The nurse is caring for a client who has narcolepsy. Which of the following would indicate the client is achieving the treatment goals?
The nurse is caring for a client who has narcolepsy. Which of the following would indicate the client is achieving the treatment goals?
A. Increased focus and attention.
[17%]
B. Decreased daytime sleeping.
[69%]
C. Decreased vivid dreams and night terrors
[11%]
D. Decreased social avoidance.
[2%]
Statistics
Subject/Lesson
Subject
Mental Health
Lesson
Mental Health
Client Need
Test Plan
Physiological Adaptation
Related Topic
Illness Management
Item Type
Item Type
Knowledge/Comprehension
Explanation
Choice B is correct. The cardinal feature of narcolepsy is daytime sleepiness, in which they may have sleep attacks that cause an individual to doze off with little warning. If clients meet the treatment goals, they report decreased daytime sleeping, leading to increased productivity.
Choice A is incorrect. Increased focus and attention would be a treatment goal for a client with attention deficit hyperactivity disorder (ADHD). ADHD is treated with medications such as atomoxetine and methylphenidate. While increased daytime energy would benefit an individual with narcolepsy, if the client meets the treatment goals, then the core feature (daytime sleepiness) would be ameliorated.
Choice C is incorrect. Night terrors and vivid dreaming are not a feature of narcolepsy. This would be a treatment goal for an individual with post-traumatic stress disorder.
Choice D is incorrect. Decreased social avoidance would be a treatment goal for certain personality disorders (avoidant personality disorder).
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2 Key Topics
Neurologic Complications
12.4 System-Specific Complications
Additional Info
✓ Narcolepsy is a syndrome in which a client has significant daytime sleepiness that often lessens after a nap.
✓ A client with narcolepsy may also have cataplexy, a brief emotionally triggered muscle weakness after laughter, excitement, etc.
✓ The client will then experience muscle paralysis in the face or neck. The episode typically resolves within minutes of its onset.
✓ Treatment of narcolepsy is with medications such as modafinil or armodafinil.
