Author Question: The indicators the nurse would find useful for evaluation of outcomes relating to sleep improvement ... (Read 70 times)

strangeaffliction

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The indicators the nurse would find useful for evaluation of outcomes relating to sleep improvement
  include (more than one answer may be correct)
 
  A. fewer than 5 hours of sleep.
  B. decreased time falling asleep.
  C. fewer awakenings.
  D. dependence on sleep aids.
  E. ability to resume sleep after awakening.
  F. client perception of improvement.

Question 2

A client being treated on an outpatient basis for generalized anxiety disorder reports I have a little
  difficulty falling asleep but then I sleep soundly for about 7 hours.
 
  I do not worry excessively about
  what is going on in my life anymore, and I'm able to enjoy spending time with friends and relatives.
  For the past 3 weeks I've been able to use relaxation to stop the episodes of racing pulse and
  thinking I'm going to die.. The nurse should evaluated the outcome, anxiety self-control, as
  a. seldom demonstrated.
  b. sometimes demonstrated.
  c. often demonstrated.
  d. consistently demonstrated.



yeungji

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Answer to Question 1

B, C, E, F
Rationale: Options B, C, E, and F suggest normalization of sleep. Option A refers to an amount of
sleep generally thought to be insufficient. Option D: Normalization of sleep should not depend on
use of sleep aids.

Answer to Question 2

ANS: D
Being able to consistently control the anxiety response (e.g., elevated blood pressure, pulse,
respiration, dilated pupils, sweating) is the most definitive indicator of anxiety self-control.
Adequate nightly sleep and maintenance of social relationships also suggest the client is making
progress toward anxiety self-control. Lack of exaggerated concerns about life events is also an
indicator of decreased anxiety.



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