A nurse is discussing the possible effects of sleep deprivation with a patient. Which of the following statements accurately represents a potential impact on immune function?

Choice A rationale:

Excessive daytime sleepiness is a symptom that can occur in various sleep disorders, such as sleep apnea, narcolepsy, and even insufficient sleep due to poor sleep hygiene. However, the client's difficulty adjusting to different time zones due to frequent travel is more indicative of a disruption in circadian rhythms caused by shift work and jet lag, rather than a specific disorder characterized by excessive daytime sleepiness.

Choice B rationale:

Shift work sleep disorder is the correct choice. Frequent travel across different time zones disrupts the body's natural circadian rhythm, leading to difficulties in adjusting to new sleep-wake schedules. This disruption can result in insomnia, fatigue, and daytime sleepiness. The client's experience aligns with the characteristics of shift work sleep disorder, which is common among individuals who work irregular hours or travel frequently.

Choice C rationale:

Restless legs syndrome (RLS) involves uncomfortable sensations in the legs that lead to an urge to move them. This disorder is unlikely to be the cause of the client's difficulty adjusting to time zone changes and frequent travel. RLS symptoms are more related to sensations in the legs rather than disturbances in sleep-wake schedules.

Choice D rationale:

Mood disorders, such as depression and anxiety, can certainly impact sleep and wakefulness. However, the client's symptoms of struggling with time zone adjustments and frequent travel are more closely associated with disruptions in circadian rhythms due to changes in sleep schedules rather than being solely indicative of a mood disorder.

Choice A rationale:

Medical disorders can contribute to sleep and wakefulness disorders. Conditions such as sleep apnea, restless legs syndrome, and chronic pain can disrupt sleep patterns. Various medical conditions affect sleep architecture and can lead to sleep disturbances, affecting overall sleep quality.

Choice B rationale:

Mental health disorders are well-documented causes of sleep and wakefulness disorders. Conditions like insomnia, depression, anxiety, and bipolar disorder can directly impact sleep initiation, maintenance, and overall sleep quality. The bidirectional relationship between mental health and sleep is widely recognized in clinical literature.

Choice C rationale:

Genetic predisposition can play a role in sleep disorders, but it is not among the most common causes or risk factors. Some sleep disorders, such as narcolepsy and certain circadian rhythm disorders, have a genetic component. However, other factors like lifestyle, environment, and medical conditions often have more significant contributions.

Choice D rationale:

Medications and substance use are recognized contributors to sleep and wakefulness disorders. Many medications can interfere with sleep patterns, including stimulants, antidepressants, and certain antihypertensive drugs. Substance use, particularly alcohol and recreational drugs, can disrupt sleep architecture and lead to insomnia and poor sleep quality.