Which questions should the nurse ask to determine if a patient has an underlying sleep-wake disorder? Select all that apply
1. "Do you have issues with snoring?"
2. "Do you wake feeling tired and not restored?"
3. "Do you suffer from excessive daytime sleepiness?"
4. "Do you apply appropriate sleep hygiene to your routine?"
5. "Do you think your sleep is affecting your daytime functioning"
Answer: 1, 2, 3, 5
Explanation: Asking the patient about snoring, if the patient feels tired on waking, if the patient is especially sleepy during the day, and if the patient perceives sleep as affecting daytime functioning are all appropriate questions to ask to elicit information about the patient's sleep-wake patterns. Sleep hygiene is a term that the patient may not understand. The purpose of the nursing assessment is not to diagnose a sleep disorder, but to uncover patterns that may assist the provider in determining next steps related to assessment and diagnosis.
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