The nurse is triaging a patient for an annual check-up with the health care provider.When questioned about changes in sleep habits the patient replies,"Since my spouse passed away last month,I have not been sleeping well at all." What are the most appropriate interventions for the nurse to make? (Select all that apply.)

A) Speaking to the health care provider for a benzodiazepine sleeping aid
B) Contacting a pastoral care professional
C) Consulting with a psychiatric clinical nurse specialist
D) Consulting with a clinical psychologist
E) Referring the patient for evaluation to the sleep clinic

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Kathleen Nicole Campbell · Accepted Answer

Final Answer : B,C,D, Explanation :  The nature of a sleep disturbance determines whether referrals to additional health care providers are necessary.For example,if a sleep problem is related to a situational crisis or emotional problem,refer the patient to a psychiatric clinical nurse specialist,pastoral care professional or clinical psychologist for counseling.When chronic insomnia is the problem,a medical referral or referral to a sleep center is beneficial.Benzodiazepine can lead to tolerance,abuse,and dependence.

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