The client reports difficulty sleeping and awakening several times dur

The client reports difficulty sleeping and awakening several times during the night. What intervention should the nurse recommend for the client when unable to sleep?

1. Get out of bed, go into another room, and pursue some relaxing activity until drowsy.
2. Get out of bed, go into another room, and exercise until tired before trying to go back to sleep.
3. Sit in bed and watch the bedroom television until drowsy.
4. Stay in bed with eyes closed and do some mental arithmetic until sleepy.

ANSWER

Correct Answer: 1
Rationale 1: The bed should be used only for sleep or sexual activity, so it is associated with sleep. The client should get up, go into a different room, and pursue some relaxing activity until drowsiness returns.
Rationale 2: Exercise within 2 hours of attempting to sleep may cause wakefulness.
Rationale 3: Sitting in the bed while watching television will strengthen the association between wakefulness and bed.
Rationale 4: Lying awake in bed will strengthen the association between wakefulness and bed.