Final answer:
When a patient complains of not sleeping, the first action a nurse should take is to identify the reasons why the patient is unable to sleep. Examining sleep hygiene and considering various factors that can contribute to insomnia are essential before considering medication or therapy.
Step-by-step explanation:
A patient reports feeling tired and complains of not sleeping at night. The action that a nurse should perform first is a. Identify reasons the patient is unable to sleep. According to the National Institute of Health, examining sleep hygiene is the first step in trying to solve a problem with sleeplessness. There are many factors that contribute to insomnia, such as the use of stimulants, exercise habits, mental status, and bedtime routines. It is essential to understand these factors before proceeding with any further intervention, such as medication or therapy.
Prescriptions for sleep medications have significantly increased, but cognitive-behavioral therapy has been shown to be more effective and poses fewer risks of adverse side effects and dependence. It’s also crucial to recommend appropriate sleep environment changes and behaviors, such as keeping the bedroom cool, and avoiding alcohol, caffeine, and heavy meals before bed.