Seventy-year-old Mr.Markson tells the nurse,"I can go to sleep without a problem,but then I wake up in a couple of hours and can't go back to sleep." What nursing action would help promote rest and sleep in this client?

A) Have Mr.Markson develop a bedtime ritual of quiet music and a glass of wine
B) Encourage Mr.Markson to avoid taking pain medication prior to sleep
C) Evaluate if Mr.Markson perceives sleeplessness to be a serious problem
D) Have Mr.Markson perform moderate exercises before bedtime

When describing the rationale for connecting electrodes to each limb and around the heart,the nurse shares with the patient which appropriate explanation?

A) The leads view a specific portion of the heart's surface to help determine which part has sustained damage.
B) Multiple leads are necessary to provide a three-dimensional view of the heart.
C) The electrodes are necessary to provide a shock to the heart if needed during cardiac conversion.
D) The limb electrodes are required to provide a backup study in the event of artifact.

At one point in an assessment interview a nurse asks, "How does your faith help you in stressful situations?" This question would be asked during the assessment of:

A) childhood growth and development.
B) substance use and abuse.
C) educational background.
D) coping strategies.

The nurse elects to use a scale of stressful life events to assess the level of a newly admitted client's stress.What information should the nurse provide to the client about this scale?

A) "You will need to recall negative life events that have happened to you recently."
B) "You will need to recall stressful events that have occurred to you in the last 10 years."
C) "It gives us a stress level number that is used to compare your stress to others your age."
D) "It gives some idea about your stress related to both positive and negative recent events in your life."

A nurse encourages an anxious patient to talk about feelings and concerns. What is the rationale for this intervention?

A) Offering hope allays and defuses the patient's anxiety.
B) Concerns stated aloud become less overwhelming and help problem solving to begin.
C) Anxiety is reduced by focusing on and validating what is occurring in the environment.
D) Encouraging patients to explore alternatives increases the sense of control and lessens anxiety.

While the nurse is taking the history of a 68-year-old patient who sustained a head injury 3 days earlier, he tells the nurse that he is on a cruise ship and is 30 years old. What does this finding indicate?

A) Great sense of humor
B) Uncooperative behavior
C) Decreased level of consciousness
D) Inability to understand questions