AACN CCRN (Adult) - Direct Care Eligibility Pathway CCRN-Adult Question # 7 Topic 1 Discussion
CCRN-Adult Exam Topic 1 Question 7 Discussion:
Question #: 7
Topic #: 1
An older adult patient reports an inability to sleep due to staff waking the patient for frequent neurological assessments. In order to minimize sleep disruptions, the nurse should
A.
encourage the patient to sleep between assessments.
Verified Answer: C. establish a schedule with the provider. Neurological assessments are important for monitoring the patient’s neurological status and detecting any changes that may indicate a complication or improvement. However, frequent interruptions of sleep can have negative effects on the patient’s health and well-being, such as impaired cognition, mood, immune function, and wound healing. Therefore, the nurse should collaborate with the provider to establish a schedule for neurologic assessments that balances the need for monitoring and the need for rest. This may involve reducing the frequency of assessments during the night, clustering other interventions to minimize disruptions, and using non-invasive methods of assessment when possible. Discontinuing neurologic assessments, encouraging the patient to sleep between assessments, or moving the patient to a quieter part of the unit are not appropriate actions as they do not address the root cause of the problem or ensure adequate monitoring of the patient’s condition.
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