The nurse is teaching a client with insomnia about techniques to improve sleep habits. Which statement by the client requires further teaching?
A)"I will avoid naps later in the day."
B)"I will keep the bedroom temperature cool."
C)"I will read in bed before trying to go to sleep."
D)"I will try to go to bed and wake up at the same time each day."

Question

The nurse is teaching a client with insomnia about techniques to improve sleep habits.  Which statement by the client requires further teaching?
A)"I will avoid naps later in the day."
B)"I will keep the bedroom temperature cool."
C)"I will read in bed before trying to go to sleep."
D)"I will try to go to bed and wake up at the same time each day."

Quizplus · Accepted Answer

Sleep hygiene refers to a group of practices that promote regular, restful sleep. The nurse should encourage clients who have trouble sleeping (insomnia) to maintain good sleep habits. A primary objective is reducing stimuli in the bedroom. Clients should be taught to avoid non-sleep-related activities (eg, reading, television, working) other than sex in bed. Relaxed reading before bed is helpful for stimulating sleep but should occur in a different setting, not in bed (Option C). The nurse should encourage the following healthy sleep habits: Avoid caffeine, nicotine, and alcohol within 4-6 hours of sleep Exercise daily but avoid exercise or strenuous activity within 4-6 hours of sleep Avoid going to bed hungry or eating a heavy meal just before bed Practice relaxation techniques (eg, deep breathing) if stress is causing insomnia (Option A) It is best to avoid naps during the day, especially later in the day. Any naps taken should be short (20-30 min). (Option B) The client should keep the bedroom slightly cool, quiet, and dark for comfort. (Option D) As much as possible, the client should develop a consistent sleep-wake pattern (ie, same bedtime and wake time each day) to obtain 7-8 hours of sleep nightly. Educational objective: The nurse should teach clients with insomnia good sleep hygiene such as using the bed for sleep only (no reading or television), avoiding stimulants (eg, caffeine) before bedtime, keeping the bedroom cool and dark, and developing a consistent sleep-wake pattern (ie, same bedtime and wake time each day).

The Nurse Is Teaching a Client with Insomnia About Techniques