Author Question: A client is concerned that her habit of sleeping during the day and being awake at night is not ... (Read 92 times)

crobinson2013 · **on:** Jul 23, 2018

A client is concerned that her habit of sleeping during the day and being awake at night is not healthy or normal. The nurse's most therapeutic response to the client's concern is:

1. What makes you think that sleeping during the day and being up at night is un-healthy or abnormal?
2. Many people share your sleep habits. As long as you feel all right, I don't think there is anything to worry about.
3. Are you interested in changing your sleep habits for any particular reason? Is sleeping during the day a problem for you?
4. Everyone has a different biological clock that controls his or her sleep cycle. As long as you are sleeping and functioning well, your habit isn't abnormal or un-healthy.

Question 2

A client is discussing his recent restlessness and increased irritability. Which of the following as-sessment questions is likely to be most helping in determining the cause of these complaints?

1. When did you start noticing these changes?
2. Has anything caused you to change your usual routine lately?
3. Do you have any idea what might be causing these problems?
4. What makes you think that you are more irritable than is normal for you?

peter · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

ANS: 4
All persons have biological clocks that synchronize their sleep cycles. If the sleep pattern does not adversely affect the client's health or ability to function, it is not problematic.

Answer to Question 2

ANS: 2
When the sleep-wake cycle becomes disrupted (e.g., by working rotating shifts), other physio-logical functions usually change as well. For example, the person experiences a decreased appe-tite and loses weight. Anxiety, restlessness, irritability, and impaired judgment are other common symptoms of sleep cycle disturbances. Failure to maintain the individual's usual sleep-wake cycle negatively influences the client's overall health. Although the other options are not inappropriate, they are not as directly aimed at determining the cause of the changes.