Practice Question
A patient with chronic insomnia is instructed to maintain a sleep diary. How can the nurse evaluate the effectiveness of this intervention over a two-week period?
Answer Choices:
Correct Answer:
Assess the patient's subjective sleep quality and compare it to baseline.
Rationale:
🔷 A sleep diary is designed to record subjective and objective sleep-related information, such as time to fall asleep, night awakenings, total sleep time, and perceived sleep quality.
🔷 Over two weeks, the nurse can compare baseline entries to more recent entries to see if there is improvement in duration, continuity, and restfulness of sleep.
🔷 Because insomnia is often defined by subjective dissatisfaction with sleep, the patient’s perception of sleep quality is a primary measure of effectiveness.
🔷 Evaluating patterns such as reduced sleep latency, fewer awakenings, and feeling more rested in the morning indicates positive change.
🔷 Therefore, assessing and comparing subjective sleep quality documented in the diary is the most appropriate way to evaluate this intervention.
Measure the patient's daytime physical activity levels using a pedometer
🔷 While daytime activity can influence sleep, measuring steps alone does not directly indicate improvement in insomnia symptoms.
🔷 It is an indirect measure and not the primary outcome of using a sleep diary.
Monitor the patient's dietary intake to identify changes in caffeine consumption
🔷 Caffeine intake is relevant but is just one factor affecting sleep and does not directly measure sleep improvement.
🔷 The key outcome is how well the patient sleeps, not just whether caffeine intake has changed.
Check the patient's weight regularly to observe any fluctuations
🔷 Weight changes are not a direct indicator of improved insomnia or sleep quality.
🔷 The sleep diary is specifically meant to track sleep patterns and quality, not weight outcomes.
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This question is from Custom N1100 Fall 25 Comprehensive Final Exam which contains 86 questions.
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From Exam
Custom N1100 Fall 25 Comprehensive Final Exam
86 Questions
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- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN Custom Exam(s)
- Answer Choices: 4