A patient reports taking melatonin daily. Which aspect of the ...

[CQXA]

A patient reports taking melatonin daily. Which aspect of the patient's health and function would be most important for the nurse to assess?
 
  a. Urinary and bowel elimination
  b. Energy and activity tolerance
  c. Sleep hygiene and patterns
  d. Memory and cognition

Question 2

How does a multiaxial diagnostic and classification tool contribute to successful treatment of persons with mental illness?
 
  a. It provides for consistency and continuity in formulation of diagnoses.
  b. It assesses more dimensions of illness than simply the medical diagnosis.
  c. It establishes prevalence rates for psychiatric disorders across various cultural groups.
  d. It provides treatment algorithms for psychotherapeutic management of persons with mental illness.

[jessicaduplan]

Answer to Question 1

C
Melatonin is used to reduce sleep-onset latency and decrease the number of nocturnal awakenings. The nurse should assess the patient's sleep patterns and hygiene. It does not directly relate to the aspects of function identified in the distracters.

Answer to Question 2

B
A multiaxial tool looks more holistically at the individual. The DSM-V-TR axes consider medical conditions, presence of personality and developmental disorders, relevant psychosocial and environmental factors, and global assessment of functioning. The other options listed are not advantages that contribute to treatment success.