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An older adult male is complaining of chest pain. The nurse is able to identify that the patient is experiencing acute pain by asking which question?
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t eight months post-knee surgery the patient still complains of tenderness of the knee and finds it difficult to walk without feeling a tingling pain. Which nursing diagnosis is priority for this patient?
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Foundations Nursing
Foundations Nursing set 8
| Question | Answer |
|---|---|
| An older adult male is complaining of chest pain. The nurse is able to identify that the patient is experiencing acute pain by asking which question? | Have you been in pain less than six months? |
| t eight months post-knee surgery the patient still complains of tenderness of the knee and finds it difficult to walk without feeling a tingling pain. Which nursing diagnosis is priority for this patient? | Chronic pain |
| A nurse can adequately classify pain by asking the patient questions focusing on which factors? | Cause of pain Pathophysiology of pain Duration of pain |
| nurse caring for patient on cancer floor. patient battling breast cancer, assoc. pain over 2yrs. claims worst pain is numbness in fingers she has been experiencing for the past 3 mos due to chemo treatments. identify cause, patho, duration of acute pain? | Cancer, numbness due to chemo, three months |
| ped patient comes to ped's office complaint ankle pain. mother says child wakes every day complaining, ankle seems swollen, swelling goes down throughout the day. many tests are completed, diagnosed with juvenile arthritis. What type of nociceptive pain | Somatic pain |
| The patient feels a dull achy, pain, which originated in his side. It has lasted for a while, but had a gradual onset. Knowing this patient presents with visceral pain, what might the patient be experiencing? | Inflammatory Bowel Disease |
| An older adult patient presents to the emergency department complaining of sharp jaw pain. The triage nurse knows this is one of the classic signs of a heart attack. What type of pain does the triage nurse understand this patient is experiencing? | Referred pain |
| A pregnant patient in her last trimester is unable to eat due to the amount of pain she is experiencing because of gastrointestinal reflux. When the nurse is charting her pain, what type of pain is identified? | Radiating pain |
| nurse caring for patient with osteosarcoma. patient recently had surgery and is now complaining of pain around surgical site in addition to dull pain in leg. nurse suspects that patient has chronic pain, but is currently experiencing which type of pain? | breakthrough pain |
| A nurse is caring for an amputee who often asks for pain medication. The nurse realizes that the patient is experiencing neuropathic pain, but more importantly what specific type of neuropathic pain? | Phantom limb pain |
| When caring for a psychiatric patient who is complaining of headaches with no relief, a nurse asks a nursing student how psychogenic pain may present. Which response indicates that the nursing student understands what psychogenic pain is? | "It is pain perceived by a person when there is no physical cause." |
| Which medication is a woman more likely to be prescribed for pain? | Versed |
| The triage nurse in the emergency department realizes that which patient is more likely to report being in pain? | A 65-year-old female with a history of thyroid cancer |
| When the nurse in the primary care provider’s office reviews past medical histories, which patient should she be concerned may hide a past diagnosis of cancer pain due to cultural beliefs? | Asian females |
| The nurse is caring for a one-year-old with fever. He is crying continuously and cannot be comforted with food or by being held. What are the most appropriate actions for the nurse to do next? | Sing a song to the child Assess the child's pain |
| How does soap work? | cleanses by emulsifying fat and oil and lowering surface tension |
| What is the primary purpose of appropriate hand hygiene | To prevent or control the transmission of infectious microorganisms from any source |
| In which situation would it be appropriate for the nurse to use an antiseptic hand rub to perform hand hygiene? | The nurse's hands are not visibly soiled |
| The nurse is discussing the guidelines for proper hand hygiene with nursing assistive personnel (NAP). Which statement made by NAP requires follow-up by the nurse? | "To prevent dry skin, I avoid using soap and water." |
| Which patient is at the greatest risk for hospital-acquired infection (HAI)? | A middle-age female patient receiving chemotherapy for lung cancer |
| A patient with Alzheimer’s disease is being cared for in the medical-surgical unit. As pain assessments are conducted on a patient with a cognitive disorder, what is the nurse mindful of? | Patient may not be able to express the location of pain. Patient is able to experience pain. |
| The nurse is caring for a postoperative patient. Which behavioral manifestations of pain are included in the pain assessment? | Grimace |
