Fundamentals of Nursing Q 347
Nursing interventions that can help the patient to relax and sleep restfully include all of the following except:
A. Have the patient take a 30- to 60-minute nap in the afternoon.
B. Turn on the television in the patient’s room.
C. Provide quiet music and interesting reading material.
D. Massage the patient’s back with long strokes.
Correct Answer: A. Have the patient take a 30- to 60-minute nap in the afternoon.
Napping in the afternoon is not conducive to nighttime sleeping. There are few considerations about naps. For example, a short daytime nap of 15-30 minutes can be restorative for elders and will not interfere with nighttime sleep. On the other hand, insomniacs are cautioned to avoid naps. Quiet music, watching television, reading, and massage usually will relax the patient, helping him to fall asleep.
Option B: For patients in the hospital, factors that can prevent sound sleep include staff noise during a shift, telephones and call lights, doors, paging systems, and even carts wheeled through corridors. Safety and comfort can be promoted by raising side rails, placing the bed in a low position, and using night-lights.
Option C: For individuals who are unable to sleep, they must get out of bed and spend some time in another room. There, they can start some relaxing activities like reading and listening to soft music. They should continue the activity till they feel drowsy.
Option D: Rituals can be supported in institutionalized patients by assisting them with a hand and face wash, massage, pillow plumping, and even talking about today’s accomplishments and enjoyable events. These can promote relaxation and peace of mind.