1. Anthony is a 46-year-old who complains of waking frequently at night. Consequently, he is tired all day and knows that he has not been functioning as well as he should. Whenever he can manage it, he goes out to his car at lunchtime to take a 60-minute nap, because he has fallen asleep at his desk and been given a disciplinary warning. He is drinking 2 to 3 cups of coffee in the afternoon so that he does not feel sleepy while driving home.
a. What questions would you ask to determine if Anthony might have a sleep disorder?
b. What recommendations will you make to improve his sleep hygiene?
c. What instructions and education should you give this patient regarding personal and community safety?
2. As a nurse on an adolescent psychiatric–mental health nursing unit, you will often encounter teenagers who are misinformed about their growth and development as well as sexuality. What information would you include in a series of teaching sessions that would help these adolescents acquire a better understanding of the developmental changes they are going through?
3. To understand your own beliefs, answer these questions:
a. Are you comfortable with your own sexuality? With that of others?
b. Are you judgmental?
c. Could you be helpful to someone who has a sexual disorder?
d. What factors have influenced your beliefs and values regarding sexuality?
e. What do you think is the impact of sexually explicit online content, television, music videos, and movies on your sexual attitudes, values, and beliefs?
4. Mallory is a 17-year-old adolescent; she is being admitted to the adolescent psychiatric unit after several weeks of impulsive behaviors, such as extensive cutting and running away from home.
a. Put the following areas of assessment in order of priority and provide the rationale for your choices:
1. Suicide risk
2. Current coping skills
3. Skin integrity/risk for infection
4. Childhood development
5. Current family relationships
