A nurse is assisting with a workshop for clients who have increased stress. Which of the following recommendations should the nurse include?

A. "Nap several times during the day to promote sleep at night.": Frequent daytime naps can disrupt the sleep-wake cycle and make it more difficult to fall asleep at night, potentially worsening insomnia and stress. Short naps earlier in the day may be beneficial, but multiple naps are not recommended as a general strategy for stress reduction. B. "Exercise 1 hour before bedtime to prevent sleep interruption.": Vigorous exercise immediately before bedtime can increase heart rate and adrenaline levels, making it harder to fall asleep. For stress management, exercise is most effective when performed earlier in the day or at least a few hours before sleep to promote relaxation and improve sleep quality. C. "Limit coffee to no more than 6 cups per day.": Consuming six cups of coffee daily exceeds recommended caffeine limits and can contribute to anxiety, restlessness, and sleep disturbances. Effective stress management includes limiting caffeine intake to moderate levels, generally less than 200–400 mg per day, depending on individual tolerance. D. "Listen to your favorite music to enhance feelings of calm.": Listening to music is a recognized nonpharmacologic strategy for stress reduction. It can decrease sympathetic nervous system activity, lower heart rate and blood pressure, and promote relaxation. Music therapy supports emotional well-being and can be incorporated easily into daily routines to manage stress.