An older patient reported to the clinic nurse that since a ...

[Brittanyd9008]

An older patient reported to the clinic nurse that since a grandson moved in a few months ago, the patient has had problems sleeping. Which question by the nurse is most appropriate?
 
  a. How do you feel about having a room-mate?
  b. Was it your decision to invite him to move in?
  c. Has your sleep pattern changed since he moved in?
  d. Can you be more specific about the trouble you have sleeping?

Question 2

Through the open door of the patient's room, the nurse observes a male patient and his long-term partner in a romantic embrace. The nurse's priority intervention is directed toward
 
  a. reinforcing for the staff the patient's inti-macy needs.
  b. explaining to the patient the challenges that his relationship poses for the staff.
  c. offering to discuss the barriers to intimacy that the patient and his partner face.
  d. quietly closing the door to address the pa-tient's right to privacy.

[Jane]

Answer to Question 1

C
The introduction of a new roommate often disrupts established sleep patterns, causing sleep dis-turbances. The nurse should also gather information on the specifics of the problem but should start with the event that the patient relates as the start of the issue.

Answer to Question 2

D
All patients have the right to sexual expression if they are cognitively capable of making deci-sions. No matter the sexual orientation of the patient, privacy should be respected unless the need for safety is paramount. The nurse should close the door quietly. There is no need for other action unless the staff members need to be reminded of this information.