A client diagnosed with major depressive episode and substance use disorder has an altered sleep pattern and demands that a psychiatrist prescribe a sedative
Which rationale explains why a nurse should encourage the client to first try nonpharmacological interventions? 1. Sedative-hypnotics are potentially addictive, and their effectiveness will be compromised owing to tolerance.
2. Sedative-hypnotics are expensive and have numerous side effects.
3. Sedative-hypnotics interfere with necessary REM (rapid eye movement) sleep.
4. Sedative-hypnotics are known not to be as effective in promoting sleep as antidepressant medications.
1
Rationale: The nurse should recommend nonpharmacological interventions to this client because sedative-hypnotics are potentially addictive, and their effectiveness will be compromised owing to tolerance. The effects of central nervous system depressants are additive with one another, capable of producing physiological and psychological addiction.
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A hospital uses a results-oriented evaluation system. During a nurse's hiring process, the manager states, "Once you have been officially hired, I want to meet with you regarding evaluation." What will be the focus of this meeting?
1. The manager will give the nurse a set of work objectives for the next year. 2. The manager will explain how poor evaluations can lead to termination. 3. The nurse and the manager will work together to write work objectives for the nurse. 4. The manager will review the nurse's previous job experiences.
Creating action plans can facilitate leadership support and use of evidence-based practice. The nurse manager can use the action plan to (select all that apply):
a. set the staffing schedule. b. allocate resources as needed. c. set the expectations for the unit. d. promote staff questioning practice. e. encourage and respond to new ideas.
A mother brings her 2-year-old child to the clinic stating that the child is cross-eyed. What test would the nurse perform to test for strabismus?
A) Corneal light reflex B) Cover C) Allen D) Static
For which behavior should the nurse observe when assessing the family's ineffective pattern for coping with stress of illness and hospitalization of a family member?
a) Avoiding coming to the hospital to visit a family member b) Arranging a family meeting to discuss the plan for care c) Seeking professional counseling for conflict resolution d) Scheduling respite care to take a break from caregiving