The sleep disturbance the nurse caring for a client with bipolar I disorder would consider when
planning client care is
a. early morning awakening.
b. fragmentation of sleep.
c. decreased REM sleep.
d. hypersomnia.
D
Hypersomnia is often part of the depressed phase of bipolar I disorder and is also frequently seen in
mild depressive disorder. Careful scheduling of therapy times and activities can take advantage of
periods when the client is most able to benefit from therapy. Option A: Early morning awakening is
seen in major depression. Options B and C: Fragmentation of sleep and decreased REM sleep are
associated with a number of other medical and psychiatric conditions.
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A chief nurse officer (CNO) is contacted by the organization's supervisor on a Saturday night regarding a problem in the hospital's emergency department. The supervisor describes an incident in which an orderly was assaulted
Why is the CNO not surprised about this report? 1. This is a typical occurrence in the emergency department. 2. Health care violence is more likely to occur in emergency departments. 3. Health care violence generally occurs on the weekend. 4. Health care violence is likely to occur on the night shift.
A client with acute renal failure has been prescribed a fluid restriction. The client asks how much fluid will be permitted each day. What is the nurse's best response?
A. "Each health care provider decides this individually, based on the amount of permanent damage to your kidneys." B. "You will be permitted to drink an amount equal to the urine you excrete, plus 500 mL." C. "The amount of fluid you can drink is dependent on how much protein you eat each day." D. "You will be permitted to drink approximately 2 L of fluid each day."
Which action indicates a break in sterile technique?
a. The nurse faces the sterile field. b. Sterile objects are kept above waist level. c. The nurse opens sterile packages directly over the sterile field. d. Moisture is not allowed on the sterile field.
A resident has age-related macular degeneration (AMD). Which is correct?
a. The disease is usually sudden in onset. b. The disease is painful. c. The risk of getting AMD increases with age. d. Wet AMD is more common than dry AMD.