A client having difficulty sleeping asks the nurse what the ...

[tatyanajohnson]

A client having difficulty sleeping asks the nurse what the complications of sleep deprivation might be. Which topic will the nurse include when responding to the client?
 
  A) Fatigue occurring at night
  B) Auditory hallucinations
  C) Improved wound healing
  D) Development of Alzheimer's disease

Question 2

The nurse is counseling an adult client with fibromyalgia. What are some elements of counseling that can help this client develop effective coping skills?
 
  Select all that apply.
  A) Teach the client strategies including distractions, relaxation techniques, a warm bath, or writing in a journal.
  B) Remind the client that the client has a progressive disease.
  C) Encourage the client to develop a strong support network of family and friends and to ask for help when needed.
  D) Inform the client that the client does not need to see a specialist.
  E) Suggest to the client that some symptoms may be psychosomatic.

[juicepod]

Answer to Question 1

Answer: B

The client who is deprived of sleep may experience visual or auditory hallucinations. Sleep deprivation is not known to be a causative factor for Alzheimer's disease but is known to exacerbate behavioral problems in persons with Alzheimer's disease. Fatigue may occur but this is during the daytime. Delayed healing is associated with sleep deprivation.

Answer to Question 2

Answer: A, C

It helps to identify stressors that make pain and fatigue worse, and then develop strategies to avoid those stressors or to minimize symptoms when those stressors occur. Fibromyalgia is not a progressive disease. Getting appropriate help is important in managing fibromyalgia. Clients should be encouraged to see a fibromyalgia specialist. It is important to validate the client's perceptions.

[tatyanajohnson]

Thanks for the timely response, appreciate it

[peter]

Excellent