| caring for patient with chronic pain related to fibromyalgia. patient in ER for pain control. complaining of generalized pain at 7/10. nurse overhears DR complaining patient is drug-seeking. Which definitions of pain important for nurse to keep in mind? | Pain is what the patient says it is. |
| Which nursing practice may be influenced by expectations of behaviors that indicate pain? | Administration of pain medication |
| patient with diabetes develops an infected wound on the plantar aspect of the foot. The patient reports that he never felt any pain or discomfort related to the wound. Which pain response is lacking in this type of injury? | Sensory |
| patient has suffered burn injuries related to a house fire, and is in the burn center for pain control and dressing changes. What function does pain serve when it is associated with a thermal injury? | Response |
| Which stimuli relates to a postoperative incision? | Mechanical |
| Based on the density of nociceptors throughout the body, which condition would the nurse expect to require increased analgesia? | Burn |
| Which aspect of the brain helps a person localize where on the body the injury has occurred? | Sensory-discriminative aspect |
| four steps in the nociception process. | Nociceptors identify painful stimuli and convert it into an electrical impulse. Pain signals are transmitted through afferent nerve fibers to the spinal cord and brain |
| four steps in the nociception process. | he brain translates nerve signals as pain The brain changes the perception of pain by sending inhibitory signals via the spinal cord. |
| The nurse is conducting a pain assessment on a patient in the oncology unit. The patient is asked to describe the intensity of pain that she is willing to withstand. How is this documented? | Pain tolerance |
| During the modulation process of nociception, which endogenous opioid has an influence on the emotional perception of pain? | Enkephalins |
| nurse conducts comprehensive pain assessment, patient asked to describe quality of pain. patient describes pain as sharp and acute. Which phase of the nociception process is responsible for the type of pain impulse that is being detected by the patient? | Transmission |
| Which neurotransmitters are involved in controlling the inflammatory response? | Bradykinin Histamine Cytokines |
| caring for patient with chronic back pain. feels that he has an increase in back pain when he is experiencing stress. He wishes to practice relaxation techniques to decrease the perception of pain. Which pain theory is this practice associated with? | Gate Control Theory |
| The patient has been diagnosed with obstructive sleep apnea (OSA) experiencing daytime sleepiness and excessive snoring. Which are the best nursing diagnoses for this patient? | Sleep Deprivation Fatigue Risk for Injury |
| nurse caring for new mother w/general exhaustion. The patient’s three-month old son has been waking up every 1-2 hours for a bottle since birth and the patient receives very little sleep at home. Which are appropriate nursing diagnoses for this patient? | Sleep Deprivation related to frequent awakening of infant as evidenced by parent complaints of lack of sleep. Disturbed Sleep Pattern related to being awakened several times each night. |
| Which is the best sleep-related health-promotion nursing diagnostic statement for a patient who wants to attain sound sleep without prescription medications? | Readiness for Enhanced Sleep as evidenced by request for sleep hygiene practices at home |
| Which nursing diagnostic label is most appropriate for a patient who sleepwalks? | Risk for Injury |
| Which is the most appropriate nursing diagnosis for the patient who snores during sleep and reports feeling very tired after awakening? | Sleep Deprivation |
| nurse prepares the patient for discharge from the hospital. One of the nursing diagnoses for this patient is Readiness for Enhanced Sleep as evidenced by request for sleep aids. Which goal is appropriate for this patient? | Patient will repeat medication instructions upon discharge. |
| What is an appropriate long-term goal for the nurse to include in a plan of care for a patient who is suffering from Insomnia related to psychological job stress? | Patient will achieve 6 to 7 hours of sleep each night within 4 weeks. |
| hospitalized patient reports disturbed sleep due to the nurse monitoring vital signs at regular interval in the night. Which goal statement is appropriate for this patient with the nursing diagnosis Disturbed Sleep Pattern? | Patient will sleep for at least 90 minutes at a time during hospitalization. |
| Which goal statement is appropriate when planning care for a patient admitted to the hospital with a concussion after falling while sleep walking, who is currently alert and oriented? | Patient will remain injury-free during hospitalization. |
| Which goal statement should the nurse to include in the plan of care for a patient with a nursing diagnosis of Disturbed Sleep Pattern related to lighting and noise in the hospital? | Patient will sleep at least 90 minutes at a time during hospitalization. |
| Which goal statement should the nurse include in the plan of care for a patient with the nursing diagnoses Disturbed Sleep Pattern and Fatigue? | Patient will sleep for at least 90 minutes at a time during hospitalization. |
