A client who has a child with a chronic medical condition states ...

[lindiwe]

A client who has a child with a chronic medical condition states that she does not get enough sleep, but she adds, It is no big deal. I am the mother and that is just part of the sacrifice. The nurse replies knowing that:
 
  1. Persistent sleep deficits are an increased risk factor for obesity, diabetes, and oth-er illnesses
  2. The client is right, and being the mother of a sick child involves giving up sleep
  3. The client needs to have her husband do some of the nighttime care
  4. People get used to going without sleep, and the client will be able to make it up with naps

Question 2

A 40-year-old client has primary insomnia. The nurse will select which realistic outcome for this client? The client will:
 
  1. Describe the cerebral stimulants used for treatment
  2. State that flurazepam (Dalmane) can be used for 2 months
  3. Identify physical and psychosocial stressors that exacerbate the sleep disturbance
  4. Evaluate the use of continuous positive airway pressure (CPAP) ventilation

[peilian]

Answer to Question 1

ANS: 1
Ongoing sleep deprivation can significantly affect overall quality of physical and mental health, so option 1 is correct. Option 2 might be correct; however, the nurse's reply should incorporate the seriousness of the problem. There are no data provided about family members, so option 3 is incorrect. Option 4 is incorrect since sleep deprivation is a serious concern.

Answer to Question 2

ANS: 3
Stimulants are not used for insomnia, so option 1 is incorrect. It is recommended that Dalmane be used for 2 weeks, so option 2 is incorrect. CPAP (option 4) is used for obstructive sleep apnea.

[lindiwe]

Excellent

[tuate]

Gracias!