A Client Diagnosed with Major Depression and Substance Use Disorder

question 20

Multiple Choice

A client diagnosed with major depression and substance use disorder has an altered sleep pattern and demands a psychiatrist prescribe a sedative. Which rationale explains why the nurse should encourage the client to first try nonpharmacological interventions?

• A) Sedative-hypnotics are potentially addictive, and their effectiveness will be compromised owing to tolerance.
• B) Sedative-hypnotics decrease the production of needed liver enzymes.
• C) Sedative-hypnotics lengthen necessary REM (rapid eye movement, dream) sleep.
• D) Sedative-hypnotics are known not to be as effective in promoting sleep as antidepressant medications.

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Definitions:

Semantic

Relating to meaning in language or logic, particularly the relationship between signs and symbols and what they represent.

Episodic

Related to or consisting of distinct and separate parts or events, often used in the context of memory to describe personal experiences that can be explicitly stated.

Procedural

Related to processes and methods of performing tasks, often implying a sequence of actions or steps.

Short-Term Memory

A cognitive system with a limited capacity that is responsible for temporarily holding information available for processing.