An adult client is experiencing chronic insomnia related to a recent divorce and child custody proceedings

Question

The client is requesting a renewable prescription for "sleeping pills." The nurse knows that which of the following interventions listed below will provide the most beneficial treatment for this client?
A)
Sedatives and hypnotic drugs will not provide safe relief of the client's health problem.
B)
The client is suffering from primary insomnia.
C)
Melatonin supplements will be the safest and most effective long-term pharmacological treatment.
D)
Behavioral therapies and education regarding sleep hygiene will provide assistance for the client.

Answer 1

Ans:
D

Feedback:

Behavioral therapies may be beneficial in the treatment of insomnia. Sleep hygiene establishing a regular wake-up time to help set the circadian clock and regularity of sleep onset are encouraged. Drugs may be of use in the short term and should be used judiciously rather than completely avoiding them. The efficacy of melatonin is unproven, and his insomnia would likely be categorized as secondary insomnia, given the obvious contribution of stressors.