A client is undergoing a sleep study to aid in the diagnosis of a sleep disorder. The study monitors various physiological parameters during sleep, including brain waves, eye movements, muscle activity, and heart rate. Which type of test is the client undergoing?

Choice A rationale:

Vivid dreams can be associated with certain sleep disorders such as REM sleep behavior disorder, where individuals act out their dreams due to a lack of muscle paralysis during REM sleep. This can lead to physical movements during sleep and potentially result in injuries to the individual or their sleep partner.

Choice B rationale:

Hair thinning is not typically a symptom of sleep and wakefulness disorders. It is more commonly associated with factors like genetics, hormonal changes, and certain medical conditions such as alopecia.

Choice C rationale:

Feeling very energetic during the daytime is not aligned with the symptoms of sleep and wakefulness disorders. Sleep disorders often lead to daytime fatigue and excessive sleepiness rather than increased energy levels.

Choice D rationale:

Experiencing muscle spasms at night is not a classic symptom of sleep and wakefulness disorders. Muscle spasms could be related to various factors such as electrolyte imbalances, restless legs syndrome, or nocturnal leg cramps, but they are not among the primary symptoms of these disorders.

Choice A rationale:

Advising the client to continue with their current sleep habits would not be appropriate because if the client is seeking help for sleep quality concerns, their current habits might be contributing to the issue. Without proper assessment and guidance, this could exacerbate the problem.

Choice B rationale:

Recommending the client to use their bed for activities like reading and watching TV is not ideal. The bed should be associated with sleep and relaxation, and engaging in stimulating activities can hinder the client's ability to fall asleep and stay asleep.

Choice C rationale:

Educating the client about sleep hygiene and behavioral interventions is the appropriate action. Sleep hygiene education includes teaching the client about practices that promote good sleep, such as maintaining a regular sleep schedule, creating a comfortable sleep environment, avoiding caffeine and heavy meals close to bedtime, and engaging in relaxing activities before sleep. Behavioral interventions can help address specific sleep problems and develop healthy sleep habits.

Choice D rationale:

Prescribing medications without consulting a healthcare provider is not within the nurse's scope of practice. Furthermore, medication should not be the first line of treatment for sleep concerns, and it's important to explore non-pharmacological interventions first.