Basic Care and Comfort Practice Question

Question

The nurse is caring for an older adult with weakness and is focused on sleep promotion scenario 2. Which nursing action is most appropriate?

Answer choices

1. A. Delay assessment until the next scheduled round if the client is not calling for help.
2. B. Delegate the clinical assessment and nursing judgment to assistive personnel.
3. C. Cluster care and reduce unnecessary nighttime interruptions when possible.
4. D. Document the concern without notifying the appropriate provider or care team member when escalation is needed.

Correct Answer

C. Cluster care and reduce unnecessary nighttime interruptions when possible.

Explanation

The priority action for sleep promotion is to cluster care and reduce unnecessary nighttime interruptions when possible. NCLEX-style prioritization favors safety, assessment, appropriate delegation, timely escalation, and client-centered teaching.

Question details

• Difficulty: medium
• Domain: Basic Care and Comfort
• Objective: sleep promotion

Practice more

Start Basic Care and Comfort practice

Back to Basic Care and Comfort