Author Question: A patient's nursing diagnosis is sleep-pattern disturbance. The desired outcome is: Patient will ... (Read 62 times)

tichca · **on:** Jul 19, 2018

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 · **Reply #1 on:** Jul 19, 2018

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.