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NCLEX Practice Questions for geriatrics
1.
The nurse is performing an assessment on an older client
who is having
difficulty sleeping at night. Which statement by the
client indicates the need
for further teaching regarding measures
to improve sleep?
a)
"I swim three times a week."
b)
"I have stopped smoking cigars."
c)
"I drink hot chocolate before bedtime."
d)
"I read for 40 minutes before bedtime.": c) "I drink hot chocolate before
bedtime."
Many nonpharmacological sleep aids can be used to influence sleep. However, the client should avoid
catteinated beverages and stimulants such as tea, cola, and chocolate. The client should exercise
regularly, because exercise
promotes
sleep
by
burning
ott
tension
that
accumulates
during
the
day.
A
20-to
30-minute
walk,
swim,
or
bicycle
ride
three times a week is helpful. The client should sleep on a
bed with a firm mattress. Smoking and alcohol should be
avoided.
The
client
should
avoid
large
meals;
peanuts,
beans,
fruit,
raw
vegetables,
and
other
foods
that
produce
gas;
and snacks that are high in fat
because they are diflcult to digest.
-
Test-Taking Strategy: Note the strategic words need for further teaching . These words indicate a negative
event query
and
ask
you
to
select
an
option
that
is
an
incorrect
statement.
Options
A,
B,
and
D
are
positive
statements
indicating
that the client understands the methods of improving sleep.
2. A visiting nurse who observes that the older male client is confined
by his
daughter-in-law to his room. When the nurse suggests that he walk
to the den and join the family, he says, "I'm in everyone's way; my
daughter-in-law needs me to stay here." Which is the most
important action for the nurse to take?
a)Say to the daughter-in-law, "Confining your father-in-law to his
room is
inhumane."
