Author Question: The nurse is caring for a patient with a sleep-wake disorder. What outcome would be most appropriate ... (Read 54 times)

HudsonKB16 · **on:** Jul 19, 2018

The nurse is caring for a patient with a sleep-wake disorder. What outcome would be most appropriate for this patient?

1. The patient will state a feeling of rest upon awakening.
2. The patient will increase amount of time slept in 3 days.
3. The patient will increase sleep time from 5 hours per night to 7 hours per night.
4. The patient will increase sleep time from 5 hours per night to 7 hours per night in 3 days.

Question 2

When developing a care plan for a patient with a sleep-wake disorder, the nurse must ask which questions? Select all that apply.

1. Is the patient exhibiting drug-seeking behavior?
2. Does the patient really have a sleep-wake disorder?
3. Which symptom is most distressing or upsetting to the patient?
4. Is the patient able to work with the team to develop his care plan?
5. What specific goal is the patient wanting to achieve with his sleep?

Zebsrer · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

Answer: 4
Explanation: When planning care for a patient with a sleep-wake disorder, the nurse must formulate appropriate goals and outcomes for the patient's plan of care. These goals must be specific, measurable, realistic, and time oriented. The most appropriate goal stated is, The patient will increase sleep time from 5 hours per night to 7 hours per night in 3 days. The other answer choices do not meet all of the criteria of specific, measurable, and realistic.

Answer to Question 2

Answer: 3, 4, 5
Explanation: Pertinent questions for the nurse to ask include whether the patient can participate in planning care, which symptom is most distressing, and what specific, measurable, and achievable goal does the patient have. Ascertaining a specific sleep-wake disorder diagnosis is not as importantif the patient perceives that it is an issue, it should be addressed. It should not be assumed that the patient is relating symptoms to procure medications.