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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