Registered Psychiatric Nurses of Canada Examination (RPNCE) Practice test

After administering zopiclone to Mr. Jones, who has advanced dementia, and he's still awake, what should the RPN do next?

1. Use physical restraints

2. Contact the physician for another sleeping aid

3. Allow him to watch television

4. Provide comfort measures

The correct answer is: Provide comfort measures

The most appropriate response after administering zopiclone to Mr. Jones, who has advanced dementia and is still awake, is to provide comfort measures. Zopiclone is a medication intended to aid sleep, but its efficacy can vary, especially in individuals with advanced dementia. Providing comfort measures addresses the immediate needs and well-being of the patient. This can include creating a calm and soothing environment, offering reassurance, or engaging in gentle activities that promote relaxation. Rather than imposing restrictions such as physical restraints or contacting a physician for additional medication, which may not be necessary or appropriate at this time, focusing on comfort allows Mr. Jones to feel secure and supported. Additionally, allowing him to watch television could lead to further overstimulation or confusion, which may not be beneficial for someone with advanced dementia. Therefore, prioritizing comfort measures respects the patient's dignity and promotes a more holistic approach to care.