A client reports that nearly every night she awakens feeling frightened after a bad dream. The dream
usually involves being hunted by individuals who wish to harm her.
She tells the nurse that the
awakening consistently takes place between 4 and 5 AM. The nurse assesses this disorder as being
most consistent with DSM-IV-TR criteria for
a. sleep talking.
b. nightmare disorder.
c. night terror disorder.
d. REM sleep behavior disorder.
B
Nightmares are long, frightening dreams from which people awaken in a frightened state. They
occur during REM sleep late in the night. Sleep talking occurs without fright and often without
awakening the sleeper. Night terror disorder occurs as arousal in the first third of the night during
non-REM sleep and is accompanied by feelings of panic. REM sleep behavior disorder involves
acting out a violent dream during REM sleep.
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Arterial blood gases reveal a decreased PO2, oxygen saturation, and PCO2, and pH is elevated. Her diagnosis most likely is A) chronic bronchitis. B) acute asthma. C) pneumonia. D) pleural effusion.
During a recent lecture to a class of anatomy and physiology students, a nursing instructor lectures on stress and adaptive processes
The instructor explains how hypertension and cardiovascular disease can occur over time if a state of chronic arousal develops. In a state of chronic arousal, what can happen within the body? A) Blood pressure decreases. B) Serum glucose levels drop. C) Tumors may develop. D) Infections are diminished.
A child is diagnosed with rickets. The nurse knows that this child is most likely deficient in which vitamin?
a. Niacin (nicotinic acid) b. Thiamin (vitamin B1) c. Vitamin C (ascorbic acid) d. Vitamin D
Interventions can be developed on the basis of qualitative findings in the process called:
A) Discourse analysis B) Narrative analysis C) Descriptive qualitative analysis D) Qualitative outcome analysis