A client is discussing the potential consequences of sleep and wakefulness disorders with a nurse. Which of the following statements accurately reflects a possible impact on sexual function?
"Sleep deprivation can lead to infertility.".
"Sleep deprivation has no effect on libido.".
"Sleep deprivation can enhance testosterone production.".
"Sleep deprivation is linked to improved menstrual cycles.".
The Correct Answer is A
Choice A rationale:
Sleep deprivation can indeed lead to infertility, making this statement accurate. Chronic sleep deprivation can disrupt hormonal balance, including the production of reproductive hormones such as luteinizing hormone (LH) and follicle-stimulating hormone (FSH). These hormones play a vital role in the menstrual cycle and fertility. Additionally, sleep deprivation can affect the body's stress response, leading to increased levels of cortisol, which can further impact fertility.
Choice B rationale:
"Sleep deprivation has no effect on libido" is an incorrect statement. Sleep deprivation can negatively affect libido or sexual desire. Hormonal imbalances caused by inadequate sleep can lead to decreased sexual interest and diminished sexual function.
Choice C rationale:
"Sleep deprivation can enhance testosterone production" is an incorrect statement. Sleep deprivation is associated with decreased testosterone levels. Testosterone, a key hormone for both men and women, is primarily produced during deep sleep. Sleep deprivation disrupts the body's hormonal balance, leading to lower testosterone levels, which can impact sexual function.
Choice D rationale:
"Sleep deprivation is linked to improved menstrual cycles" is an incorrect statement. Sleep deprivation is more likely to disrupt menstrual cycles rather than improve them. Irregular or absent menstrual cycles can result from hormonal disturbances caused by inadequate sleep. Hormonal imbalances can lead to conditions such as polycystic ovary syndrome (PCOS) and menstrual irregularities.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale:
"Sleep deprivation can lead to reduced susceptibility to infections.". This statement is incorrect. Sleep deprivation weakens the immune system and reduces the body's ability to fight off infections. Lack of sleep can lead to a decrease in the production of immune cells and antibodies, making individuals more susceptible to infections.
Choice B rationale:
"Sleep deprivation can enhance wound healing.". This statement is incorrect. Wound healing is adversely affected by sleep deprivation. Sleep is essential for the body's natural healing processes, as it allows for the release of growth factors and the repair of damaged tissues. Sleep deprivation can slow down wound healing and hinder the body's recovery mechanisms.
Choice C rationale:
"Sleep deprivation has no impact on autoimmune diseases.". This statement is incorrect. Sleep deprivation can have a significant impact on autoimmune diseases. Sleep plays a crucial role in regulating immune responses and maintaining immune system balance. Sleep deprivation can exacerbate autoimmune conditions and contribute to their progression.
Choice D rationale:
"Sleep deprivation can increase the risk of inflammation.". This is the correct answer. Sleep deprivation is known to increase the levels of pro-inflammatory cytokines in the body. These inflammatory markers can lead to chronic inflammation, which is associated with various health problems, including cardiovascular disease, diabetes, and neurodegenerative disorders.
Correct Answer is B
Explanation
Choice A rationale:
Monitoring the patient's adherence to follow-up appointments is not the appropriate method for assessing changes in sleep patterns and symptoms. While follow-up appointments are important for tracking progress, they do not directly measure the patient's sleep patterns or symptoms.
Choice B rationale:
Asking the patient to rate their daytime sleepiness on a scale of 0-10 is a valid method for assessing changes in sleep patterns and symptoms. The Epworth Sleepiness Scale (ESS) is a commonly used tool for this purpose. It provides a subjective measure of the patient's level of daytime sleepiness, which can help gauge the effectiveness of interventions aimed at improving sleep.
Choice C rationale:
Measuring the patient's physical activity levels before and after treatment might be relevant to overall health assessment but is not a direct method of assessing changes in sleep patterns and symptoms. Physical activity can influence sleep, but it does not specifically measure the impact of interventions on sleep disorders.
Choice D rationale:
Reviewing the patient's family history of sleep disorders is important for understanding potential genetic predispositions to sleep problems. However, it is not a method for directly assessing changes in the patient's sleep patterns and symptoms resulting from interventions.
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