A nurse is caring for a client who thinks they have narcolepsy. Which of the following questions should the nurse ask?

"How often do you have trouble sleeping?"

"Do you snore loudly?"

"Do you ever suddenly lose muscle control?"

"Do you wake up with headaches?"

Answer and Explanation

The Correct Answer is C

A. "How often do you have trouble sleeping?": While this question might help assess general sleep issues, it doesn’t specifically address narcolepsy symptoms. Narcolepsy is characterized by excessive daytime sleepiness and episodes of sudden muscle weakness.

B. "Do you snore loudly?": Loud snoring is more commonly associated with sleep apnea rather than narcolepsy. Although both conditions can affect sleep quality, this question doesn’t directly relate to the hallmark symptoms of narcolepsy.

C. "Do you ever suddenly lose muscle control?": Sudden loss of muscle control, or cataplexy, is a key symptom of narcolepsy. Cataplexy occurs when a person experiences sudden muscle weakness or paralysis in response to strong emotions, such as laughter or surprise.

D. "Do you wake up with headaches?": Waking up with headaches could be related to sleep disorders such as sleep apnea or tension headaches, but it is not a defining feature of narcolepsy. The nurse should focus on symptoms directly related to narcolepsy.

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Correct Answer is D

Explanation

A. Patient Protection and Affordable Care Act: This act primarily focuses on improving healthcare access, quality, and affordability. It does not specifically address the confidentiality of client information or the inappropriate sharing of patient data.

B. American With Disabilities Act: This act protects individuals with disabilities from discrimination. While it’s important in healthcare, it does not directly relate to the confidentiality of client information.

C. Patient Self-Determination Act: This act requires healthcare providers to inform patients of their rights regarding advance directives. It does not pertain to the confidentiality of client care information shared among staff members.

D. Health Insurance Portability and Accountability Act (HIPAA): HIPAA protects patient privacy by regulating the confidentiality of healthcare information. Discussing a client’s care in a public space, such as an elevator, without the client’s consent violates HIPAA’s privacy rules, which protect the client's health information from unauthorized disclosure.

A. Offer a wet washcloth for the client to wash their face. B. Perform range-of-motion exercises. C. Prepare hot cocoa or tea for the client. D. Provide a late supper.

Correct Answer is A

Explanation

A. Offer a wet washcloth for the client to wash their face: Washing the face with a wet washcloth can promote relaxation and help signal to the body that it’s time to wind down. This calming routine can be soothing and may help improve the client’s ability to fall asleep.

B. Perform range-of-motion exercises: Doing range of motion exercises shortly before bedtime can be overstimulating. Physical activity close to bedtime may increase alertness and make it harder for the client to fall asleep.

C. Prepare hot cocoa or tea for the client: While warm drinks might seem comforting, caffeine in some teas or high sugar in hot cocoa can interfere with sleep. It’s important to avoid stimulants and opt for calming beverages, such as caffeine-free herbal teas, instead.

D. Provide a late supper: A large meal late at night can be disruptive to sleep as it may cause indigestion or discomfort. It’s better to encourage lighter, earlier meals to prevent any disturbances that could affect the client’s ability to fall asleep.

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A nurse is caring for a client who thinks they have narcolepsy. Which of the following questions should the nurse ask?

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