| Which is the best goal statement for the nurse to include in the plan of care for an older patient with the nursing diagnosis of Fatigue, who feels sleepy during day time inspite of getting enough sleep in the night? | Patient should take two 20-minute naps daily. |
| Which are risk factors for the nursing diagnosis Risk for injury related to sleep? | Bruxism Somnambulism Sleep terrors |
| A nurse is caring for a patient with scleroderma. The nurse spent time with the patient and used great communication skills. Why is effective communication so important in nursing practice? | Avoidance of patient harm |
| A nursing student is teaching her peers about the communication process. What should she include in her teaching? | Feedback is important to ensure the correct interpretation of the message. Senders initiate communication by encoding their own thoughts and feelings. Channels of communication can be delivered through all five senses. |
| A graduate nurse has a question about the communication process. Which of these is the first element of the process? | The referent initiates the communication. |
| A nurse is teaching a high school student about the five senses as channels of communication. Which choice presented to the student is an example of an auditory channel assessment? | Observing the patient's breathing pattern |
| Which option is a type of verbal communication used by a successful nurse? | Charting a patient's vital signs in the electronic record |
| Which situation shows an example of nonverbal communication when the nurse is assessing the patient? | The nurse notes the patient grimacing and guarding the abdomen. |
| Why is it important for one nurse to verify documentation with another nurse? | Charting can sometimes be misinterpreted. |
| What are the five phases of small group communication? | Forming, storming, norming, performing, and adjourning |
| A health care group collaborates because its members are very committed to an outcome. Which option includes this phase of group development? | Performing |
| Why is the storming phase important in small group communication? | Brings out personality conflicts that require resolution to progress. |
| Which question falls within a topical area of SBAR communication? | What actions should be initiated for this problem? |
| Which patient scenario fits within the topical area of Background in SBAR communication? | Recent past medical history of a distal radius fracture |
| What is the result of a flight nurse utilizing therapeutic communication? | Patient outcomes are improved. |
| Professor Brown tells Susan the assignment is due today. | Feedback |
| Susan, a nursing student, has prepared a scenario for Professor Brown to teach the six key elements of communication. Match the element of the communication process with the example of the element. Professor Brown | Receiver |
| Susan uses email to ask Professor Brown about the assignment. | Channel |
| Hi, Professor Brown. When is our assignment due?” | Message |
| Susan, a nursing student, has prepared a scenario for Professor Brown to teach the six key elements of communication. Match the element of the communication process with the example of the element. Susan | Sender |
| Susan reviews her planner and sees the assignment, but not the due date. | Referent |
| The nurse is obtaining a personal health history from her patient. | Interpersonal |
| The nurse feels confident by using positive self-talk. | Intrapersonal |
| The nurse is addressing a quality task force. | small group |
| A nurse is asked to serve as a professional expert on health care issues. | public |
| Nosocomial infections up 15% in Cardiac Recovery ward | Situation |
| Never used to have MRSA originate at Cardiac Recovery ward | Background |
| Need to find source of MRSA and weak link to contamination | Assessment |
| Review all equipment introduced since change. Match infection to source | Recommendation |
| A nurse is sharing potential communication problems with a group of new nurse trainees. Of the scenarios listed, which complies with Regulations of the Health Insurance Portability and Accountability Act (HIPAA)? | Writing nursing notes at the nurse's station |
| Which scenario complies with professional role boundaries? | Visiting a patient to provide home health care |
| The nurse is assessing a patient and observes the patient avoiding eye contact when asked about personal health history. The nurse should assess the patient’s nonverbal communication and respond with which answer? | "You seem uncomfortable." |
| The male nurse is caring for a female patient from the Middle East. The patient will not speak to the nurse nor let him perform a physical assessment. What action should the nurse take? | Recognize this as a cultural difference in communication and request a female nurse to perform the assessment. |
| The nurse is explaining the patient’s plan of care to the patient and notes that the patient’s eyes are moving from side to side before he responds. How is this particular patient most likely processing the communication? | Auditory channel |
