What approach should the nurse take when a client is experiencing both difficulty sleeping and low energy?

Helping the client establish a routine with physical activity is an effective approach when addressing both difficulty sleeping and low energy. Regular physical activity has numerous benefits for mental health, including improving sleep quality and boosting energy levels. Engaging in structured exercise can lead to better sleep patterns by promoting fatigue and encouraging the body to align with natural circadian rhythms. Additionally, physical activity can release endorphins and other neurotransmitters that enhance mood and reduce feelings of fatigue.

Incorporating a routine also provides the client with a sense of stability and purpose, which can be especially valuable during times of distress. Establishing a consistent schedule offers predictability, which can help ease anxiety related to sleep and energy levels. By balancing restful periods with physical activity, the client may find improvements in both their sleep hygiene and overall energy throughout the day.

Other suggested approaches, such as immediate cessation of medication, could lead to withdrawal symptoms or exacerbate the client's condition. Avoiding any routine might contribute to further disorganization and anxiety, while relinquishing all social contacts would likely lead to increased feelings of isolation and worsen the client's mental health. Therefore, promoting a routine that includes physical activity is a constructive and supportive strategy.