A patient with rheumatoid arthritis reports, For the past month I've been having a lot of trouble falling asleep. When I finally get to sleep, I wake up several times during the night. Which information should the nurse seek initially?
a. What have you done to try to improve your sleep?
b. What would be a good sleep pattern for you?
c. How much exercise are you getting?
d. Do you have pain at night?
Question 2
A home care nurse assesses a very demanding patient with chronic obstructive pulmonary disease (COPD). Afterward, the nurse talks with the spouse who has provided this patient's care for 6 years. The spouse says, I don't need much sleep anymore.
I might need to help him during the night. Select the nurse's most therapeutic response.
a. It sounds like you are very devoted to your spouse.
b. I noticed you fell asleep while I was assessing your spouse. I'm concerned about you.
c. Your spouse is lucky to have you to provide care rather than being placed in a nursing home.
d. If you keep going like this, your health will be impaired also. Then who will take care of both of you?
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