Mental Health Nursing

The nurse is teaching a client with insomnia to improve sleeping habits .

which statement by the client require further teaching

  1. A I will avoid Naps later in the day .
  2. B I will keep the room temperature call
  3. C I will read in a book before try to go to sleep Correct answer
  4. D I will avoid caffeine after dinner

Explanation

Core Concept: Sleep hygiene and behavioral interventions for insomnia.

Clinical Presentation:

  • Difficulty falling or staying asleep, daytime fatigue, and irritability.

Diagnosis:

  • First-line: Sleep diary and comprehensive clinical history.
  • Gold Standard: Polysomnography (if underlying sleep disorders like apnea are suspected).

Management:

  • Acute: Short-term use of sleep aids (rarely recommended).
  • Long-term: Cognitive Behavioral Therapy for Insomnia (CBT-I) and strict sleep hygiene. The bed should be reserved only for sleep and intimacy; reading in bed stimulates the brain and conditions it to stay awake, requiring further teaching.

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