Chap. 14 - review questions Flashcards
In evaluating a client for insomnia, which of the following is most consistent with a presentation of transient insomnia?
A - Usually caused by stress, jet leg, or physical environmental concerns
B - Lasts for 3 or more weeks
C - May linger for up to 3 weeks
D - Calls for a complete evaluation and diagnostic workup
A - Usually caused by stress, jet leg, or physical environmental concerns
A brief period of insomnia is usually associated with anxiety anticipation or consequences of a stressful experience, or jet lag.
Insomnia is a common finding in clients with psychiatric disorder and is most commonly found in clients diagnosed with
A - Mood disorders
B - Schizophrenic disorders
C - Substance abuse disorders
D - Anxiety disorders
A - Mood disorders
Although insomnia can occur as a consequence of any of the listed disorders, research has found that mood disorders are most commonly found in individuals with insomnia.
Insomnia in children is most often caused by
A - Illness
B - Family stress
C - School performance problems
D - Substance abuse
B - Family stress
Although the other listed issues may cause insomnia, the most common cause of childhood insomnia is stress within the family.
A PMHNP is working with a woman whom she suspects is in a violent domestic relationship. The client denies this and refuses to discuss her home life. She continues to present at the clinic for treatment of minor injuries and always is brought by her boyfriend. The client refuses to discuss abuse as a cause of her injuries, simply stating “I’m just clumsy.” The best initial intervention for the PMHNP to take is
A - Report suspected abuse to the police
B - Confront the client’s boyfriend during the next clinic visit
C - Spend a long time with the client building a trusting relationship
D - Refer the client to social services for follow -up
C - Spend a long time with the client building a trusting relationship
Once rapport and trust is built, the client may feel safer and more comfortable to open up.
