Questions: The nurse participates in a community health fair for prevention of heart disease. What should the nurse instruct the client who reports difficulty with rest and sleep? (Select all that apply) "Lack of rest and sleep increase the risk of heart disease." "Sleep in on days off of work to help you catch up on your rest." "A glass of dark red wine before bed will help you relax and sleep." "Find an activity that you find calming will help your body rest." "Going for a walk, even 15 minutes, early in the evening will help."

The answer is:

• "Lack of rest and sleep increase the risk of heart disease."
• "Find an activity that you find calming will help your body rest."
• "Going for a walk, even 15 minutes, early in the evening will help."

Explanation for each option:

1. "Lack of rest and sleep increase the risk of heart disease."

   • Correct. There is substantial evidence that poor sleep and lack of rest can increase the risk of cardiovascular diseases. Chronic sleep deprivation can lead to increased blood pressure, inflammation, and other factors that contribute to heart disease.

2. "Sleep in on days off of work to help you catch up on your rest."

   • Incorrect. While it might seem beneficial to catch up on sleep, irregular sleep patterns can disrupt the body's circadian rhythm and may not effectively mitigate the risks associated with chronic sleep deprivation. Consistent sleep schedules are generally recommended.

3. "A glass of dark red wine before bed will help you relax and sleep."

   • Incorrect. While alcohol might initially help with relaxation, it can disrupt sleep patterns and reduce sleep quality. It is not recommended as a sleep aid.

4. "Find an activity that you find calming will help your body rest."

   • Correct. Engaging in calming activities, such as reading, meditation, or gentle stretching, can help the body and mind relax, promoting better sleep quality.

5. "Going for a walk, even 15 minutes, early in the evening will help."

   • Correct. Physical activity, such as walking, can help improve sleep quality. However, it is generally recommended to avoid vigorous exercise close to bedtime as it might have a stimulating effect.

Summary: The nurse should instruct the client that lack of rest and sleep increases the risk of heart disease, finding a calming activity can help the body rest, and going for a walk early in the evening can improve sleep quality.