A nurse is assessing a patient who has been experiencing sleep deprivation. The patient complains of feeling more anxious and irritable lately. Which statement made by the patient aligns with the potential impacts of sleep and wakefulness disorders?

Choice A rationale:

Frequent sleepwalking is not often associated with obstructive sleep apnea (OSA). Sleepwalking is a separate sleep disorder that involves engaging in complex behaviors while still asleep. OSA is characterized by breathing interruptions during sleep, which is different from the behaviors seen in sleepwalking.

Choice B rationale:

Experiencing night terrors is not commonly associated with obstructive sleep apnea (OSA). Night terrors are intense episodes of fear or dread during sleep, often accompanied by screaming and physical agitation. OSA is primarily characterized by breathing disturbances during sleep rather than emotional distress.

Choice C rationale:

Restless legs syndrome (RLS) is not typically associated with obstructive sleep apnea (OSA). RLS is a neurological disorder characterized by an urge to move the legs, usually accompanied by uncomfortable sensations. OSA, on the other hand, involves the obstruction of airflow during sleep, leading to pauses in breathing.

Choice D rationale:

Pauses in breathing (apnea) during sleep are often associated with obstructive sleep apnea (OSA). OSA is characterized by repeated episodes of partial or complete obstruction of the upper airway during sleep, leading to temporary pauses in breathing. These pauses can cause oxygen levels to drop and disrupt the sleep cycle, resulting in fragmented sleep and excessive daytime sleepiness.

Choice A rationale:

Insomnia often leads to significant daytime fatigue and tiredness due to inadequate sleep during the night. This statement indicates that the client is experiencing the expected consequence of insomnia, reinforcing the understanding of the client's symptoms.

Choice B rationale:

Mentioning that the client has been sleeping for more than 9 hours each night is not indicative of insomnia. In fact, excessive sleep is more characteristic of hypersomnolence rather than the difficulty in falling asleep or staying asleep associated with insomnia.

Choice C rationale:

Stating that the client wakes up feeling refreshed and alert every morning contradicts the typical experience of someone with insomnia. People with insomnia usually wake up feeling tired and unrefreshed due to the disrupted sleep they've had during the night.

Choice D rationale:

Expressing that the client experiences intense headaches during the day is not a specific symptom of insomnia. Headaches could be related to various causes and might not be directly linked to the client's sleep patterns.