A client is discussing their experiences with a nurse regarding sleep and wakefulness disorders. Select all the potential impacts of sleep deprivation mentioned in the text.

Choice A rationale:

Insomnia refers to the difficulty of initiating or maintaining sleep or experiencing nonrestorative sleep, often resulting in daytime impairments. It doesn't involve abnormal behavioral or physiological events during sleep, making it an incorrect choice.

Choice B rationale:

Hypersomnolence is characterized by excessive daytime sleepiness and prolonged nighttime sleep, but it doesn't encompass abnormal events during sleep. It focuses on excessive sleep rather than abnormal behaviors or experiences during sleep.

Choice C rationale:

Circadian rhythm sleep-wake disorders involve disruptions in the sleep-wake cycle due to misalignment with the natural circadian rhythm. While this can lead to difficulties in falling asleep or staying awake at desired times, it doesn't specifically account for abnormal behavioral or experiential events during sleep.

Choice D rationale:

Parasomnias involve abnormal behaviors, experiences, physiological events, or psychological events occurring during sleep or sleep-wake transitions. These include disorders like sleepwalking, night terrors, sleep-related eating disorders, and rapid eye movement (REM) sleep behavior disorder. These behaviors are outside the range of normal sleep activities and differentiate parasomnias from other sleep disorders.

Choice A rationale:

"Sleep deprivation can enhance overall well-being and happiness.". This choice contradicts the known negative effects of sleep deprivation. Sleep deprivation is associated with reduced overall well-being, increased stress, and mood disturbances. The statement is not accurate and does not align with the question's context.

Choice B rationale:

"Sleep deprivation may improve academic achievement.". This choice is also inaccurate. Sleep deprivation is well-known to impair cognitive function, including memory, attention, and learning. It is unlikely to improve academic achievement and can, in fact, hinder it.

Choice C rationale:

"Sleep deprivation can negatively affect work performance.". This is the correct choice. Sleep deprivation can lead to reduced cognitive function, impaired decision-making, and decreased concentration, all of which negatively impact work performance. This aligns with the potential impacts of sleep and wakefulness disorders on quality of life.

Choice D rationale:

"Sleep deprivation has no effect on physical appearance.". While the statement might be tempting to consider, it is inaccurate. Sleep deprivation can affect physical appearance by causing under-eye circles, skin issues, and a generally tired and worn-out appearance. The choice does not align with the well-documented effects of sleep deprivation on physical appearance.