A patient with a history of insomnia has been taking 15 mg of ...

[LaDunn]

A patient with a history of insomnia has been taking 15 mg of chlordiazepoxide (Librium) at bedtime for the past year. The patient reports having difficulty falling asleep and wakes up frequently during the night.
 
  The most appropriate nursing diagnosis to consider is: a. disturbed sleep pattern related to anxiety.
  b. moderate anxiety related to disturbed sleep pattern.
  c. insomnia related to tolerance to chlordiazepoxide (Librium).
  d. thought disorder related to intolerance of chlordiazepoxide (Librium).

Question 2

During a group conference, the topic of eating disorders is discussed. One of your classmates is caring for a teenager who is emaciated but continues to refuse to eat enough and engages in jogging daily. This client likely has the diagnosis of:
 
  a. anorexia nervosa
  b. bulimia nervosa
  c. binge eating disorder
  d. histrionic personality disorder

[Anton]

Answer to Question 1

C
Chlordiazepoxide (Librium) is a benzodiazepine. Tolerance to benzodiazepines develops quickly and leaves the patient needing larger doses of the drug to obtain the desired effect. Because tolerance and dependence on benzodiazepines occur, their use should be short-term.

Answer to Question 2

A
The client would most likely have the diagnosis of anorexia nervosa. Anorexia nervosa is a medical-psychological condition characterized by profound disturbance in body image. Persons with this disorder view themselves as undesirably fat even when they become clinically emaciated. These individuals do not lose their appetite for food but actively starve themselves in an effort to keep from gaining weight. They also engage in exercises that will cause weight loss.

[LaDunn]

TYSM

[gcook]

Excellent