# A client reports difficulty sleeping while hospitalized. Which instruction supports sleep hygiene?

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=397355&lang=en  
> language: en  
> subject: Elimination  
> category: BCC

## Question

A client reports difficulty sleeping while hospitalized. Which instruction supports sleep hygiene?

## Option

1. Keep a regular bedtime routine and avoid caffeine late in the day. **✔ Correct answer**
2. Take long daytime naps to make up for lost sleep.
3. Exercise vigorously in bed whenever unable to sleep.
4. Drink several cups of coffee in the evening to stay awake until bedtime.

**Correct answer: 1**

## Explanation

A consistent bedtime routine, reduced late caffeine, and a restful environment support sleep hygiene. Long naps, evening caffeine, and vigorous activity near bedtime can worsen sleep disruption. Hospital routines should be adjusted when possible to promote rest.

## In-depth explanation

Clinical Judgment
Use the client cues, timing, labs, and safety risks to select the response that best fits Hospital sleep hygiene.

Memory Tip
Match the strongest cue cluster to the safest nursing judgment.

KR vs US
NCLEX items reward cue-based priority thinking rather than isolated recall.

## Clinical scenario

Clinical Practice Guide
For Hospital sleep hygiene, compare the complete cue pattern with the client's current stability, ordered data, and expected nursing scope.

Caution
Do not choose an action from one isolated cue when the full scenario changes priority or safety.

## Key concepts

- **Sleep Hygiene** — Behaviors and environmental practices that support healthy sleep.
- **Caffeine** — A stimulant that can interfere with sleep when taken late in the day.
- **Bedtime Routine** — A predictable set of actions that cues the body for sleep.

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