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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 What is the patient's sleep disorder?

    Explanation & Rationale

    A. More information is needed: The client’s case provides limited data, there is insufficient detail about sleep onset, duration, nighttime awakenings, or associated symptoms such as cataplexy, sleep paralysis, or other systemic conditions. Accurate diagnosis of a sleep disorder requires a comprehensive sleep history, possibly including a sleep diary, polysomnography, and assessment of contributing medical or psychiatric conditions. B. Chronic insomnia: Chronic insomnia is characterized by difficulty falling asleep, staying asleep, or early morning awakenings for at least three nights per week over three months, with resulting daytime impairment. The client’s symptoms focus on daytime napping without clear nighttime sleep difficulties, so chronic insomnia cannot be confirmed. C. Narcolepsy: Narcolepsy involves excessive daytime sleepiness, cataplexy, sleep paralysis, or hallucinations at sleep onset. While the client has daytime sleepiness, there is no information about sudden sleep attacks, cataplexy, or other hallmark narcolepsy features, making this diagnosis premature. D. Chronic fatigue: Chronic fatigue is a persistent state of physical and mental exhaustion lasting six months or longer, often associated with other systemic symptoms. The client reports acute sleepiness and naps but lacks the broader systemic context to diagnose chronic fatigue syndrome.

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