After experiencing two workplace accidents in which he fell asleep, a 30-year-old construction worker has been diagnosed with narcolepsy
The patient admits that he is embarrassed to receive this diagnosis and is adamant that no one find out about it. The nurse should respond to the patient by explaining what aspect of the etiology? A) "This is the result of neurological factors over which you have no direct control."
B) "In a lot of cases, making improvements to your sleep habits can resolve narcolepsy."
C) "This is something that runs in certain families, and it's not your fault that this has happened."
D) "This usually stems from suppressed emotions, so counseling usually helps greatly."
A
Feedback:
Narcolepsy is a neurological sleep disorder, not the result of mental illness or psychological problems. It is most likely due to a number of genetic abnormalities, but family history is not noted to be highly significant.
You might also like to view...
A nurse is caring for a 70-year-old woman in the emergency room who is complaining of shortness of breath and has a history of congestive heart failure along with hypertension
She was seen by a new cardiologist this week and was started on four new medications. She thinks one is a new "water pill," and she is unsure about the others. The drugs are very expensive and she is waiting for them to arrive by mail order, so she quit taking all her other medications two days ago. The nurse's best set of interventions would be to: A) Obtain a list of her current medications, check for interactions, and consult the emergency room physician B) Obtain a brief history and vitals, then allow the emergency room physician to sort out the details because he will be ordering the medications C) Obtain a set of vitals, do a focused assessment, compile a list of her medications along with when she took them last, and consult with the emergency room physician D) Obtain a set of vitals, do a complete assessment, compile a list of her medications and exactly when she took them last, then consult with the emergency room physician
Successful resolution of the goal related to deficient knowledge of the client receiving alprazolam would be:
a. Client asks appropriate questions of the nurse regarding self-administration of alprazolam as prescribed. b. Client does not sustain injury resulting from alprazolam therapy. c. Client remains compliant with alprazolam therapy. d. Client verbalizes understanding of anxiolytic medication, adverse effects, and the need for compliance.
A patient classification system that uses units of measure that equate to nursing time is called:
a. prototype. c. factor system. b. seven domain. d. scorecard.
The nurse is aware that end-of-life planning is often neglected because __________________________________. (Select all that apply.)
a. there is no clear procedure to follow. b. people are uncomfortable taking about death. c. young people do not see the need for end-of-life planning. d. end-of-life planning is a relative new concept. e. many persons are not really sure what they want to do.