A client with a history of insomnia has been taking chlordiazepoxide (Librium),15 mg,at night for the past year.The client currently reports this dose is no longer helping him fall asleep.Which nursing diagnosis appropriately documents this problem?
A)Ineffective coping R/T unresolved anxiety AEB substance abuse
B)Anxiety R/T poor sleep AEB difficulty falling asleep
C)Disturbed sleep pattern R/T chlordiazepoxide (Librium)tolerance AEB difficulty falling asleep
D)Risk for injury R/T addiction to chlordiazepoxide (Librium)

Question

Quizplus · Accepted Answer

The client's reported difficulty falling asleep despite their long-term use of chlordiazepoxide (Librium) suggests that they have developed tolerance to the medication, which has resulted in a disturbed sleep pattern. This diagnosis accurately reflects the client's current condition and precipitating factors. Ineffective coping (choice A) may be present but is not the most accurate diagnosis in this case. Anxiety (choice B) is a symptom rather than a nursing diagnosis. Risk for injury (choice D) is not supported by the given information.

A Client with a History of Insomnia Has Been Taking