After an assessment, the nurse is concerned that an older client is ex

After an assessment, the nurse is concerned that an older client is experiencing changes in sleep. What findings did the nurse use to make this clinical decision?

1. Is wide awake around 3 AM
2. Takes a nap after lunch every day
3. Returns to sleep after using the bathroom
4. Goes to sleep before 9 PM most evenings
5. Wakes up and looks at the clock every hour

ANSWER

Correct Answer: 1, 2, 4, 5

Rationale 1: A hallmark change with age is a tendency toward earlier wake times.

Rationale 2: Many older adults report daytime napping, which may contribute to reduced nocturnal sleep.

Rationale 3: Older adults have difficulty falling back to sleep after awakening.

Rationale 4: A hallmark change with age is a tendency toward earlier bedtime.

Rationale 5: Older adults may awaken an average of six times during the night.