Which nursing diagnosis is appropriate for a client who has developed tolerance to chlordiazepoxide (Librium)?

The diagnosis that focuses on "Disturbed sleep pattern R/T Librium tolerance AEB difficulty falling asleep" is particularly appropriate in this context because it directly addresses the specific symptom experienced by the client related to their tolerance to chlordiazepoxide, which is commonly used to treat anxiety and other conditions. When a client develops tolerance to a medication like Librium, it often indicates that the medication is becoming less effective for them, which can lead to difficulties in achieving restful sleep.

This diagnosis outlines a clear connection between the physiological aspect of medication tolerance and the accompanying sleep disturbances, which are important considerations in a comprehensive assessment of the client. By identifying this issue, the nursing care plan can focus on interventions aimed at managing the client's sleep pattern and addressing the underlying causes of their tolerance, leading to more effective care strategies.

In contrast, the other options either emphasize broader issues such as coping mechanisms or anxiety without pinpointing the specific impact of medication tolerance on sleep, or they highlight risks of injury and substance abuse in a more general sense rather than focusing on the direct consequence of tolerance to Librium. These less specific focus areas miss the opportunity to directly address the client's immediate concern of disturbed sleep patterns related to their medication tolerance.