| The nurse needs to communicate the patient’s plan of care to the provider. Which responses are appropriate interprofessional communications from the nurse? | "Here are my recommendations for the care of the patient." "The patient has clearer breath sounds this morning." "The patient has a history of COPD and diabetes." |
| After reviewing the side effects of a medication with a patient, the nurse asks the patient if she comprehends. The patient stares blankly, shakes her head, and states, “Sure.” What does this communication tell the nurse? | The patient does not understand the information. |
| A group working with a patient who has diabetes tries to resolve a wound on the patient that will not heal. What is the correct phase of this group? | Performing |
| A student nurse asks the instructor for an example of public communication. What is the best example of public communication? | Educating patients and the community in a public forum |
| Which nurse response suggests understand of SBAR? | "I am going to ask you questions about your health history." "I have developed a plan of care based on the information you gave me in your history." |
| The nurse is asking the patient about his personal health history. Which question is an effective verbal technique for getting more information? | "Tell me more about your diet and exercise plan." |
| caring for patient had a heart attack. no visitors and is about to undergo a heart catheterization in one hour. When the nurse comes into the room, the patient yells because the nurse is late with his medication. What is the best response from the nurse? | "I understand that you are probably nervous about the procedure. Tell me more about how you are feeling." |
| A provider is rounding on the unit. The nurse taking care of one of his patients needs to alert him of new findings in the patient’s assessment. What is the most appropriate way to communicate this to the provider? | MJ in Room 16 is short of breath. She is 79 years old with heart failure and diabetes. Her respirations are 28, and her blood sugar is normal. I believe she might be in fluid overload and I recommend diuresing her." |
| older woman wears reading glasses, hearing impaired requests info on her new meds. She left her glasses at home, but is wearing her hearing aid. Considering the patient’s impairments, what would be the most effective way to communicate with this patient? | Sit down with the patient and verbally answer all her questions regarding her medications. |
| The nurse is caring for a patient who was diagnosed with cancer. The patient is crying and asks the nurse if she should get chemotherapy treatments. What is the best response by the nurse? | "What are your concerns about the chemotherapy?" |
| A nursing student is giving a report on the different types of effective nonverbal communication. Which statement made by the student suggests that she understands effective nonverbal communication? | "When speaking to a patient, it is important to maintain eye contact." "Holding patients' hands when they are scared or worried is a good technique for nonverbal communication." "Sometimes silence is the best way to communicate with a patient." |
| Which vital signs could be part of an objective pain assessment? | Blood pressure and heart rate |
| child with moderate-to-severe headache related to concussion tells nurse he cannot concentrate in school. has been treated for nine months for concussion symptoms and reports that he sleeps eight hours each night. most appropriate nursing diagnosis | Ineffective Coping |
| A patient asks the nurse if his pain medication can be decreased because he is tired of feeling drowsy and would like to resume golfing. Which nursing diagnosis is evidenced in this case? | Readiness for Enhanced Comfort |
| The nurse provides a patient with a pain assessment scale. The patient reports a pain level at 8 of 10. What does the nurse know is true regarding this statement? | This is a subjective pain assessment |
| Following abdominal surgery, the nurse assesses her patient for pain. Which is true regarding pain assessment? | Dull or aching pain is a subjective finding |
| Which health care professional would the nurse most likely collaborate with to care for an athlete who experiences occasional stress, and muscle pain before or after sports? | Massage therapist |
| Which vital signs could be part of an objective pain assessment? | Blood pressure and heart rate |
| child w/ moderate-to-severe headache related to concussion tells nurse that he cant concentrate in school. treated nine months concussion symptoms reports he sleeps eight hours each night. Which is the most appropriate nursing diagnosis for this patient? | Ineffective Coping |
| A patient asks the nurse if his pain medication can be decreased because he is tired of feeling drowsy and would like to resume golfing. Which nursing diagnosis is evidenced in this case? | Readiness for Enhanced Comfort |
| The nurse provides a patient with a pain assessment scale. The patient reports a pain level at 8 of 10. What does the nurse know is true regarding this statement? | This is a subjective pain assessment |
| Following abdominal surgery, the nurse assesses her patient for pain. Which is true regarding pain assessment? | Dull or aching pain is a subjective finding |
