The nurse is caring for a patient with suspected shift work ...

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The nurse is caring for a patient with suspected shift work disorder. In order for the patient to be diagnosed with this disorder, what must criteria must the patient meet?
 
  1. The criteria for at least one other physiological disorder
  2. Sleep loss of more than 2 hours per day due to the shift work
  3. The criteria for other sleep circadian-rhythm disorders
  4. Absence of any physiological disorders that may cause the symptoms

Question 2

The nurse is assessing a patient who is being admitted to the psychiatric inpatient unit. The patient reports that he has had insomnia for years. The nurse will assess for which behaviors related to chronic insomnia? Select all that apply.
 
  1. Spending more time in bed
  2. Watching television in bed
  3. Staying up as late as possible
  4. Taking hot showers at bedtime
  5. Spending more time with others

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Answer to Question 1

Answer: 4
Explanation: In order to be diagnosed with shift worker disorder, the individual must not meet the criteria for any other sleep circadian-rhythm or insomnia disorder and be absent of any medical or mental condition that might account for the symptoms. The amount of sleep lost is not a factor diagnosing the disorder.

Answer to Question 2

Answer: 1, 2, 4
Explanation: Individuals who experience chronic insomnia often spend more time in bed, hoping sleep will come. They do other activities in bed (other than sleep and sex) such as watching television, reading, or paying bills. They may take hot showers or baths at bedtime, trying to relax. They do not generally try to stay up late. They often avoid spending time with others and may become socially isolated.

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