A client at the sleep disorders clinic tells the nurse, I have ...

[Davideckstein7]

A client at the sleep disorders clinic tells the nurse, I have not slept well in years. As a result, I
  never feel good.
 
  After all these years, I do not expect things will ever improve or be any different..
  Nursing interventions the nurse should consider implementing include (more than one answer may
  be correct)
  A. providing instruction in relaxation techniques.
  B. advising to use alcohol as a sedative.
  C. health teaching regarding factors that influence sleep.
  D. counseling to address cognitive distortions.
  E. advising to engage in fatigue-producing activities to become overtired.
  F. promoting lengthy daytime sleep periods.

Question 2

If a cruel and abusive man rationalizes his behavior, he would most characteristically say
 
  a. I don't know why it happens..
  b. That person shouldn't have provoked me..
  c. I'm really a coward who is afraid of being hurt..
  d. I have poor impulse control..

[scikid]

Answer to Question 1

A, C, D
Rationale: Interventions that could be helpful include teaching relaxation techniques, such as
meditation or progressive relaxation to relieve the tension that sometimes prevents initiation of
sleep. Option C: Reviewing factors that influence sleep can assist the client to diagnose and remove
barriers to sleep. Option D: Cognitive therapy could be helpful in combating the hopelessness
verbalized by the client. Option B: Alcohol consumption actually disrupts sleep. Option E:
Becoming overtired may be a barrier to nighttime sleep. Option F: Naps may help replace lost sleep,
but lengthy daytime sleep will prevent the client from sleeping well at night.

Answer to Question 2

ANS: B
Rationalization consists of justifying one's unacceptable behavior by developing explanations that
satisfy the teller and attempt to satisfy the listener. The abuser is suggesting that the abuse is not his
fault and would not have occurred except for the provocation by the other person.

[Davideckstein7]

Thanks for the timely response, appreciate it

[milbourne11]

Excellent