The nurse is caring for an adult client who was admitted to the hospital 3 days ago. The client is having a hard time sleeping
The nurse notes that there is documentation of some confusion during waking hours. Based on this data, which nursing diagnosis is the most appropriate?
A) Ineffective Coping
B) Disturbed Sleep Pattern
C) Disturbed Sensory Perception
D) Ineffective Health Maintenance
Answer: B
The client is in a new environment. Changes in environment bring about uncertainty, and the client may be unable to sleep or may sleep less well than at home. Although the client is confused, there is no other data presented on a possible cause, making Disturbed Sleep Pattern a more appropriate selection than Disturbed Sensory Perception. In addition, Disturbed Sensory Perception relates to one of the five senses. Ineffective Health Maintenance and Ineffective Coping are more global and not applicable to this client's situation.
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