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Phase advance The nurse who cares for
predominantly older individuals
frequently hears the patients report
they get tired earlier in the evening
and wake earlier in the morning than
they used to when they were
younger. The nurse knows this is
caused by which phenomenon?
Cognitive-behavioral The patient presents to the clinic
therapy complaining of sleep disturbances
and is diagnosed with insomnia.
The nurse knows which non-
pharmacological
treatment is the most effective for
insomnia?
Document the patient's use The patient reports drinking
of chamomile tea chamomile tea each night before
bed as a sleep aid. What is the
best response on the part of the
nurse?
Obstructive sleep apnea The patient presents to the clinic
complaining of daytime sleepiness
, and reports his spouse frequently
complains of his loud snoring that
is
interspersed with short periods of
silence. The nurse anticipates a sleep
study will reveal which condition?
Tasimelteon The patient who experiences total
blindness presents to the clinic
complaining of an inability to fall
asleep and wake with the normal 24-
hour day/light cycle and is
diagnosed with Non-24 Hour Sleep
Wake Disorder. The nurse knows
which medication has been
approved for this disorder?
67 A patient with type 2 diabetes mellitus
requests information on when she
will be eligible for Social Security
benefits. The patient was born in
1962. The nurse should tell the
patient she will be eligible for Social
Security benefits at what age?
side-lying The nurse is caring for a patient
recently diagnosed with obstructive
sleep apnea. The nurse should
recommend the patient sleeps in
which position?
-obesity The nurse caring for a patient with
-diabetes insomnia knows it is vital to return
,-Myocardial infarction the patient to normal sleep patterns
-Cerebrovascular accident as sleep deprivation has been
associated with increased risk for
which diseases?
-I will start limiting my naps The nurse is providing education to a
to 30 minutes group of older adults on proper sleep
-"I guess I'll switch my
hygiene practices. Which
coffee to decaf in the
statements, if made by members of
afternoon"
the group,
-I will develop a routine of indicate an understanding of the
material?
taking a bath every night
before bed
-confusion The nurse is caring for an older adult
-Urinary retention patient with insomnia who has
Disturbed coordination recently been prescribed a sleep-
inducing medication. The nurse
knows to be vigilant for which
adverse effects?
, Baby Boomers (1946-1964) The nurse is receiving report on a
patient born in 1952. The nurse knows
this patient is a member of which
generation?
high initial cost A patient requests information about
life-contract facilities. Which
characteristic of life-contract
facilities is generally the deciding
factor for the older adult when
considering this type of housing?
skilled care The nurse is caring for a patient
following a hip replacement who is
preparing for discharge. The nurse
knows the patient will require daily
physical and occupational therapies
as well as sterile wound dressing
changes. Which type of care would
be MOST appropriate for this
patient?
"It is important that I work The nurse is caring for a 72-year-old
hard so I am ready to be patient following a massive
discharged in less than myocardial infarction who will
100 days. require cardiac rehabilitation. Which
statement, if made by the patient,
indicates an understanding of Medicare
reimbursement for a stay in a skilled
care facility?