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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
Hypersomnolence refers to excessive daytime sleepiness and an increased need for sleep. It is not characterized by abnormal movements of the limbs or body during sleep. Hypersomnolence can be a symptom of various sleep disorders but is not directly related to the condition described.
Choice B rationale:
Periodic limb movement disorder (PLMD) involves repetitive and involuntary movements of the legs and sometimes the arms during sleep. These movements are distinct from the abnormal movements described in the question. PLMD can cause sleep disturbances and daytime fatigue but is not the disorder characterized by stereotyped movements during sleep.
Choice C rationale:
Sleep-related rhythmic movement disorder (SRMD) is characterized by repetitive or stereotyped movements during sleep or while falling asleep. These movements can include head banging, body rocking, or rolling. SRMD is often seen in children and tends to decrease with age. It is a parasomnia, which is a category of sleep disorders involving unusual behaviors during sleep.
Choice D rationale:
Circadian rhythm sleep-wake disorder involves disruptions in the sleep-wake cycle due to misalignments between a person's internal body clock and external cues like light and darkness. It is not characterized by abnormal movements of the limbs or body during sleep. Circadian rhythm sleep-wake disorder can lead to difficulties falling asleep or staying awake at appropriate times but is distinct from the disorder described.
Correct Answer is C
Explanation
Choice A rationale:
Improved blood pressure regulation. Improved blood pressure regulation is not a potential impact of sleep and wakefulness disorders. Sleep deprivation is associated with elevated blood pressure, not improved regulation. Sleep plays a crucial role in maintaining healthy blood pressure levels, and chronic sleep deprivation can contribute to hypertension.
Choice B rationale:
Decreased heart rate. Decreased heart rate is not a potential impact of sleep and wakefulness disorders on cardiovascular risk. In fact, sleep deprivation and sleep disorders are often linked to an increased heart rate. The body's autonomic nervous system can become dysregulated due to lack of sleep, leading to increased heart rate and other cardiovascular issues.
Choice C rationale:
Increased risk of arrhythmias. This is the correct answer. Sleep and wakefulness disorders can lead to an increased risk of arrhythmias, which are abnormal heart rhythms. The disruption of the body's internal clock, known as the circadian rhythm, can affect the heart's electrical activity and increase the likelihood of arrhythmias, including atrial fibrillation and other irregular heartbeats.
Choice D rationale:
Enhanced blood clotting. Enhanced blood clotting is not a potential impact of sleep and wakefulness disorders on cardiovascular risk. Sleep deprivation is associated with increased inflammation and changes in blood clotting factors that can actually elevate the risk of blood clot formation, potentially leading to cardiovascular events like heart attacks and strokes.
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