Many people allow life circumstances to dictate their amount of sleep instead of recognizing sleep as a priority. Which statement will the nurse recognize as progress in the patient's sleep hygiene program?

Correct Answer: D

Rationale: The correct answer is D because removing the television from the bedroom is a positive step towards improving sleep hygiene. TVs emit blue light, which can disrupt sleep. This action creates a better sleep environment. A: Going to bed when not sleepy can lead to frustration, making it harder to fall asleep. B: Consuming alcohol before bed can disrupt sleep patterns and quality. C: Taking daily naps can interfere with the ability to fall asleep at night and disrupt the sleep-wake cycle.

Correct Answer: A

Rationale: The correct answer is A: research/client preference/nurse competency. Evidence-based practice involves integrating the best available research evidence with a patient's preferences and the nurse's clinical expertise. Research ensures interventions are based on proven effectiveness. Client preference acknowledges the importance of individual needs and values. Nurse competency ensures that care is delivered skillfully. Choice B (nurse experience/collaboration/teamwork) lacks the essential component of research evidence, which is crucial for evidence-based practice. While collaboration and teamwork are important, they do not encompass all three components. Choice C (research/client safety/client preference) includes client safety, which is essential but does not cover nurse competency, a key component of evidence-based practice. Choice D (nurse experience/client teaching/delegation) misses the mark by not including research evidence and client preference, which are integral to evidence-based practice. Delegation and client teaching are important but not part of the core components.

Correct Answer: D

Rationale: The correct answer is D: somatic. This client is experiencing a somatic delusion, which involves a false belief about the body or its functions. In this case, the client believes their uterus was removed despite evidence to the contrary. This delusion is specific to bodily functions or sensations. A: Grandiose delusions involve an exaggerated sense of importance or power, not related to bodily functions. B: Jealous delusions involve unfounded beliefs about a partner's infidelity, not related to bodily functions. C: Persecutory delusions involve beliefs of being targeted or persecuted, not related to bodily functions. In summary, the client's persistent belief about their uterus being removed despite evidence points to a somatic delusion, making it the correct choice over the other options.

Correct Answer: B

Rationale: The correct answer is B because clarification involves seeking understanding by asking for more information or explaining a vague statement. In this case, the statement "I'm not sure what you mean when you use the word fragile" demonstrates the use of clarification by seeking clarity on the meaning of a term used by the client. This technique helps the client to express themselves more clearly and aids in effective communication. Choices A, C, and D are incorrect because they do not involve seeking clarification or further explanation from the client. Choice A focuses on exploring emotions related to a specific topic, choice C reflects an observation rather than seeking clarification, and choice D compares the client's mood without seeking clarification on any specific term or concept.

Correct Answer: B

Rationale: The correct answer is B: DSM-V. The Diagnostic and Statistical Manual of Mental Disorders (DSM-V) is the standard classification of mental disorders used by mental health professionals. It provides detailed diagnostic criteria for various mental disorders, including anxiety disorders. The DSM-V is updated regularly and provides the most comprehensive and up-to-date information on diagnostic criteria for anxiety disorders. Rationale for other choices: A: Nursing Outcomes Classification (NOC) does not provide diagnostic criteria for mental disorders, including anxiety disorders. It focuses on outcomes related to nursing care. C: The ANA's Psychiatric-Mental Health Nursing Scope and Standards of Practice outlines the scope of practice for psychiatric-mental health nurses but does not provide detailed diagnostic criteria for anxiety disorders. D: ICD-10 is a classification system for diseases and health conditions, including mental disorders, but it does not provide detailed diagnostic criteria specific to anxiety disorders like the DSM-V does.