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    Pharmacology 6128 midterm Proctored exam

    "There are three questions associated with this case." "Insomnia-Fatigue Case 1." A patron enters the pharmacy complaining of sleeplessness. She wants to try diphenhydramine 100 mg, but she is worried about being sleepy in the morning. She is already napping all day. Which of the following questions will help you understand the character of her sleep patterns?

    Explanation & Rationale

    A. What causes you to nap during the day?: Asking about daytime napping helps the pharmacist understand the pattern, timing, and triggers of the client’s sleep disturbances. Excessive napping can disrupt nighttime sleep, contribute to insomnia, and indicate underlying sleep disorders such as sleep apnea, restless leg syndrome, or circadian rhythm disruption. B. What does the doctor say is causing your sleep disorder?: While this provides context, it does not give detailed information about the client’s actual sleep behaviors, timing, or patterns, which are critical for tailoring interventions or recommending safe pharmacologic options. C. What is your birthday?: A client’s birth date is irrelevant to understanding sleep patterns and does not contribute to assessing insomnia characteristics. D. What allergies do you have?: Allergies are important for safety when recommending medications, but they do not provide insight into the client’s sleep habits or patterns and therefore do not address the primary concern of characterizing insomnia.

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