The nurse is caring for a client who reports daytime drowsiness. The client states, "My partner says my snoring is getting louder and it sometimes wakes me up." The nurse should further assess the client for which of the following?

Obstructive sleep apnea

Circadian rhythm disorder.

Narcolepsy

Insomnia

Answer and Explanation

The Correct Answer is A

A. Obstructive sleep apnea: Obstructive sleep apnea is characterized by loud snoring, daytime drowsiness, and periods of waking up due to blocked airways. The client’s symptoms are consistent with this condition and warrant further assessment for it.

B. Circadian rhythm disorder: Circadian rhythm disorders involve disruptions in the sleep-wake cycle, but they are less likely to present with loud snoring and daytime drowsiness as primary symptoms.

C. Narcolepsy: Narcolepsy is characterized by excessive daytime sleepiness and sudden sleep attacks but does not typically include loud snoring or waking up from snoring.

D. Insomnia: Insomnia involves difficulty falling or staying asleep and would not typically cause daytime drowsiness from loud snoring or the described waking up issues.

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Correct Answer is B

Explanation

A. Displacement: Displacement involves transferring feelings to a less threatening object or person, which is not applicable to the client’s statement.

B. Rationalization: Rationalization involves justifying behaviors or feelings with logical reasons. The client’s statement reflects an unrealistic view rather than justifying actions.

C. Dissociation: Dissociation involves a disconnection from thoughts or feelings, which is not reflected in the client's statement.

D. Projection: Projection involves attributing one’s own feelings or thoughts to others. The client is expressing their own feelings about the wheelchair rather than attributing them to others.

A. "Drinking coffee at night is okay as long as you are used to it." B. "Moderate exercise 2 hours before bed is recommended." C. "Drinking alcoholic beverages, promotes better sleep." D. "Most adults require 6-9 hours of sleep per night."

Correct Answer is D

Explanation

A. "Drinking coffee at night is okay as long as you are used to it." Caffeine can disrupt sleep patterns and should be avoided close to bedtime, even if the individual is accustomed to it.

B. "Moderate exercise 2 hours before bed is recommended." Moderate exercise can promote better sleep, but it is generally recommended to complete exercise at least a few hours before bedtime to avoid overstimulation.

C. "Drinking alcoholic beverages promotes better sleep." Alcohol can initially induce sleep but often leads to disturbed sleep later in the night and can affect sleep quality.

D. "Most adults require 6-9 hours of sleep per night." This is accurate and reflects the general guideline for sleep duration needed for most adults to maintain health and well-being.

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The nurse is caring for a client who reports daytime drowsiness. The client states, "My partner says my snoring is getting louder and it sometimes wakes me up." The nurse should further assess the client for which of the following?

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Explanation

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