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NUR 257 (NUR257) Exam 4 | Aging and Chronic Illness in Nursing Exam Review| Latest 2024/2025 Galen $10.49   Add to cart

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NUR 257 (NUR257) Exam 4 | Aging and Chronic Illness in Nursing Exam Review| Latest 2024/2025 Galen

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NUR 257 (NUR257) Exam 4 | Aging and Chronic Illness in Nursing Exam Review| Latest 2024/2025 Galen NUR 257 (NUR257) Exam 4 | Aging and Chronic Illness in Nursing Exam Review| Latest 2024/2025 Galen

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  • September 9, 2024
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NUR 257 (NUR257) Exam 4 | Aging and
Chronic Illness in Nursing Exam Review|
Latest 2024/2025 Galen


External risk factors for sleep disturbances in older adults

- Correct Answer - medications

Life stressors

Loss of spouse

Relocation

Sleep habits

Poor sleep hygiene

Lack of exercise

Lack of socialization

Excessive napping

Caregiving for dependent elder

Noise

Institutional routines

Limited exposure to sunlight

Alcohol

,Smoking



Insomnia - Correct Answer - condition that interferes with sleep quality
and quantity and is associated with subjective complaints of sleep
disturbance that are difficulty initiating sleep, difficulty maintaining sleep,
premature morning awakening, or nonrestorative sleep



Difficulty falling asleep for at least 1 month and impairment in daytime
functioning results from difficulty sleeping - Correct Answer - diagnosis
requirements of insomnia



Interventions for insomnia

- Correct Answer - sleep hygiene

Relaxation techniques

Sleep restriction measures

Stimulus control

Circadian interventions



Sleep hygiene

- Correct Answer - regular exercise regimen

Avoid exercise right before bed

,Limit tobacco, caffeine, and alcohol before bed

Avoid heavy meals before bed

If waking bc hunger, eat light carb snack

If you have reflux, eat 3-4 hr before bed

Reduce fluid in evening

Comfortable bedding

Comfortable temperature

Minimize light exposure

Remove hearing aids

Limit disruptive nighttime activities/pets from bedroom

Review meds



Relaxation techniques

- Correct Answer - diaphragmatic breathing

Progressive relaxation

White noise or music

Guided imagery

Stretching

Yoga

Tai chi

, Sleep restriction measures

- Correct Answer - limit/avoid daytime napping

Napping should be less than 2 hr

Limit opportunity for unplanned napping/dozing

Limit time in bed



Stimulus control

- Correct Answer - create bedtime rituals

Go to bed only when sleepy

Avoid falling asleep in places other than bed

If unable to fall asleep in 15-20 mins, pursue relaxing activity until sleepy

Use bedroom for sleep and sex only

Do not watch TV or work from bed

Reestablish connection with environmental signals to cue the circadian
rhythm (light exposure, meals, physical activity, social interactions)



Circadian interventions

- Correct Answer - establish regular sleep/wake time

Maintain stable daytime routine

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