A client is discussing their sleep habits with a nurse during an assessment. The client mentions that they frequently wake up too early and often feel tired during the day. The client also reports difficulty concentrating and irritability. Which of the following statements is accurate regarding the client's reported symptoms?
These symptoms are normal and do not require further assessment.
These symptoms are indicative of a healthy sleep pattern.
These symptoms align with sleep and wakefulness disorders.
These symptoms are primarily related to a lack of physical activity.
The Correct Answer is C
Choice A rationale:
These symptoms are normal and do not require further assessment. Rationale: This choice is not accurate. The client's symptoms of frequently waking up too early, feeling tired during the day, difficulty concentrating, and irritability are not considered normal sleep patterns. These symptoms could indicate an underlying issue that requires further assessment and intervention.
Choice B rationale:
These symptoms are indicative of a healthy sleep pattern. Rationale: This choice is incorrect. The symptoms described by the client are not indicative of a healthy sleep pattern. Waking up too early, feeling tired during the day, difficulty concentrating, and irritability are signs of disrupted sleep rather than a healthy sleep pattern.
Choice C rationale:
These symptoms align with sleep and wakefulness disorders. Rationale: This choice is the correct answer. The client's reported symptoms are consistent with sleep and wakefulness disorders. Waking up too early (early morning awakenings), feeling tired during the day, difficulty concentrating, and irritability are commonly associated with disorders like insomnia or sleep apnea. Further assessment and evaluation are needed to determine the specific disorder and appropriate treatment.
Choice D rationale:
These symptoms are primarily related to a lack of physical activity. Rationale: This choice is incorrect. While physical activity can contribute to overall well-being and sleep quality, the client's symptoms are not primarily related to a lack of physical activity. The described symptoms are more indicative of sleep-related issues rather than solely being attributed to a lack of exercise.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
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.
Correct Answer is ["B","D"]
Explanation
Choice A rationale:
Allergies are not typically considered medical disorders that directly contribute to sleep and wakefulness disorders. Allergic reactions can lead to discomfort and difficulty breathing, but they are not primary contributors to sleep disturbances.
Choice B rationale:
Degenerative neurologic illnesses, such as Parkinson's disease and Alzheimer's disease, can disrupt sleep patterns. These conditions may lead to changes in sleep architecture, insomnia, excessive daytime sleepiness, and other sleep-related issues.
Choice C rationale:
Infections can cause temporary disruptions in sleep due to symptoms like fever, discomfort, and respiratory issues. However, infections are not among the primary medical disorders known for contributing to chronic sleep and wakefulness disorders.
Choice D rationale:
Mood disorders like depression and anxiety can significantly impact sleep and wakefulness. Depression may lead to insomnia or oversleeping, while anxiety can cause difficulty falling asleep and maintaining sleep. Both conditions can affect sleep quality and duration.
Choice E rationale:
Caffeine consumption is a lifestyle factor, not a medical disorder. While caffeine intake, especially close to bedtime, can interfere with sleep, it is not classified as a medical disorder contributing to sleep and wakefulness disorders.
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