Which term means the inability to fall asleep or remain asleep?

• A. DNR
• B. Dyspnea
• C. Gastrotomy Tube
• D. Insomnia

Answer: (D)

Insomnia is the term for the inability to fall asleep or stay asleep. It describes trouble initiating sleep, trouble maintaining sleep, or waking up too early and not being able to return to sleep, leading to inadequate or nonrestorative rest. In daily caregiving, recognizing insomnia helps you understand why a resident may be fatigued, irritable, or less able to participate in activities, and it highlights safety considerations like increased risk of confusion or falls from daytime sleepiness. Practical approaches include creating a quiet, dark, comfortable nighttime environment, establishing a consistent bedtime routine, limiting caffeine or evening fluids, and addressing reversible factors such as pain, anxiety, or side effects from medications. If sleep problems persist, the nurse should review the care plan and underlying causes.

DNR relates to a resuscitation preference, not sleep. Dyspnea means shortness of breath, which is a breathing issue, not a sleep disorder. A gastrostomy tube is for feeding. None of those describe trouble with falling or staying asleep.