During the assessment interview, a client tells the nurse he has ...

[FButt]

During the assessment interview, a client tells the nurse he has sleep problems. The nurse will need to assess further for the use of which specific substances that affect quality of sleep? (Select all that apply.)
 
  1. Alcohol
  2. Amphetamines
  3. Cocaine
  4. Opiates
  5. Antianxiety medications

Question 2

A client diagnosed with narcolepsy asks the nurse why she is being given attention deficit and stimulant medications (Adderall and Ritalin) when her problem is sleep-related. The nurse:
 
  1. Tells her to call her doctor because an error has been made
  2. Relates that dextroamphetamine (Adderall) and methylphenidate (Ritalin) are used for narcolepsy
  3. Tells her to call the pharmacist and make sure the prescription has been filled cor-rectly
  4. Suspects that the client is abusing medications and assesses for other substance use

[dreamfighter72]

Answer to Question 1

ANS: 1, 2, 3, 4, 5
All of these substances can influence sleep.

Answer to Question 2

ANS: 2
These medications are appropriate for narcolepsy, and therefore option 2 is correct. Options 1 and 3 are wrong since no error has been made. Option 4 is incorrect since there is no evidence of sub-stance abuse.