The nurse is caring for an older adult in the long-term care facility who has begun to display signs of anxiety and insomnia. What is the priority nursing action?
A) Assess the patient for physical problems.
B) Call the provider and request an antianxiety drug order.
C) Increase the patient's social time, encouraging interaction with others.
D) Suggest the family visit more often to reduce the resident's stress level.
A
Feedback:
The patient should be screened for physical problems, neurological deterioration, or depression, which could contribute to the insomnia or anxiety. Only after physical problems are ruled out would the nurse consider nondrug measures such as increased socialization with other residents or family members. If nothing else is effective, pharmacological intervention may be necessary.
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