Author Question: During a medical history, a client tells the nurse about waiting several hours before falling asleep ... (Read 73 times)

nmorano1 · **on:** Jul 23, 2018

During a medical history, a client tells the nurse about waiting several hours before falling asleep and waking up repeatedly during the night only to wait again to fall asleep.

The nurse would document this client's symptoms as being which types of insomnia?
Standard Text: Select all that apply.
1. Sleep-onset
2. Sleep-maintenance
3. Sleep-offset
4. Nonrestorative sleep
5. Parasomnia

Question 2

During a health history, a client expresses concern to the nurse about finances and the health of older parents. What will the nurse assess to determine whether this client is experiencing generalized anxiety disorder?

Standard Text: Select all that apply.
1. Restlessness
2. Elevated blood pressure
3. Urinary urgency
4. Blushing
5. Repeating the numbers 1 through 13

Hikerman221 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 1,2
Rationale 1: Sleep-onset insomnia is the inability to fall asleep within a reasonable time, usually within 30 minutes.
Rationale 2: Sleep-maintenance insomnia is frequent awakenings during the night or the inability to fall back asleep.
Rationale 3: Sleep-offset insomnia is premature, early morning awakenings.
Rationale 4: Nonrestorative sleep is persistent sleepiness during the day despite adequate sleep duration.
Rationale 5: Parasomnia is not a type of insomnia.
Global Rationale: Sleep-onset insomnia is the inability to fall asleep within a reasonable time, usually within 30 minutes. Sleep-maintenance insomnia is frequent awakenings during the night or the inability to fall back asleep. Sleep-offset insomnia is premature, early morning awakenings. Nonrestorative sleep is persistent sleepiness during the day despite adequate sleep duration. Parasomnia is not a type of insomnia.

Answer to Question 2

Correct Answer: 1,2,3
Rationale 1: Restlessness is a symptom of generalized anxiety disorder.
Rationale 2: Elevated blood pressure is a sign of sympathetic nervous system activation that accompanies generalized anxiety disorder.
Rationale 3: Urinary urgency is a parasympathetic response that accompanies generalized anxiety disorder.
Rationale 4: Blushing is a symptom associated with social anxiety disorder.
Rationale 5: Repetitive counting is a symptom associated with obsessive-compulsive disorder.
Global Rationale: Restlessness, blood pressure elevation, and urinary urgency are all symptoms of generalized anxiety disorder. Blushing is a symptom associated with social anxiety disorder. Repetitive counting is a symptom associated with obsessive-compulsive disorder.