When developing a care plan for a patient with a sleep-wake disorder, the nurse must ask which questions? Select all that apply
1. Is the patient exhibiting drug-seeking behavior?
2. Does the patient really have a sleep-wake disorder?
3. Which symptom is most distressing or upsetting to the patient?
4. Is the patient able to work with the team to develop his care plan?
5. What specific goal is the patient wanting to achieve with his sleep?
Answer: 3, 4, 5
Explanation: Pertinent questions for the nurse to ask include whether the patient can participate in planning care, which symptom is most distressing, and what specific, measurable, and achievable goal does the patient have. Ascertaining a specific sleep-wake disorder diagnosis is not as importantâ€"if the patient perceives that it is an issue, it should be addressed. It should not be assumed that the patient is relating symptoms to procure medications.
You might also like to view...
Which assessment data obtained by the home care nurse suggests that a 74-year-old client may be dehydrated?
A. The client has dry skin on the upper and lower extremities. B. The client states that he gets up three or more times during the night to urinate. C. The client states that he feels lightheaded when he gets out of bed or stands up. D. The nurse observes tenting of skin on the back of the hand when testing skin tur-gor.
The client has a tracheostomy secondary to head and neck surgery. The nurse monitors the client for complications related to the absence of which important protective mechanism?
A) Filtration and humidification of inspired air B) Decrease in oxygen-carrying capacity of the trachea C) The sneeze reflex initiated by irritants in the nasal passages D) The ability to cough
A client is prescribed a disease-modifying antirheumatic agent. What will the nurse explain as the mechanism of action for this medication?
1. Provides rapid relief of symptoms 2. Prevents the need for orthopedic surgery 3. Reduces damage and delays disease progression 4. Allows the client to be more active
During a medication management class for nurses, the pharmacist discussing tricyclic antidepres-sants asked how these medications affect neurotransmitter activity. The nurse should respond:
1. "By decreasing available dopamine." 2. "By increasing availability of norepinephrine and serotonin." 3. "By making available increased amounts of monoamine oxidase." 4. "By increasing the effects of gamma-aminobutyric acid."