Author Question: A client who has degenerative arthritis of the knees and hips for which she takes nonsteroidal ... (Read 83 times)

jCorn1234 · **on:** Jul 19, 2018

A client who has degenerative arthritis of the knees and hips for which she takes nonsteroidal
antiinflammatory drugs tells the nurse For the past month I have been having a lot of trouble
sleeping.

I cannot seem to fall asleep, and then when I finally do get to sleep, I find I wake up a
number of times during the night.. Which information should the nurse seek initially?
a. Are you snoring a lot?
b. Do you have pain at night?
c. Do you sleep better with the radio on?
d. Can you define good sleep' for me?

Question 2

The family scenario that presents the greatest risk for family violence is

a. a husband who is unemployed and has low self-esteem associated with lack of
employability, a wife who loses her job, and a developmentally delayed
3-year-old son.
b. a husband who finds employment 2 weeks after a layoff from his previous job, a
wife who has stable employment, and a child doing well in school.
c. a single mother with an executive position, a 10-year-old precocious daughter,
and a widowed grandmother living in the household to provide child care for the
10-year-old child.
d. a single gay male parent, an adolescent son who has just begun dating girls, and
the father's unmarried sister who has come to visit for 2 weeks.

carojassy25 · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

B
Clients with diseases such as arthritis may have sleep disturbance related to nightly pain. Because
the pain is chronic the client may fail to realize it is the reason for the inability to sleep. The other
options do not follow the client's lead.

Answer to Question 2

A
The family in option A has the greatest number of stressors. The other families described have fewer
negative events occurring.