A client on a psychiatricmental health unit has previously been ...

[burchfield96]

A client on a psychiatricmental health unit has previously been in the habit of staying up until 3:30 or 4:30 a.m. and then sleeping in until 1:00 or 2:00 p.m. How should the nurse address this client's sleep pattern?
 
  A) Ask the client's friends or family to purchase and bring in an over-the-counter sleep medication.
  B) Encourage the client to perform some vigorous exercise in the early evening.
  C) Obtain an order for a benzodiazepine from the client's psychiatrist.
  D) Encourage relaxing activities in the late evening to promote an earlier bedtime.

Question 2

Which of the following statements by clients may suggest that the individual is experiencing a spiritually based barrier to care?
 
  A) I've been through this all before, and ultimately nothing's changed for me.
  B) If you people knew me, and knew what you were doing, you'd know that this is all a waste of time.
  C) If you had any idea what I've been through, you wouldn't be so sure that you've got all the answers.
  D) I know what's wrong with me, but what you don't understand is that I'm being punished.

[honnalora]

Answer to Question 1

Ans: D
Interventions to promote sleep hygiene include encouraging relaxing activities in the late evening in order to lead into a reasonable bedtime and restful sleep. It would be unacceptable to encourage the client's family to bring in medications, and a benzodiazepine would be a later or last resort to promote sleep. Exercise should be avoided later in the evening.

Answer to Question 2

Ans: D
Attributing an illness to punishment or discipline by a higher power suggests a spiritually based barrier to treatment.

[burchfield96]

TYSM

[alvinum]

Excellent