The patient has just been diagnosed with narcolepsy. The nurse teaches the patient about management of the condition. Which information from the patient will cause the nurse to intervene?

Naps shorter than 20 minutes.

Takes antidepressant medications.

Chews gum regularly.

Sleeps in a hot, stuffy room.

Answer and Explanation

The Correct Answer is D

Choice A reason: Short naps (15-20 minutes) are recommended for narcolepsy to manage excessive daytime sleepiness without disrupting nighttime sleep. This aligns with evidence-based management, improving alertness. No intervention is needed, as this practice supports symptom control, enhancing daily function and reducing sleep attacks in narcolepsy patients.

Choice B reason: Taking antidepressants, like SSRIs or SNRIs, is standard for narcolepsy to manage cataplexy or sleep disturbances. This is appropriate and requires no intervention unless misuse occurs. The nurse would ensure proper dosing, as antidepressants support symptom control, improving quality of life without disrupting narcolepsy management strategies.

Choice C reason: Chewing gum regularly is benign and unrelated to narcolepsy management. It may help with alertness but doesn’t warrant intervention. Unlike environmental factors like room temperature, gum has no significant impact on sleep quality or narcolepsy symptoms, making it an irrelevant focus for nursing education or correction.

Choice D reason: Sleeping in a hot, stuffy room disrupts sleep quality, exacerbating narcolepsy symptoms like fragmented sleep or daytime sleepiness. The nurse intervenes to promote a cool, well-ventilated sleep environment, critical for optimizing rest. Poor sleep hygiene worsens narcolepsy, reducing treatment efficacy and increasing risks of sleep attacks or fatigue.

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Correct Answer is D

Explanation

Choice A reason: Transpersonal connectedness involves a spiritual or transcendent bond beyond personal interaction, often with a higher power or universe. While spiritual care may include this, the nurse’s direct connection with the patient is more personal and relational, making interpersonal a more accurate description of the experienced connection.

Choice B reason: Multipersonal is not a recognized term in nursing or spiritual care contexts. It suggests multiple personal connections but lacks specificity. The nurse’s one-on-one connection with the patient during spiritual care is better described as interpersonal, focusing on their direct, personal interaction, making this incorrect.

Choice C reason: Intrapersonal connectedness refers to self-reflection or internal awareness, not a connection with another person. The nurse’s experience involves engaging with the patient, not self-focused introspection. This type does not apply to the relational aspect of providing spiritual care, making it an incorrect choice.

Choice D reason: Interpersonal connectedness occurs between two individuals, as when the nurse connects with the patient during spiritual care. This relational bond fosters trust, empathy, and support, aligning with the nurse’s role in addressing the patient’s spiritual needs through direct interaction, making this the correct type of connectedness experienced.

A. Acute stress disorder B. General adaptation syndrome (GAS) C. Posttraumatic stress disorder (PTSD) D. Alarm reaction

Correct Answer is C

Explanation

Choice A reason: Acute stress disorder occurs within one month of trauma, with symptoms like nightmares and dissociation. However, symptoms persisting beyond one month, as in this case, indicate PTSD. The patient’s presentation aligns with chronic trauma effects, making PTSD the more likely diagnosis over acute stress disorder.

Choice B reason: General adaptation syndrome describes the body’s physiological response to stress (alarm, resistance, exhaustion). It is not a psychiatric diagnosis and does not account for trauma-specific symptoms like nightmares or emotional numbing. This is unrelated to the patient’s psychological response, making it incorrect.

Choice C reason: PTSD is characterized by persistent symptoms beyond one month post-trauma, including nightmares, intrusive memories, avoidance, and emotional numbing, matching the patient’s presentation. Sexual assault is a common trigger, and the nurse would expect this diagnosis documented due to the chronicity and specificity of symptoms.

Choice D reason: Alarm reaction is the initial phase of general adaptation syndrome, involving acute stress response like fight-or-flight. It is not a diagnosis and does not explain chronic psychological symptoms like recurrent memories or emotional detachment, making it irrelevant to the patient’s trauma-related condition.

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The patient has just been diagnosed with narcolepsy. The nurse teaches the patient about management of the condition. Which information from the patient will cause the nurse to intervene?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse makes a connection with the patient when providing spiritual care. Which type of connectedness did the nurse experience?

Correct Answer is D

Explanation

Correct Answer is C

Explanation

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