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Chapter 5: Problem 198

A 39-year-old client is seen in the clinic because she has been sleeping 14鈥�16 hours a day. The client states that she is 鈥渄epressed because my mother died from cancer two months ago.鈥� A priority nursing diagnosis for this client is: 1\. altered sleep patterns related to depression and grief response. 2\. depression related to loss of mother and excessive sleeping. 3\. sleep pattern disturbance related to inability to resolve grief. 4\. sleep pattern disturbance related to grief process and loss of mother.

Short Answer

Expert verified
The priority nursing diagnosis is option 4: sleep pattern disturbance related to grief process and loss of mother.

Step by step solution

01

Identify Key Symptoms

The client is sleeping 14-16 hours a day and mentions being 'depressed because my mother died from cancer two months ago.' Key symptoms include excessive sleep and depression triggered by a recent loss.
02

Determine the Root Cause

The client's excessive sleep seems to be a symptom caused by her depression and grief after her mother's death. It's important to establish whether the sleep pattern disturbance or the grief is the primary concern.
03

Analyze Provided Options

Review each nursing diagnosis option: 1. Altered sleep patterns related to depression and grief response. 2. Depression related to loss of mother and excessive sleeping. 3. Sleep pattern disturbance related to inability to resolve grief. 4. Sleep pattern disturbance related to grief process and loss of mother. Focus on how each captures both the sleep issues and emotional distress.
04

Select the Priority Nursing Diagnosis

Option 4, "Sleep pattern disturbance related to grief process and loss of mother," addresses the sleep pattern disturbance directly associated with the grief from her mother's loss. It prioritizes the sleep issue that the client presents as a main concern.

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Key Concepts

These are the key concepts you need to understand to accurately answer the question.

Grief Response
Grief is a natural reaction to loss and can manifest differently in everyone. It involves an emotional and physical response that can vary from one person to another. This particular case revolves around an individual's loss of a mother to cancer, which is a profound and life-altering experience.

Grief is often characterized by:
  • Sadness and yearning
  • Confusion or difficulty concentrating
  • Changes in appetite and sleep patterns
The grief response can be immediate or delayed, and understanding its influence on physical and emotional health is crucial. For healthcare providers, it's important to be sensitive and non-judgmental, allowing patients to express their emotions freely without pressure to "move on" quickly.
Sleep Pattern Disturbance
Sleep pattern disturbances, like sleeping too much or too little, often go hand in hand with emotional distress, such as grief or depression. In this situation, the client is Sleeping excessively 鈥� 14 to 16 hours a day 鈥� which could be a coping mechanism or an escape from emotional pain.

Excessive sleep can have various causes, including:
  • Emotional overload: The mind instinctively avoids stressful emotions by increasing sleep.
  • Exhaustion: Grief and depression are mentally and physically draining.
  • Disturbed circadian rhythm: Loss and its associated stress can upset normal sleep cycles.
Recognizing sleep disturbances is integral in providing holistic care, as adequate and quality sleep is vital for emotional and physical recovery.
Depression in Nursing
Depression is a complex condition that affects how people feel, think, and handle daily activities. When tied with nursing priorities, understanding depression is crucial in managing patient care effectively. In this case, the client's depression is not just a diagnosis but a profound response to losing a loved one.

Nurses play a key role in supporting individuals with depression by:
  • Providing emotional support and empathy.
  • Encouraging open discussions about feelings.
  • Identifying signs of depression early to manage symptoms.
Nursing interventions should promote self-care, understanding, and coping strategies, ultimately aiding in a healthier grief process and improving overall wellbeing.
Clinical Symptom Analysis
Analyzing clinical symptoms is an essential skill for healthcare providers, helping in creating an appropriate nursing diagnosis and treatment plan. In this scenario, the client's excessive sleeping and expressed feelings of depression inform us about the underlying issues.

Key steps in clinical symptom analysis include:
  • Recognizing patterns: Documenting how symptoms manifest over time.
  • Connecting symptoms to root causes, such as grief in this context.
  • Prioritizing symptoms: Determining which ones need immediate attention, like the sleep pattern disturbance.
Effective analysis can guide a more targeted approach in dealing with the client's emotional and physical needs, prioritizing immediate concerns and facilitating long-term recovery.

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Most popular questions from this chapter

The nurse would offer which of the following forms of complementary therapy as a means of offering hope and decreasing feelings of aloneness in client? 1\. relaxation 2\. music therapy 3\. spiritual support 4\. touch therapy

The nurse empties a foley catheter bag for a client who appears to be asleep. The client is easily aroused when the nurse is close to the client鈥檚 bedside. The nurse determines that the client was most likely in the non-REM sleep stage: 1\. I. 2\. II. 3\. III. 4\. IV

. In planning for pain control in a post-operative cancer patient, the nurse understands: 1\. radiation therapy alone will be used. 2\. noninvasive analgesic approaches should be tried before invasive palliative approaches. 3\. never use radiation therapy, unless you are sure the patient will die. 4\. radiation therapy is complementary to analgesic drug therapies.

The nurse in teaching a client about sleep, gives background information on normal sleep patterns. The nurse states that which of the following substance(s) will promote sleep patterns? 1\. serotonin 2\. cortisone 3\. alcohol 4\. narcotics

While discussing sleep patterns of school-age children with a group of parents, which of the following would be appropriate for the nurse to include in the teaching plan? School-age children: 1\. often have difficulty sleeping through the night. 2\. may require less sleep during growth spurts. 3\. generally sleep 8 to 10 hours each night. 4\. enjoy staying up late and sleeping late in the morning.
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