A client is complaining of inability to sleep due to a regimen of ...

[viki]

A client is complaining of inability to sleep due to a regimen of psychotropic medications. Which of the following interventions would be the least beneficial to the client exhibiting sleep pattern disturbance?
 
  A) Establish a regular bedtime routine.
  B) Avoid naps during the day.
  C) Reduce noise.
  D) Exercise prior to bedtime.

Question 2

A psychiatricmental health client has expressed exasperation at the fact that she must interact with so many crazy people during her stay on the unit. Which of the following characteristics of the therapeutic milieu may underlie the client's statement?
 
  A) Interaction between clients is a deliberate, and beneficial, component of the therapeutic milieu.
  B) In the therapeutic milieu, clients are encouraged to understand and appreciate others' mental health diagnoses.
  C) Moderate levels of conflict between clients are fostered so that clients can apply learned assertiveness techniques.
  D) Escalating health care costs make crowded care settings an inevitable reality.

[prumorgan]

Answer to Question 1

Ans: D
Generic and nonpharmacologic interventions include reducing noise, avoiding napping during the day, establishing a relaxing routine before bedtime, and avoiding exercise prior to bedtime.

Answer to Question 2

Ans: A
The therapeutic milieu involves deliberate interaction between clients. This promotes communication and the application of behavior management techniques. The goal of this interaction is not to understand others' diagnoses, however, and conflict is not deliberately promoted. While health care costs are high and increasing, this is not the rationale for client interaction in the therapeutic milieu.

[viki]

Excellent

[tranoy]

TYSM