A nurse practitioner is treating a client for uncomplicated adult primary insomnia on an outpatient basis
After ruling out correctable medical causes for the insomnia, the nurse practitioner formulates a plan of care to provide primary care cognitive therapy to treat the insomnia. Whether or not this plan of care is appropriate depends on the knowledge that cognitive therapy developed for use by a primary care provider: a. is not effective because cognitive therapy can be performed only by a cognitive behavioral therapy specialist
b. appears to have a good short-term efficacy for managing uncomplicated adult primary insomnia
c. contradicts the results of multiple studies that show no significant benefit from cognitive behavioral therapy for the treatment of insomnia
d. results in the same efficacy and side-effect profile as placebo therapy
B
A "primary therapy" cognitive therapy appears to have good short-term efficacy for managing uncomplicated adult primary insomnia in outpatient practice. Cognitive behavioral therapy is likely to have fewer side effects and may have lower long-term costs than the use of prescription medications.
You might also like to view...
After teaching a client who is newly diagnosed with type 2 diabetes mellitus, the nurse assesses the client's understanding. Which statement made by the client indicates a need for additional teaching?
a. "I should increase my intake of vegetables with higher amounts of dietary fiber." b. "My intake of saturated fats should be no more than 10% of my total calorie intake." c. "I should decrease my intake of protein and eliminate carbohydrates from my diet." d. "My intake of water is not restricted by my treatment plan or medication regimen."
When performing the physical examination of a child with cystic fibrosis, which of the following would the nurse expect to assess?
A) Dullness over the lung fields B) Increased diaphragmatic excursion C) Decreased tactile fremitus D) Hyperresonance over the liver
A nurse is reviewing a patient's medications and realizes that gemfibrozil [Lopid] and warfarin [Coumadin] are to be administered concomitantly. Which effect will the nurse anticipate in this patient?
a. Increased levels of gemfibrozil b. Decreased levels of gemfibrozil c. Increased anticoagulant effects d. Reduced anticoagulant effects
The prescriber asks a nurse to prepare the patient for an intraspinal injection of an opioid medication. The nurse understands that this route of administration is most beneficial for
a. a patient with intractable pain that cannot be controlled by less invasive routes. b. patients at risk for thrombocytopenia who cannot tolerate intramuscular injections. c. a patient experiencing pain caused by advancing gastric cancer. d. a patient suffering from excruciating bone pain.