Progressive Care Nursing Certification (PCCN) Practice Exam

To help an elderly patient regulate their circadian rhythm who is confused at night, what intervention is recommended?

1. Discharge the patient to minimize interruptions

2. Keep a family member at the bedside

3. Schedule nursing activities for quiet sleep at night

4. Administer haloperidol as ordered

The correct answer is: Schedule nursing activities for quiet sleep at night

Scheduling nursing activities for quiet sleep at night is an effective intervention for helping an elderly patient regulate their circadian rhythm. This approach recognizes the importance of creating a calming environment during nighttime hours, which can significantly reduce confusion and disturbances that may exacerbate the patient's disorientation. Circadian rhythms are the natural internal processes that regulate the sleep-wake cycle and are influenced by environmental cues like light and noise. For elderly patients, especially those experiencing confusion or cognitive impairments, maintaining a consistent and quiet nighttime routine can help signal to the body that it is time to rest. By minimizing interruptions during these hours, the patient is more likely to experience quality sleep, which can aid in better overall cognitive function and reduce instances of confusion. In contrast, discharging the patient to minimize interruptions may not be beneficial, as it could lead to further disorientation or unsafe conditions. Keeping a family member at the bedside could provide comfort, but it doesn’t directly address the need for a consistent sleep environment or routine. Administering haloperidol could lead to negative side effects and may not appropriately resolve the underlying issues with circadian rhythm; rather, behavioral and environmental modifications are preferred approaches for managing confusion in elder patients during the night.