The client who was taking zaleplon (Sonata) took about an hour to ...

[mydiamond]

The client who was taking zaleplon (Sonata) took about an hour to fall asleep the first night after it was discontinued. The client asks the nurse if this means that the client is addicted to the medication. Which nursing response is correct?
 
  1. There are no sedativehypnotics that can be addictive.
  2. This medication is not associated with withdrawal symptoms.
  3. Usually the medication is tapered off over six weeks to prevent withdrawal.
  4. The client is addicted, but withdrawal is mild.

Question 2

In order to help improve the functioning of mental health clients and their families, nurses must:
 
  1. Teach the client communication skills.
  2. Help each member negotiate what they need within the family.
  3. Decrease the client's stress by compromising the integrity of family interactions.
  4. Normalize the family's experience.

[abctaiwan]

Answer to Question 1

2
Rationale: Although this medication may cause some minor difficulty in falling asleep after it is discontinued, it is not associated with withdrawal symptoms. The medication does not need to be tapered off. The client is not addicted to the medication. The barbiturates and benzodiazepines can be addictive.

Answer to Question 2

2
Rationale: The negotiation phase of family therapy is begun by identifying what each member would like to change in the family. When each family member and the therapist have identified important goals, they begin negotiating a set of attainable goals that everyone is willing to work on. Some give-and-take among the family members is needed to achieve workable goals. At this time, the family therapist, along with the family, may also identify the meanstasks, strategies, and so onthat will be used to reach the negotiated goals. Teaching the client communication skills may be one of the tasks the family identifies. Normalizing the family's experience may result from improvement of family functioning. It is nontherapeutic for the nurse to actively compromise the integrity of family interactions.