Self-study
A patient complained of feeling constantly fatigued. ██ ███ ██████████ ████ ███ ███████ ████████ ████ ████ ██ ███ █████ ██ █████ ███ ██████ ███ ████ ███ ██████████ ██ ██████████ ██ ███ █████████ ██████████ ████████ ███ ███████ ███ ███ ███████ ██ █████ █████
"Surprising" Phenomenon
This patient’s insufficient sleep is contributing to constant fatigue, so why aren’t doctors recommending that the patient sleep more?
Objective
The correct answer must explain why doctors aren’t recommending that the patient sleep more. It will provide some reason why advising the patient to sleep more is not helpful, despite the patient's insufficient sleep.
21.
Which one of the following, ██ █████ ████ █████ ██ ███████ ███ ████████ ███████████ ██ ███ ███████████ ██████
a
The shorter one's █████ █████ ███ ██████ ██ ██ ██ ██████ ████ █████████
This tells us more about the effects of sleeping for a short time, but it doesn't explain why doctors are not recommending that the patient sleep more.
b
The first two █████ ██ █████ ██ ███ ████ ██ █████████ ████████
The stimulus establishes that the patient’s short sleep time is contributing to fatigue, so we already know that the patient would benefit from more sleep. This doesn't resolve the discrepancy.
c
Some people require ████ █████ ████ ███ █████ █████ ████████ ██ ███ ███████ ███████
Like (B), we already know that the patient isn't getting enough sleep regardless of other people’s requirements. We still don't know why more sleep was not recommended.
d
Most people who ██████ ████ ██████████ ██████████ ████ ██ ███ ████ ████ ██ █████ ██████ ███████
Firstly, we have no idea whether the patient suffers from nightmares. Secondly, this doesn't suggest that sleeping less could help one to avoid nightmares. Either way, it's not helpful for us.
e
Worry about satisfying ███ ████ ███ ██████████ █████ ███ ████ ██ ████ █████████ ██ ██████
This describes how telling a patient to sleep more could backfire and in fact prevent sleep. So, despite the patient needing more sleep, this explains why the doctors avoid recommending it: to prevent adding stress.