Question

Description: p. 715 Peter Smith, a 73-year-old male with mild Type 2 diabetes, calls to schedule an appointment. He states that he is feeling very anxious and fatigued, and is having difficulty eating and sleeping. He arrives at the clinic with his wife and needs to check in. During the patient interview, he states that he wakes up in the middle of the night, almost nightly. He also has many nights when he cannot even fall asleep. In addition, he has lost about 8 pounds in the last month. His symptoms started when his son died 6 months ago.

Discussion Questions: p. 735

1. What diagnosis will the licensed practitioner most likely give this patient?

2. What specific symptoms make you suspect this condition?

3. Mr. Smith complains of not being able to fall asleep. Is this information objective or subjective data?

4. Why do you think a sleep study was ordered?

P.S: Please answer all 4 questions separately. Thank you.

Answer 1

1, Type 2 diabetis melitus with mild depression and insomnia

2, weight loss and insomnia

3, subjective data

4, Sleep studies help to diagnose sleep disorders such as sleep apnea,periodic liimb movement disorder,narcolepsy,restless leg syndrome,insomnia and niighttime behaviours like sleepwalking and REM sleep behavour disorder,so sleep study may be useful for this case and this may be order the doctor according to the institutional practice.

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