It is determined that the client will need pharmacological treatment to assist with his sleep patterns
The nurse anticipates that treatment with an anxiety-reducing, relaxation-promoting medication will include the use of which one of the following? a. Barbiturates
b. Amphetamines
c. Benzodiazepines
d. Tricyclic antidepressants
C
The benzodiazepines cause relaxation, anti-anxiety, and hypnotic effects by facilitating the action of neurons in the central nervous system (CNS) that suppress responsiveness to stimulation, therefore decreasing levels of arousal.
Withdrawal from CNS depressants such as barbiturates can cause insomnia and must be managed carefully. Barbiturates can also cause tolerance and dependence.
CNS stimulants, such as amphetamines, should be used sparingly and under medical manage-ment. Amphetamine sulfate may be used to treat narcolepsy. Prolonged use may cause drug de-pendence.
Tricyclic antidepressants can cause insomnia when discontinued, and should be managed care-fully. They are used primarily to treat depression.
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When assessing pain in any child, the nurse should consider that
a. Any pain assessment tool can be used to assess pain in children. b. Children as young as 1 year old use words to express pain. c. The child's behavioral, physiologic, and verbal responses are valuable when assessing pain. d. Pain assessment tools are minimally effective for communicating about pain.
When administering a mental status examination to a patient with delirium, the nurse should
a. wait until the patient is well-rested. b. administer an anxiolytic medication. c. choose a place without distracting stimuli. d. reorient the patient during the examination.
A postoperative patient has a history of opioid abuse. Which analgesic medication will the nurse expect the provider to order for this patient?
a. Buprenorphine (Buprenex) b. Butorphanol tartrate (Stadol) c. Naloxone (Narcan) d. Pentazocine (Talwin)
A patient is receiving care in a psychiatric–mental health facility that utilizes traditional milieu therapy. Which of the following components of milieu therapy prioritizes the provision of encouragement and positive feedback to the patient?
A) Validation B) Structure C) Containment D) Involvement