A nurse is obtaining a health history from an older adult patient in an outpatient clinic. The patient reports chronic difficulty falling asleep and staying asleep. The nurse knows that the best treatment for this patient will be:
a. alternative medications.
b. improved sleep hygiene.
c. short-term barbiturates.
d. triazolam (Halcion).
ANS: B
Research has shown that cognitive behavioral therapy is superior to drug therapy for both short-term and long-term management of chronic insomnia in older adults. Alternative remedies have not been proven effective. Barbiturates may elicit paradoxical effects in elderly patients. Triazolam does not help to maintain sleep.
You might also like to view...
The psychiatric forensic nurse assigned to a tactical team is deployed along with the team. The
nurse's role within the team would include a. directing personnel deployment. b. suggesting negotiation techniques to a negotiator. c. determining the competency of the perpetrator. d. describing the type of person holding the hostages.
The nurse is completing an admission physical assessment on a client diagnosed with obsessive-compulsive disorder. Which of the following would be considered objective data?
A) Medical history B) Thoughts C) Present symptoms D) Client self-report
Which of the following patients would be least likely to be prescribed aspirin therapy?
a. A 12-year-old with a high fever b. A 37-year-old with vitamin K deficiency c. A 62-year-old with impaired renal function d. A 45-year-old with unstable angina
To decrease the pain associated with an episiotomy immediately after birth, which action by the nurse would be most appropriate?
A) Offer warm blankets. B) Encourage the woman to void. C) Apply an ice pack to the site. D) Offer a warm sitz bath.