Question

Difficulty: EasyBasic Care and Comfort

The nursing team is developing a care plan for an older adult resident in an extended care facility who reports frequent nighttime awakenings and daytime fatigue. Which nursing intervention is most appropriate to promote healthy sleep patterns for this resident?

  1. Encourage participation in light daytime physical activities and restrict afternoon napping.Answer
  2. B
    Reassure the resident that frequent nighttime awakenings are a normal, expected part of the aging process.
  3. C
    Assign the unlicensed assistive personnel to perform a comprehensive assessment of the resident's sleep patterns.
  4. D
    Obtain a prescription for a nightly sedative to manage the awakenings before attempting behavioral interventions.

Answer

The most appropriate action is to encourage daytime physical activity and limit afternoon naps to naturally promote a regular sleep-wake cycle.
Encouraging physical activity during the day and restricting late naps are core non-pharmacological comfort measures. These actions help regulate the body's natural circadian rhythm, increasing the physiological drive for sleep at night without introducing the risks associated with medications.

Step-by-Step Solution

1
Review the principles of basic care and comfort related to sleep hygiene in older adult populations.
Non-pharmacological interventions that support natural circadian rhythms should always be prioritized as first-line treatments.
Promoting natural sleep patterns reduces the risk of adverse medication side effects and falls.
2
Evaluate the distractors against fundamental nursing guidelines for safety and delegation.
Aging does not inherently cause severe insomnia, UAPs cannot perform assessments, and chemical restraints are a last resort.
Maintaining client safety, adhering to proper delegation scope, and applying accurate physiological knowledge are mandatory in basic care.

Key Concept

Non-pharmacological sleep promotion and comfort measures
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