Which intervention is most appropriate to treat ongoing insomnia for a middle-aged adult with a busy career?

Suggest having warm milk with a shot of whisky before going to bed.

Obtain a prescription for zolpidem to be taken at bedtime.

Recommend the use of sleep aids such as triazolam.

Encourage the patient to practice peaceful meditation before bedtime.

Answer and Explanation

The Correct Answer is D

Choice A reason: This is an incorrect choice because suggesting having warm milk with a shot of whisky before going to bed is not an appropriate intervention to treat ongoing insomnia for a middle-aged adult with a busy career. Warm milk may have some soothing effects on the patient, but adding whisky to it may counteract the benefits and worsen the insomnia. Alcohol is a depressant that can make the patient feel sleepy at first, but it can also disrupt the sleep cycle and cause frequent awakenings, nightmares, or hangovers.

Choice B reason: This is an incorrect choice because obtaining a prescription for zolpidem to be taken at bedtime is not an appropriate intervention to treat ongoing insomnia for a middle-aged adult with a busy career. Zolpidem is a hypnotic drug that can induce sleep and improve the sleep quality and quantity of the patient, but it can also have many side effects and interactions, and cause dependence, tolerance, or withdrawal. Zolpidem should be used only as a short-term treatment for insomnia, and only under the supervision of a physician.

Choice C reason: This is an incorrect choice because recommending the use of sleep aids such as triazolam is not an appropriate intervention to treat ongoing insomnia for a middle-aged adult with a busy career. Triazolam is a benzodiazepine drug that can enhance the activity of GABA, a neurotransmitter that inhibits brain activity and promotes sleep. However, it can also have many side effects and interactions, and cause dependence, tolerance, or withdrawal. Triazolam should be used only as a short-term treatment for insomnia, and only under the supervision of a physician.

Choice D reason: This is the correct choice because encouraging the patient to practice peaceful meditation before bedtime is an appropriate intervention to treat ongoing insomnia for a middle-aged adult with a busy career. Meditation is a relaxation technique that can reduce stress, anxiety, and negative emotions, and promote calmness, mindfulness, and well-being. Meditation can help the patient to fall asleep faster and sleep better, and it does not have any adverse effects or risks. The nurse should teach the patient how to meditate and encourage the patient to practice it regularly.

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Correct Answer is C

Explanation

Choice A reason: This is incorrect. The PCA will not give additional pain medication whenever the button is pushed. The PCA is programmed to deliver a specific dose of pain medication at a specific interval. If the button is pushed before the interval is over, the PCA will not release any medication. This is to prevent overdose and side effects.

Choice B reason: This is incorrect. The PCA will not deliver medication through the IV until the pain is all gone. The PCA is designed to provide pain relief, not pain elimination. The PCA has a limit on how much medication it can deliver in a certain period of time. The patient may still have some pain even after using the PCA.

Choice C reason: This is correct. You or a designated family member are the only one who gets to push the PCA button-nobody else may do so. The PCA is intended to give the patient control over their pain management. The patient should push the button when they feel pain, not when someone else thinks they need it. Allowing others to push the button can lead to under- or over-medication, which can be harmful.

Choice D reason: This is incorrect. Wait until the pain becomes severe before pushing the PCA button is not a good instruction. The PCA is more effective when the patient pushes the button before the pain becomes too intense. Waiting too long can make the pain harder to control and require more medication. The patient should use the PCA as needed to keep the pain at a tolerable level..

A. "Are you having any difficulty breathing right now?" B. "What does your chest pain feel like?" C. "Do you have a family history of heart disease?" D. "How long have you been experiencing chest pain?"

Correct Answer is B

Explanation

Choice A reason: This is an incorrect choice because "Are you having any difficulty breathing right now?" is not an open-ended question. An open-ended question is a question that requires more than a yes or no answer and elicits more information from the speaker. This question can be answered with a yes or no, and does not encourage the patient to describe their condition in detail.

Choice B reason: This is the correct choice because "What does your chest pain feel like?" is an open-ended question. An open-ended question is a question that requires more than a yes or no answer and elicits more information from the speaker. This question invites the patient to describe the quality, intensity, location, and duration of their chest pain, which can help the nurse to assess the possible cause and severity of the problem.

Choice C reason: This is an incorrect choice because "Do you have a family history of heart disease?" is not an open-ended question. An open-ended question is a question that requires more than a yes or no answer and elicits more information from the speaker. This question can be answered with a yes or no, and does not encourage the patient to provide more details about their health history or risk factors.

Choice D reason: This is an incorrect choice because "How long have you been experiencing chest pain?" is not an open-ended question. An open-ended question is a question that requires more than a yes or no answer and elicits more information from the speaker. This question can be answered with a specific time, and does not encourage the patient to provide more information about their symptoms or situation.

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Which intervention is most appropriate to treat ongoing insomnia for a middle-aged adult with a busy career?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which instruction will the nurse give to the patient about proper use of patient-controlled analgesia (PCA)?

Correct Answer is C

Explanation

The nurse is assessing a patient with chest pain who has just come to the hospital. Which open-ended question will provide the nurse with helpful information about the patient’s health status?

Correct Answer is B

Explanation

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