| Which health care professional would the nurse most likely collaborate with to care for an athlete who experiences occasional stress, and muscle pain before or after sports? | Massage therapist |
| Which duty can the nurse delegate to the UAP to care for a patient who is experiencing pain? | Darken the room and listen to the patient |
| nurse caring for patient is prescribed pain med and anxiety med. The lowest pain rating the patient reports during the shift is 7/10. With whom should the nurse collaborate to offer non-pharmacologic therapies to the patient? | Music therapist Massage therapist Physical therapist Art therapist |
| nurse is helping a patient set goals related to pain. The patient requests for the pain to decrease from 8 of 10 to 2 of 10 on a 0 to 10 numeric scale three days after surgery. Which goal will the nurse identify for the patient? | Comfort |
| adult female patient who has had knee surgery states she is eager to begin walking her dog again. Her pain has reduced and she wants to resume exercise time with her pet in one week. What type of goal will the nurse identify for this patient? | Tolerance |
| Which is most indicative of chronic pain that is not improving? | The patient is unable to perform daily hygiene |
| Which is an objective pain assessment for a post-operative patient with acute pain? | Tachycardia |
| Which are signs of pain in a 12-year-old child who fell off of a horse and has a fractured spleen? | Systolic blood pressure of 140 mm Hg at rest Heart rate of 125 beats per minute at rest Respiratory rate of 24 breaths per minute at rest Patient has a facial grimace |
| Which interventions involve the collaboration of a primary care provider, nurse, and pharmacist when caring for a patient with pain from an injury to an extremity? | Administration of acetaminophen/oxycodone (Percocet) |
| What do massage therapists and music therapists have in common? | The offer non-pharmacologic therapies |
| Performing daily activities with a pain of 3 of 10 one week after starting an analgesic is what type of pain management goal? | Tolerance |
| What are the three parts of the nursing diagnosis? | Diagnostic label, related factors, and evidence statement |
| Which outcome is desirable for a pediatric patient being treated for head lice? | Child refrains from sharing personal items with school classmates. |
| Which factors should the nurse consider when developing an individualized care plan for a patient’s hygienic and self-care needs? | Present capabilities Supportive resources Family involvement Personal care supplies |
| Which activity does the nurse perform when planning for a patient’s hygiene and personal care? | Prioritizes patient's hygiene-related nursing diagnoses Sets realistic personal care goals with the patient |
| Which hygiene and personal care nursing diagnosis is correctly stated? | Ineffective Health Maintenance related to impaired ability to understand due to brain injury, as evidenced by poor hygiene and unkempt appearance. |
| Nursing diagnoses related to hygiene and personal care are selected after which important activity? | Assessing patient self-care abilities |
| A patient exhibits matted hair and caked mud and debris under fingernails and toenails. Which nursing diagnosis will the nurse select? | Hygiene Self-Care Deficit |
| A patient is unable to perform self-care activities. Following collaboration with the UAP, which activities can be delegated? | Personal grooming Partial bath Denture care Hair care |
| Following collaboration about a patient’s hygiene needs, which activities can be delegated to the UAP? | Applying lotion after bathing the patient Assisting the patient with oral hygiene Helping a patient shave prior to discharge |
| The nurse delegated several patient tasks to UAPs on a nursing unit. Who is ultimately responsible for delegated tasks? | Delegating nurse |
| Why is it important to set measurable hygiene and personal care goals for patients? | Provides a means for measuring patient self-care progress. |
| Which is a correctly stated hygiene and personal care long-term goal statement? | Patient will shower independently by the end of one month. |
| Which questions will the nurse ask when formulating a measurable hygiene and personal care goal? | who, what, when |
| What should the nurse do when a patient requests the same gender caregiver for hygiene and personal care, due to cultural preferences? | Accommodate the patient's wishes |
| When is it appropriate for family members to be involved in setting hygiene and personal care goals for patients who can communicate their own needs and desires? | When the patient requires assistance after discharge |
| Which action by the nurse indicates a collaborative approach to improving a patient’s ability to perform self-hygiene and personal care? | Partnering with the occupational therapist |
| A patient is unable to perform self-care activities. Following collaboration with the UAP, which activities can be delegated? | Personal grooming Partial bath Denture care Hair care |
| What piece of clothing is best to remove when looking for excoriations? | Adult diaper |
| When discharging a patient with diabetes mellitus, it is important to include which items to buy when educating about the importance of skin integrity? | Small mirror |
