The nurse is caring for an older client with depression who has begun having trouble sleeping
In addition to antidepressants, a safe, nonpharmacologic and potentially effective adjunctive treatment for insomnia in persons with a diagnosis of depression is: 1. Medical meditation.
2. Watching TV.
3. Progressive relaxation.
4. Alternate-nostril breathing.
3
Rationale: The technique of progressive relaxation is based on the premise that muscle tension is the body's physiologic response to anxiety-provoking thoughts. Deep muscle relaxation, by contrast, decreases physiologic tension and blocks anxiety. Clients with insomnia and depression are among those who can achieve positive results using this technique. Alternate-nostril breathing is best for sinus headaches and is not intended for deep relaxation. Watching TV is not a relaxation technique. Medical meditation takes focus and although it may induce the relaxation response, for those who need to sleep it may stimulate alertness rather than encourage sleep.
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A nurse is preparing information to be distributed at a national conference on AIDS. What should be included regarding mandatory disclosure of AIDS status?
1. AIDS status is confidential and cannot be disclosed to any entity without patient consent. 2. All AIDS cases must be reported to the Centers for Disease Control and Prevention or to the state health department. 3. Every state requires that all sexual contacts of a person diagnosed with AIDS be contacted and treated. 4. AIDS status must be disclosed to any health care provider who has cared for the patient within the last 18 months and to any future health care provider.
In some Middle Eastern and African cultures, female genital mutilation is a prerequisite for marriage
Women who now live in North America need care from nurses who are knowledgeable about the procedure and comfortable with the abnormal appearance of her genitalia. When caring for this woman, the nurse can formulate a diagnosis with the understanding that the woman may be at risk for (select all that apply) a. Obstructed labor b. Increased signs of pain response c. Laceration d. Hemorrhage e. Infection
What is the name given to polymorphic VT that occurs in the presence of a long QT interval?
What will be an ideal response?
Nursing students have been studying the "stability model" of nurse theorists. This view can be described as which of the following? (Select all that apply.)
______ Dominant ______ Stress/adaptation framework ______ Martha Rogers's theory ______ Caring/complexity framework ______ Callista Roy's theory ______ Systems framework