exaggerated emotional responses to situations like frustration. Choices A, C, and D do not specifically align with the characteristics of Cluster B personality disorders, making them incorrect. A reflects symptoms of an eating disorder, C is related to compulsive behavior, and D describes traits more commonly associated with mood disorders.

Correct Answer: A

Rationale: The correct answer is A because chronic pain related to a neck injury is a common condition that complementary and alternative medicines often aim to address through symptom management. Researchers studying advances in this area would be interested in patients with chronic pain as they provide an opportunity to explore the effectiveness of alternative treatments. Choice B is incorrect because acute gastrointestinal infections are typically managed through conventional medical interventions, rather than complementary or alternative medicines. Choice C is incorrect as gestational diabetes in pregnant women requires close monitoring and management by medical professionals, making it less likely to be a focus for researchers studying advances in complementary and alternative medicines for symptom management. Choice D is incorrect because surgery for a clubbed foot is a condition that is usually addressed through surgical interventions and physical therapy, rather than complementary or alternative medicines for symptom management.