| Which patient is most at risk for skin ulcers? | A frail paraplegic |
| Which patient would least likely be at risk for skin ulcers? | One with Alzheimer's disease |
| A patient arrives to urgent care with an excoriation on the torso. How would the nurse note the results of the wound assessment? | Red and scaly lesions |
| When reviewing a patient’s chart, the nurse notes the documentation of a pressure ulcer. What would the nurse expect to find upon assessment? | Open wound over the sacrum |
| A patient arrives at the emergency room with a puncture wound. What type of injury best describes a puncture wound? | Dog bite |
| A patient arrives to the emergency room with a laceration. What intervention best shows that the nurse is using proper hygiene to prevent infection? | A. Washing hands with soap and water prior to treatment B. Using gloves C. Using sterile pads while trying to control the bleeding |
| Which statement, if made by a chemotherapy patient, indicates the need for further education? | "I will scrub with hard brushes when I wash my head." |
| The nurse is caring for a patient with oral cavity sores. Which food item would the nurse advise the patient to avoid? | Orange slices |
| The nurse finds a patient to have missing teeth and refusing to wear dentures. Which food items should the nurse advise the patient to eat? | B. Banana C. Gelatin D. Applesauce |
| Which physical trait might a nurse find when treating a patient with gingivitis? | A. Red, swollen gums B. Yellow teeth C. Bad breath D. Cracked teeth |
| A patient complains of chronic bad breath. What is the best advice to help the patient? | A. Stop smoking |
| Which statement, if made by the patient regarding oral hygiene, would indicate the need for further education? | D. "Changing my toothbrush every year is important." |
| Which assessment data would indicate a potential complication associated with the skin of a patient? | Crusting |
| When creating a brochure for parents to help prevent pediculosis, which statement should the nurse include? | A. "Assist your child with checking for head lice regularly." B. "Have the child tell you if his head itches." C. "Look for any patches of hair loss." |
| A nursing diagnosis of Altered Oral Mucous Membranes related to dental disease will yield which findings upon inspection? | A. Missing teeth B. Halitosis D. Dry mouth |
| What contributes to an older adult patient’s skin being wrinkled, thin, and dry? | B. Decreased elastin |
| Which interventions might the nurse implement in order to prevent pressure ulcers? | Keeping the patient's skin clean and dry C. Resting the patient's calves on pillows |
| Which age-related skin issue increases the risk of pressure ulcers? | Decreased elastin |
| Which nursing diagnosis best displays sensitivity towards the needs of the patient and family? | Compromised family coping |
| What interventions related to sleep should the nurse suggest to the parent of a pediatric patient? | Give a warm bath b. Read a bedtime story c. Provide a favorite toy d. Play soft, soothing music |
| Which non-pharmacologic intervention should the nurse initiate for a patient who is having difficulty falling asleep due to mild back pain? | Giving the patient a massage |
| Which type of exercise should the nurse suggest to the patient just before bed to promote sleep? | Yoga |
| Which coping mechanisms should the nurse encourage for a stressed patient with sleep deprivation? | Enlisting the help of friends Dealing with problems at a certain time each day Using relaxation techniques |
| Which patient statement regarding foods that promote sleep indicates the need for further education from the nurse? | "I should drink several glasses of red wine in the evening to enhance the sleep I get overnight." |
| The nurse is providing care to a patient diagnosed with restless leg syndrome (RLS). Which nonpharmacologic nursing intervention is most appropriate to promote rest for this patient? | Encouraging deep knee bends |
| Which information should the nurse instruct a patient to include in a sleep diary? | Time of retiring Time required to fall asleep Foods consumed within two hours of bedtime Use of an alarm clock |
| A patient reports of a restless night of sleep due to being awoken by the need to void. Which intervention should the nurse implement prior to sleep to decrease the likelihood of this occurring in the future? | Assisting the patient to the toilet prior to bed |
| A patient who recently moved to a new location is unable to sleep and asks the nurse about over-the-counter (OTC) medications for sleep. Which drug classification should the nurse suggest to this patient to promote sleep? | Antihistamines |
| Which supplements should the nurse include in a teaching session for a patient who is experiencing chronic insomnia? | Melatonin Valerian |
| A nurse is teaching a patient information related to the safe administration of common sleep medications. Which statement by the patient indicates need for further teaching from the nurse? | "Maybe I should take a greater dose of antidepressants since it is my first time taking them for my sleeping problems." |
Created by:
colby.caswell