A new patient at the sleep disorders clinic tells the nurse, "I have not slept well in a year, so I never feel good. I do not expect things will ever improve or be any different." Interventions the nurse should consider include: (select all that apply)
a. suggesting use of alcohol as a sedative.
b. providing instruction in relaxation techniques.
c. counseling the patient to address cognitive distortions.
d. health teaching regarding factors that influence sleep.
e. teaching fatigue-producing activities to become overtired.
f. encouraging long daytime naps to compensate for sleep deprivation.
ANS: B, C, D
Interventions that could be helpful include teaching relaxation techniques, such as meditation or progressive relaxation, to relieve the tension that sometimes prevents initiation of sleep. Reviewing factors that influence sleep can assist the patient to diagnose and remove barriers to sleep. Cognitive therapy could be helpful in combating the hopelessness verbalized by the patient. Alcohol consumption actually disrupts sleep. Becoming overtired may be a barrier to nighttime sleep. Naps may help replace lost sleep, but lengthy daytime sleep will prevent the patient from sleeping well at night.
You might also like to view...
A client is in the family practice clinic reporting a severe cough that has lasted for 5 weeks. The client is so exhausted after coughing that work has become impossible. What action by the nurse is most appropriate?
a. Arrange for immediate hospitalization. b. Facilitate polymerase chain reaction testing. c. Have the client produce a sputum sample. d. Obtain two sets of blood cultures.
A 9-year-old patient who is hospitalized for bowel surgery appears very frightened. To appear less threatening to the child, which action should the nurse take?
a. Stand over the bed when talking to the patient. b. Sit in a chair next to the bed when talking to the patient. c. Maintain constant eye contact with the patient at all times. d. Stay within 12 inches of the patient when talking to the patient.
The client arrives at the emergency room reporting symptoms of heart palpitations, tightness in the chest, and epigastric pain. The nurse asks the client what was happening when these symptoms first appeared. The client states a stressful event
The nurse is correct to correlate that the symptoms experienced stem from which system? A) Sympathetic nervous system B) Autonomic nervous system C) Cardiopulmonary system D) Central nervous system
A nurse caring for a patient who has a surgical wound following a cesarean section notes dehiscence of the wound and contacts the surgeon. Which of the following is a finding related to this condition?
A) The edges of the wound are lightly pulled together. B) There is an accidental separation of the wound. C) There is an accumulation of fluid in the interstitial tissue. D) There is redness or inflammation of an area as a result of dilation.