Author Question: Which comment is most likely from a patient with chronic sleep deprivation? a. I turn on the ... (Read 16 times)

sammy · **on:** Jul 19, 2018

Which comment is most likely from a patient with chronic sleep deprivation?

a. I turn on the television every night to get to sleep. I set the timer so it goes off in 30 minutes.
b. I have diarrhea frequently and not much energy, so I stay at home most of the time.
c. I only sleep about 7 hours a night, but I know I should sleep 8 or 9 hours.
d. When my alarm clock goes off every morning, it seems like I am dreaming.

Question 2

A patient diagnosed with anorexia nervosa is hospitalized for treatment. What features should the milieu provide? Select all that apply.

a. Flexible mealtimes
b. Unscheduled weight checks
c. Adherence to a selected menu
d. Observation during and after meals
e. Monitoring during bathroom trips
f. Privileges correlated with emotional expression

eliasc0401 · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

ANS: B
A discrepancy between hours of sleep obtained and hours required leads to sleep deprivation. Adults with less than 6 hours of sleep per night often suffer from chronic sleep deprivation. Common complaints include poor general health, physical and mental distress, limitations in ADLs, depressive or anxious symptoms, and pain. One distracter indicates a problem with sleep hygiene television. The remaining distracters do not indicate a problem.

Answer to Question 2

ANS: C, D, E
Priority milieu interventions support restoration of weight and normalization of eating patterns. This requires close supervision of the patient's eating and prevention of exercise, purging, and other activities. There is strict adherence to menus. Observe patients during and after meals to prevent throwing away food or purging. Monitor all trips to the bathroom. Mealtimes are structured, not flexible. Weighing is performed on a regular schedule. Privileges are correlated with weight gain and treatment plan compliance.