NCLEX-PN® ExaminationBasic Care and ComfortEasy
A licensed practical nurse (LPN) is caring for an older adult client who reports difficulty sleeping. Which of the following non-pharmacological interventions should the LPN recommend first?
- AAdvise the client to limit caffeine intake, especially in the afternoon and evening.
- BSuggest taking a warm bath immediately before bedtime.
- CRecommend watching television in bed until feeling drowsy.
- DEncourage daily vigorous exercise right before going to sleep.
Show answer & explanationAnswer & explanation
Correct answer: A. Advise the client to limit caffeine intake, especially in the afternoon and evening.
Limiting stimulants like caffeine and nicotine, particularly in the later parts of the day, is a fundamental and often effective non-pharmacological intervention for improving sleep hygiene. It addresses a common disruptor of sleep.
Why the other options are wrong
- B. A warm bath can be relaxing, but 'immediately' before bedtime might raise core body temperature, which needs to drop for sleep. It's often recommended 1-2 hours before.
- C. Screen time, especially from devices emitting blue light, can suppress melatonin production and disrupt the circadian rhythm, making it harder to fall asleep.
- D. Vigorous exercise too close to bedtime can be stimulating and interfere with sleep; it's best done earlier in the day.
Sleep Hygiene
A variety of practices and habits that are necessary to have good nighttime sleep quality and full daytime alertness.
- Avoid caffeine and nicotine close to bedtime.
- Maintain a regular sleep schedule.
- Ensure a comfortable, dark, quiet, and cool sleep environment.
Memory trick: Good habits make for dreamy nights.