A patient is being seen in the clinic for insomnia. The nurse explains that the best diagnostic indicator of insomnia is:
A) the patient's report of insomnia.
B) results of polysomnography.
C) completing the Pittsburgh Sleep Quality Index.
D) results of actigraphy.
A) the patient's report of insomnia.
Explanation: A) Diagnosis of insomnia is based on patient report. Polysomnography is not performed to evaluate insomnia, but it may be used to rule out other sleep disorders as the cause of the poor sleep. Additionally, examination of a 2-week sleep diary is necessary. Use of a subjective tool to measure sleep quality, such as the Pittsburgh Sleep Quality Index aids in the diagnosis. Actigraphy can be used as an objective measure and to validate the information on the sleep diary.
B) Diagnosis of insomnia is based on patient report. Polysomnography is not performed to evaluate insomnia, but it may be used to rule out other sleep disorders as the cause of the poor sleep. Additionally, examination of a 2-week sleep diary is necessary. Use of a subjective tool to measure sleep quality, such as the Pittsburgh Sleep Quality Index aids in the diagnosis. Actigraphy can be used as an objective measure and to validate the information on the sleep diary.
C) Diagnosis of insomnia is based on patient report. Polysomnography is not performed to evaluate insomnia, but it may be used to rule out other sleep disorders as the cause of the poor sleep. Additionally, examination of a 2-week sleep diary is necessary. Use of a subjective tool to measure sleep quality, such as the Pittsburgh Sleep Quality Index aids in the diagnosis. Actigraphy can be used as an objective measure and to validate the information on the sleep diary.
D) Diagnosis of insomnia is based on patient report. Polysomnography is not performed to evaluate insomnia, but it may be used to rule out other sleep disorders as the cause of the poor sleep. Additionally, examination of a 2-week sleep diary is necessary. Use of a subjective tool to measure sleep quality, such as the Pittsburgh Sleep Quality Index aids in the diagnosis. Actigraphy can be used as an objective measure and to validate the information on the sleep diary.
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