Based on a client's recent history, a nurse suspects that a client is beginning menopause. Which of the following questions should the nurse ask the client to help confirm the client is experiencing manifestations of menopause?

A. "When did you begin your menses?": The age at menarche provides historical reproductive information but does not help identify current menopausal changes. Menopause is related to declining estrogen levels and cessation of ovulation, not when menstruation first began decades earlier. B. "Have you been experiencing chills?": Menopause is more commonly associated with hot flashes and night sweats rather than chills. Sudden sensations of heat, flushing, and sweating reflect vasomotor instability caused by estrogen withdrawal, not cold intolerance. C. "Have you experienced increased hair growth?": Increased hair growth is more suggestive of androgen excess, such as in polycystic ovary syndrome or endocrine disorders. Menopause is typically associated with thinning hair due to estrogen decline, not excess hair growth. D. "Do you sleep well at night?": Sleep disturbances are a common manifestation of menopause, often related to night sweats and hot flashes that interrupt sleep cycles. Asking about sleep quality helps identify vasomotor symptoms and hormonal changes associated with menopause.