A patient complains of difficulty falling asleep and daytime fatigue for the past 6 weeks. What is the best initial action for the nurse to take in determining whether this patient has chronic insomnia?
a. Schedule a polysomnography (PSG) study.
b. Arrange for the patient to have a sleep study.
c. Ask the patient to keep a 2-week sleep diary.
d. Teach the patient about the use of an actigraph.
ANS: C
The diagnosis of insomnia is made on the basis of subjective complaints and an evaluation of a 1- to 2-week sleep diary completed by the patient. Actigraphy and PSG studies/sleep studies may be used for determining specific sleep disorders but are not necessary to make an initial insomnia diagnosis.
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