A Client Diagnosed with Major Depression and Substance Use Disorder

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.