An older patient with insomnia lives in an assisted living facility and is seen reading in the lounge area most nights. Which issue causes the greatest concern for the nurse caring for this patient?

1. The patient has significant underlying problems.
2. Insomnia is linked to cardiac dysfunction if it is not managed.
3. Liability is created by a patient who is unsupervised in the lounge areas.
4. The patient's ability to function during the day may be hindered by these episodes.


4
Rationale: Insomnia is not a diagnostic test to determine underlying problems.

Nursing

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A client is being assessed following a suicide attempt. She continues to have suicidal thoughts. Which of the following nursing diagnoses would take priority at this time?

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