A patient states, I will avoid social situations where people are ...

[jparksx]

A patient states, I will avoid social situations where people are drinking alcohol so I am not tempted to start drinking again. The nurse assesses the patient to be in which stage of change?
 
  a. Contemplation
  b. Precontemplation
  c. Maintenance
  d. Engagement

Question 2

The health care provider is seeing a 16-year-old boy at the local clinic. The guardian is concerned about the patient's lack of sleep.
 
  The guardian states that the patient goes to school, works at a part-time job until 10 PM, and then stays up doing homework until after midnight. I am worried that he is not getting enough sleep. What is the best response for the health care provider to give the patient and his guardian? a. I don't get enough sleep either; I spend most of my time studying.
  b. You need to discuss this with the primary health care provider.
  c. Sleep deprivation can cause a person to get sick or have excessive daytime sleepiness.
  d. High school is a tough time in life, but I'm sure he will be fine.

[raenoj]

Answer to Question 1

C
Maintenance is the ability for sustained change over time. This stage begins 6 months after action has started and continues indefinitely. It is important to avoid relapse. I have a problem with drinking, and I really think I need to work on it is an example of the
contemplation stage. There is nothing that I really need to change is an example of the precontemplation stage. There is no such stage as engagement.

Answer to Question 2

C
Adolescents need between 8 and 9 hours of sleep each night; however, the typical teenager gets about 7 hours of sleep per night. At a time when sleep needs actually increase, the typical adolescent is subject to a number of changes that often reduce the time spent sleeping, such as the time when school starts, after-school social events, part-time jobs, and extracurricular activities. The shortened sleep time in adolescents often results in excessive daytime sleepiness (EDS), which can reduce performance in school, increase risk of accidents, increase the use of alcohol, and lead to behavior and mood problems. Sleep deprivation affects immune functioning, metabolism, nitrogen balance, protein catabolism, and quality of life. Saying, I don't get enough sleep either or You need to discuss this with the primary health care provider is not focusing on the guardian's question. Saying the boy will be fine is false reassurance.

[jparksx]

Thanks

[raenoj]

Welcome