A patient's family is concerned because the patient is awake at night and constantly calls out for family members. The patient has no apparent need, but does not want to be left alone. The nurse should advise the family to
Take turns being with the patient at night to alleviate anxiety.
Providing companionship during the night can significantly reduce the patient's anxiety and feelings of loneliness, which are contributing to their wakefulness. This approach addresses the emotional needs of the patient and helps create a more calming environment.
Keeping the patient awake during the day may lead to increased agitation and confusion rather than promoting better sleep at night. This strategy could exacerbate the patient's anxiety and disrupt their natural circadian rhythm, ultimately worsening nighttime wakefulness.
Repeated administration of sleeping medication can lead to oversedation and increased risk of adverse effects. It may not resolve the underlying issue of anxiety and could result in dependency on the medication, compromising the patient's overall health and well-being.
While addressing pain is important, increasing the dose of pain medication may not be appropriate if the patient is not exhibiting signs of pain. Moreover, it could lead to potential side effects without effectively addressing the anxiety that is causing the wakefulness.
To support the patient experiencing anxiety-related wakefulness, involving family members to provide companionship during the night is the most effective strategy. This approach helps alleviate feelings of loneliness and reduces anxiety, fostering a more peaceful environment conducive to sleep. Other options, such as medication adjustments or keeping the patient awake, may inadvertently worsen the situation by failing to address the core issue of anxiety.
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