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Author Question: A patient tells the nurse, Everyone says we should sleep 8 hours a night. I can only sleep 6 hours, ... (Read 200 times)

Cooldude101

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A patient tells the nurse, Everyone says we should sleep 8 hours a night. I can only sleep 6 hours, no matter how hard I try. Am I doing harm to my body? Select the nurse's best response.
 
  a. Tell me about strategies you have tried to increase your total sleep hours.
  b. Lack of sleep acts as a stressor on the body and can cause physical changes.
  c. If you have really tried to sleep more, maybe you should consult your health care provider.
  d. If you function well with 6 hours of sleep, you are a short sleeper. That's normal for some people.

Question 2

A patient reports, The medicine prescribed to help me get to sleep worked well for about a month, but I don't have any more of those pills, and now my insomnia is worse than ever. I had nightmares the last 2 nights.
 
  Which type of medication did the health care provider most likely prescribe?
 
  a. Hypnotic
  b. Tricyclic antidepressant
  c. Conventional antipsychotic
  d. Central nervous system stimulant



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dlook33

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Answer to Question 1

ANS: D
Some individuals require less sleep than others do. Those who need less are called short sleepers, compared with long sleepers, who require more than 8 hours. The distracters do not provide information the patient is seeking or are untrue.

Answer to Question 2

ANS: A
Hypnotics can worsen existing sleep disturbances when they induce drug-dependency insomnia. Once the drug is discontinued, the individual may have rebound insomnia and nightmares. CNS stimulants worsen insomnia while they are in use. Tricyclic antidepressants and atypical antipsychotics may help insomnia but would not be used for initial therapy.





 

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