(Select all that apply):. A nurse is assisting a patient with implementing good sleep hygiene practices. Which of the following actions would the nurse recommend to the patient? Select all that apply.

Choice A rationale:

"Sleep deprivation can lead to decreased testosterone production.". This is the correct choice. Sleep plays a crucial role in hormone regulation, including testosterone production. Chronic sleep deprivation has been linked to decreased testosterone levels, which can affect various aspects of metabolic function, including muscle mass, energy levels, and overall metabolic health.

Choice B rationale:

"Sleep deprivation is linked to an increased risk of heart failure.". While sleep deprivation has been associated with an increased risk of cardiovascular issues, including heart failure, this choice focuses more on cardiac health rather than direct metabolic consequences. The primary concern in this question is the potential impact of sleep deprivation on metabolic function.

Choice C rationale:

"Sleep deprivation can impair wound healing and vaccine response.". This choice points out the potential consequences of sleep deprivation on immune function, wound healing, and vaccine response. Although this is a relevant consequence of sleep deprivation, it doesn't directly address the metabolic function aspect mentioned in the question.

Choice D rationale:

"Sleep deprivation is associated with a higher susceptibility to infections.". While sleep deprivation can indeed weaken the immune system and increase susceptibility to infections, this choice, like Choice C, does not directly address the impact on metabolic function that the question is asking about.

Choice A rationale:

Medication (short-term use) is not the commonly recommended intervention for a sleep disorder characterized by excessive daytime sleepiness despite adequate nighttime sleep. While medication might be considered in certain cases, it is usually not the first-line treatment option for this condition. Medications can have side effects and may not address the underlying causes of the sleep disorder.

Choice B rationale:

Relaxation techniques can be helpful for improving sleep quality and managing stress, but they are not typically the primary intervention for excessive daytime sleepiness despite adequate nighttime sleep. Relaxation techniques focus more on promoting relaxation and reducing stress, which might indirectly improve sleep patterns but may not directly address the specific disorder described.

Choice C rationale:

Cognitive behavioral therapy (CBT) is commonly recommended for a sleep disorder characterized by excessive daytime sleepiness despite adequate nighttime sleep. CBT for insomnia (CBT-I) is an evidence-based approach that addresses the psychological and behavioral factors contributing to sleep disturbances. It focuses on improving sleep hygiene, modifying negative thought patterns about sleep, and establishing a consistent sleep schedule. CBT has shown effectiveness in treating sleep disorders without the potential side effects of medications.

Choice D rationale:

Avoiding alcohol and caffeine is generally a good practice for promoting healthy sleep, but it alone is not the commonly recommended intervention for a sleep disorder characterized by excessive daytime sleepiness despite adequate nighttime sleep. While avoiding alcohol and caffeine can help prevent sleep disturbances, it might not fully resolve the underlying disorder causing excessive sleepiness.