PN Adult Medical Surgical Practice Exam

Which intervention should a nurse include in the care plan for a client with Alzheimer's disease to promote sleep?

1. Encourage stimulating activities after dinner

2. Encourage a late afternoon nap

3. Offer a small snack at bedtime

4. Offer hot chocolate at bedtime

The correct answer is: Offer a small snack at bedtime

Offering a small snack at bedtime is an effective intervention for promoting sleep in a client with Alzheimer's disease. Research indicates that certain foods can have a calming effect and help facilitate better sleep. A light, small snack can potentially provide the necessary energy balance without being too heavy or disruptive to sleep. Additionally, it's important to acknowledge how various options could negatively impact sleep quality. Stimulating activities after dinner, for instance, are likely to increase alertness and make it harder for the client to wind down for sleep. Encouraging a late afternoon nap may interfere with nighttime sleep patterns and contribute to insomnia or restlessness during the night. Similarly, while hot chocolate can be comforting, it may not be the best option due to its caffeine content, depending on the individual's sensitivity, and could lead to difficulties falling asleep. In summary, providing a small snack before bed aligns with strategies for improving sleep in clients, especially in those with conditions like Alzheimer's disease, where routines and comfort can significantly impact their well-being.