A nurse is caring for a client who is receiving inpatient treatment for an eating disorder. The client states, "I just can't sleep soundly here because it's too noisy." Which of the following actions should the nurse take?

Tell the client that they will eventually get used to people talking at night.

Recommend that the client try to sleep during the day when it is quieter.

Keep conversations and activities to a minimum during the nighttime.

Turn on the client's television at night to cover up environmental noises.

Answer and Explanation

The Correct Answer is C

Choice A reason:
Telling the client that they will eventually get used to people talking at night is not a supportive or effective response. It dismisses the client's current discomfort and does not address the immediate issue of noise disrupting their sleep. Clients in inpatient treatment for eating disorders often have heightened sensitivity to their environment, and dismissing their concerns can increase stress and anxiety.

Choice B reason:
Recommending that the client try to sleep during the day when it is quieter is not practical. It disrupts the client's natural circadian rhythm and can lead to further sleep disturbances. Encouraging a regular sleep schedule at night is more beneficial for overall health and recovery.

Choice C reason:
Keeping conversations and activities to a minimum during the nighttime is the most appropriate action. This approach directly addresses the client's concern about noise and helps create a quieter, more restful environment. Reducing noise levels at night can significantly improve sleep quality for clients in inpatient settings.

Choice D reason:
Turning on the client's television at night to cover up environmental noises is not advisable. While it might mask some noise, it can also introduce new disturbances and prevent the client from achieving deep, restorative sleep. The light and sound from the television can interfere with the body's natural sleep processes.

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Correct Answer is D

Explanation

Choice A reason:
Writing a detailed daily activity schedule is not typically associated with acute mania. In fact, individuals experiencing mania often have difficulty maintaining structured routines due to their heightened energy levels and racing thoughts.

Choice B reason:
Refusing to engage in conversation is more indicative of depressive episodes rather than manic episodes. During mania, individuals are usually more talkative and may have pressured speech.

Choice C reason:
Isolating oneself from others is another behavior more commonly associated with depression. In contrast, those experiencing mania often seek out social interactions and may be overly sociable.

Choice D reason:
Reporting a lack of sleep is a hallmark symptom of acute mania. Individuals in a manic state often feel little need for sleep and may go for days with minimal rest without feeling tired. This lack of sleep can exacerbate other manic symptoms, such as irritability, impulsivity, and grandiosity.

A. Reduced frequency of seizures. B. Reduced frequency of panic attacks. C. Improvement in manifestations of depression. D. Decreased fear of heights.

Correct Answer is C

Explanation

Choice A reason:
Electroconvulsive therapy (ECT) is not typically used to reduce the frequency of seizures. In fact, ECT induces controlled seizures as part of its therapeutic process. Therefore, a reduction in seizure frequency is not an indicator of ECT's effectiveness.

Choice B reason:
While ECT can be used to treat various psychiatric conditions, it is most commonly and effectively used for severe depression. It is not primarily indicated for reducing the frequency of panic attacks. Therefore, a reduction in panic attacks is not a primary measure of ECT's effectiveness.

Choice C reason:
Improvement in manifestations of depression is a key indicator of ECT's effectiveness. ECT is often used when other treatments for major depressive disorder have failed. Patients typically show significant improvement in mood, energy levels, and overall functioning after a series of ECT treatments.

Choice D reason:
Decreased fear of heights, or acrophobia, is not a condition typically treated with ECT. Phobias are usually addressed through therapies such as cognitive-behavioral therapy (CBT) rather than ECT. Therefore, a decrease in the fear of heights is not an indicator of ECT's effectiveness.

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A nurse is caring for a client who is receiving inpatient treatment for an eating disorder. The client states, "I just can't sleep soundly here because it's too noisy." Which of the following actions should the nurse take?

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