Author Question: Becky is a student nurse who is working in a health care clinic. She is preparing Mrs. Jennings for ... (Read 47 times)

kwoodring · **on:** Jul 22, 2018

Becky is a student nurse who is working in a health care clinic. She is preparing Mrs. Jennings for her annual check-up with the health care provider.

Becky asks Mrs. Jennings if she has any difficulty sleeping, to which Mrs. Jennings replies, Since my husband passed away last month, I have not been sleeping well at all. What is the most appropriate intervention for Becky to make? Select all that apply.
A. Suggesting that Mrs. Jennings ask the health care provider for a sleeping aid
B. Contacting a pastoral care professional
C. Consulting with a psychiatric clinical nurse specialist
D. Consulting with a clinical psychologist

Question 2

Edith is the mother of a 16-year-old who is being seen in the emergency department for a minor injury when he was involved in a motor vehicle accident.

Edith told the nurse assessing her son that during the past 3 months he has been increasingly difficult to get along with and has been spending most of his time in his room. Which of the following topics is most important for the nurse to discuss with Edith? A. Accident prevention measures
B. Enrolling her son in a defensive driving course
C. The possibility of substance abuse
D. The importance of automobile insurance

Kedrick2014 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

B, C, D
If a sleep problem is related to a situational crisis or emotional problem, refer the patient to a psychiatric clinical nurse specialist, pastoral care professional, or clinical psychologist for coun-seling. When chronic insomnia is the problem, a medical referral or referral to a sleep center is beneficial.

Answer to Question 2

C
To assess for possible substance abuse, have parents look for environmental and psychosocial clues. Environmental clues include the presence of drug-oriented magazines, beer and liquor bottles, drug paraphernalia, blood spots on clothing, and the continual wearing of long-sleeved shirts in hot weather and dark glasses indoors. Psychosocial clues include failing grades, change in dress, increased absenteeism from school, isolation, increased aggressiveness, and changes in interpersonal relationships.