A factory night shift worker tells the industrial nurse that he ...

[oliviahorn72]

A factory night shift worker tells the industrial nurse that he is having trouble getting to sleep when
  he goes home after a night's work.
 
  He mentions that he has a hearty breakfast and a few cups of
  coffee, reads the paper, does his exercises, and then goes to bed and lies awake until it is nearly time
  to get up to be with his family at dinner. What change should the nurse suggest? (More than one
  answer may be correct.)
  A. Drink decaffeinated coffee after 3 AM.
  B. Do not read the paper.
  C. Exercise after awakening.
  D. Eat a light breakfast.

Question 2

A substance-abusing client tells the nurse he has been disowned by his parents. He has two siblings
  who have told him to stay out of our lives..
 
  He has not had a stable relationship with a significant
  other for several years and has lost touch with co-workers since being fired from his job. The client
  states he feels anxious about his ability to maintain a drug-free state. The nurse should give highest
  consideration to referring the client for treatment using
  a. an inpatient program.
  b. outpatient therapy.
  c. family therapy.
  d. AA.

[fffftttt]

Answer to Question 1

A, C, D
Rationale: Sleep can be disrupted by caffeine, a central nervous system stimulant, exercise
performed just before trying to sleep, and eating a heavy meal before retiring. Option B: Reading the
newspaper is not likely to be so stimulating that it disrupts the client's ability to sleep.

Answer to Question 2

A
People with little support often do best in inpatient programs that provide structure and support.
Option B: Outpatient programs work best for employed substance abusers who have good social
support systems. Option C: The client has no family with which to participate in such a program.
Option D: AA meetings account for only a few hours daily. A client with little or no other social
supports may do better with an inpatient program.