The clinical nurse leader notices that staff spend minimal time ...

[schs14]

The clinical nurse leader notices that staff spend minimal time with a client who is terminally ill
  with AIDS.
 
  The client confides in the nurse leader that he is having intense emotional reactions to
  his illness, sometimes feeling angry, sometimes afraid, sometimes feeling abandoned. As the nurse
  leader considers how to approach the problem of client avoidance with staff, he can hypothesize that
  the most likely reason for the staff's avoidance is
  a. the need to use extra infection control precautions.
  b. feelings of inadequacy in dealing with complex emotional needs.
  c. knowledge that the client needs time alone with family and friends.
  d. disapproval of the client's former high-risk lifestyle.

Question 2

A client with primary insomnia asks the nurse why day naps do not really compensate for a lost
  night's sleep. The best reply for the nurse is
 
  a. Circadian cycles give daytime naps a structure different from nighttime sleep..
  b. The body clock operates on a 25-hour cycle, making nap effectiveness
  unpredictable..
  c.  It is a matter of habit and expectation. We expect to be more refreshed from a
  night's sleep..
  d. Sleep restores homeostasis but works more efficiently when aided by melatonin
  secreted at night..

[meltdown117]

Answer to Question 1

B
Many nurses tend to be more comfortable with meeting physical needs than in focusing on
emotional needs. Option A is not an acceptable answer because universal precautions are necessary
for all clients. Option C assumes friends and family are available to the client, which might not be
true. Option D assumes the client led a high-risk lifestyle, which might not be accurate.

Answer to Question 2

A
A regular 90- to 100-minute sleep cycle occurs with nighttime sleep, with progression through two
distinct physiological states: four stages of nonrapid eye movement (REM) sleep and a period of
REM sleep. Naps often contain different amounts of REM sleep, thus changing the physiology of
sleep as well as the psychological and behavioral effects of sleep. Options B and D are not true
statements. Option C has little bearing on the reason for lack of refreshment.

[schs14]

TYSM

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