Question

In: Nursing

You are a nurse in a general practice whose current patient is visiting the physician to...

You are a nurse in a general practice whose current patient is visiting the physician to report her inability to fall asleep or stay asleep five out of seven nights per week. She describes that her husband is an over-the-road trucker and is home about 10 days per month. They have four kids, three in high school, and she works full time as a stockbroker.

Outline the questions you would expect to ask the patient regarding her sleeplessness.
How could more specific information regarding the patient’s sleep–wake patterns be obtained?
What data would be helpful to record in a sleep diary?
Which key findings obtained during a physical assessment could validate the existence of a sleep disturbance?

Expert Solution

A How many hours you should sleep at night?

Do you have the habit of day time naps

Are you taking any beverages before sleep

What about excercise

How long has the problem started

Do you have any health issues

Is your job stressful

Are you worried about your family

Are you taking any medicine to induce sleep

Type of meals before sleep

B How long does it take to fall asleep

How often do you wake up at night. How long you take to back asleep

The time you go to bed and wake up

Do you wake up spontaneously or with alarm or any other disturbances

Are you taking any stimulants or alcohol before going to bed

Type of meal you are taking

C Data related to sleep hours, sleep and wake up time, day naps, food before sleep, activities before sleep, use of stimulants and medications, any stress, health and family issues, quality oc sleep

DThe patient ay have genetal tiredness, lack of concentration, irritability lack of energy, dark circle underneath the eyes, poor memory making errors, sleepiness during day time

Nightingale answered 5 months ago

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