A patient experiencing primary insomnia asks the nurse, "I take a nap during the day. Doesn't that make up for a lost night's sleep?" Select the nurse's best reply
a. "Circadian drives give daytime naps a structure different from nighttime sleep."
b. "The body clock operates on a 24-hour cycle, making nap effectiveness unpredictable."
c. "It is a matter of habit and expectation. We expect to be more refreshed from a night's sleep."
d. "Sleep restores homeostasis but works more efficiently when aided by melatonin secreted at night."
ANS: A
Regular sleep cycles occur with nighttime sleep, with progression through two distinct physiological states: four stages of non-rapid eye movement and a period of REM sleep. Naps often contain different amounts of REM sleep, thus changing the physiology of sleep as well as the psychological and behavioral effects of sleep.
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