A patient's nursing diagnosis is sleep-pattern disturbance. The ...

[tichca]

A patient's nursing diagnosis is sleep-pattern disturbance. The desired outcome is: Patient will sleep for a minimum of 5 hours nightly by October 31 .
 
  On November 1, review of sleep data for 6 days shows the patient slept an average of 4 hours nightly and took 2-hour afternoon naps daily. Which evaluation should be documented? a. Consistently demonstrated
  b. Often demonstrated
  c. Sometimes demonstrated
  d. Never demonstrated

Question 2

A severely depressed patient lost 20 pounds over the past month, has chronic low self-esteem, and the intent and a plan for suicide. The patient has taken an antidepressant medication for 1 week.
 
  The nurse adds this outcome to the plan of care: Patient will refrain from gestures and attempts to harm self. Which nursing intervention is most directly related to this outcome? a. Implement suicide precautions
  b. Offer high-calorie snacks and fluids frequently
  c. Assist the patient to identify three personal strengths
  d. Observe patient for therapeutic effects of antidepressant medication

[EAN94]

Answer to Question 1

D
Although the patient is sleeping 6 hours daily, uninterrupted sleep was not achieved. Therefore, the outcome was never demonstrated.

Answer to Question 2

A
The intervention should relate to patient safety. The other options, related to nutrition, self-esteem and medication therapy, are important but not a priority.

[tichca]

TYSM

[Missbam101]

Excellent