What assessment question will provide the nurse with information regarding the effects of a woman's circadian rhythms on her quality of life?

Correct Answer: A

Rationale: The correct answer is A: "How much sleep do you usually get each night?" This question directly relates to circadian rhythms, which regulate the sleep-wake cycle and impact overall quality of life. Sleep patterns are influenced by circadian rhythms, and inadequate sleep can have negative effects on health. Choices B, C, and D do not directly address circadian rhythms or their impact on quality of life. B is related to cardiac issues, C to infections, and D to urinary problems. Therefore, A is the most relevant question to assess the effects of circadian rhythms on quality of life.

Correct Answer: A

Rationale: The correct answer is A: Gabapentin. Gabapentin is a medication commonly used to treat neuropathic pain, which is often associated with chronic pain in older patients. It is considered a safer alternative to opioids due to its lower risk of addiction and overdose. Acetaminophen (B) is an over-the-counter pain reliever but may not be sufficient for chronic pain. Morphine (C) and Fentanyl (D) are opioids, which have a higher risk of side effects, addiction, and overdose compared to Gabapentin. Therefore, Gabapentin is the most suitable choice for managing chronic pain in older patients.

Correct Answer: C

Rationale: The correct answer is C: alteration in attention. Delirium is characterized by acute onset and fluctuating course, leading to prominent deficits in attention. In contrast, dementia typically presents with gradual memory decline over months or years. Choices A and B are more indicative of dementia, as alterations developing over months and memory deficits are common in dementia. Choice D, no alteration in baseline, is not specific to either delirium or dementia, as both conditions can have alterations in baseline functioning.

Correct Answer: C

Rationale: The correct technique for de-escalating a client with OCPD experiencing extreme anxiety is employing active listening. Active listening involves fully concentrating, understanding, responding, and remembering what the client is saying. This technique can help the client feel heard, validated, and understood, which can reduce their anxiety. It also allows the client to express their thoughts and feelings, promoting a sense of control and autonomy. This approach is client-centered and respectful, aligning with the principles of effective therapy for OCPD. Summary: A: Physically directing the client may increase their anxiety and worsen the situation. B: Holding steady eye contact may be perceived as confrontational and intrusive, escalating the client's anxiety. D: Taking control and instructing the client may trigger resistance and exacerbate feelings of lack of control, which are common in OCPD.

Correct Answer: D

Rationale: The correct answer is D, collaborating with the social worker. The client's immediate needs involve addressing the loss of job and driver's license, which impacts their housing situation. The social worker can assist in planning housing arrangements, connecting the client with resources for stable housing, and addressing any social determinants of health contributing to the client's situation. This collaboration will provide a holistic approach to addressing the client's needs beyond just the alcohol use disorder. The other choices are incorrect because: A: In this scenario, the client's primary need is not related to anxiety but rather to the practical consequences of losing their job and driver's license due to alcohol use disorder. B: While counseling sessions to explore stressors may be beneficial in the long term, the client's immediate need is more urgent, focusing on practical solutions. C: Retraining and job placement may be important in the future, but at this time, the client's priority is addressing the housing situation and other immediate needs.