Which intervention will best assess a narcoleptic patient for a ...

[Mr3Hunna]

Which intervention will best assess a narcoleptic patient for a commonly recognized comorbid psychiatric disorder?
 
  a. Observing for signs of self-mutilation
  b. Observing the patient for ritualistic behaviors
  c. Asking, Do you consider yourself to be depressed?
  d. Asking, Do you rely on alcohol to function socially?

Question 2

A patient with obstructive sleep apnea (OSA) is being discharged. What patient state-ment indicates the need for further teaching?
 
  a. I hope to lose some weight.
  b. My antidepressants seem to be helping.
  c. I will try the oral appliance that the doctor suggested.
  d. A glass of wine at bedtime will help relax my airways.

[atrochim]

Answer to Question 1

ANS: C
Research supports a link between insomnia and major depression.

Answer to Question 2

ANS: D
Health care providers usually discourage patients with this disorder from using sedating sub-stances such as alcohol, because these types of sedatives often exacerbate the problem by re-laxing the airway, thus increasing the risk of longer apneic episodes throughout the night. The remaining options are all positive strategies to help with OSA.