[Expert Solution]: Mrs. Z. returns for further discussion of her

Mrs. Z. returns for further discussion of her sleep problem after filling out the PSQI based on her experiences during the past month. In addition, she has followed your instructions to keep a “sleep log” describing her daily activities, including exercise,and the effect of these activities on her sleep. Per your request, she has documented the types of foods and beverages she consumes regularly. You review the assessment information with her and find out that when she is home she spends most of her time reading or doing crossword puzzles. She attends the senior center weekly, plays bridge two evenings a week, and goes to lunch with friends a few times every week. She enjoys gardening during the summer but has no other interest in physical activities.She avoids exercise because she is afraid that physical activity “will get the old arthritis all stirred up.” On further questioning,she estimates that when she worked, she walked about one half mile daily. She drinks about “a pot” of coffee daily and has coffee and cookies at bridge games. She enjoys a glass of wine in the evenings. When she wakes up during the night, she usually gets up and goes to the bathroom, then returns to bed and lies there “thinking” until she returns to sleep. Her sleep log reflects that she often stays awake for as long as 2 hours before returning to sleep. She says she’s heard that melatonin is good for insomnia and asks your opinion about trying it. a. Are there myths or misunderstandings on Mrs. Z part and what are they if there are any present? b. What kind of advice could you give to Mrs. Z about having better sleep hygiene? c. Does Mrs. Z need a sleep study done? What kind of results would you expect if she were to do a sleep study?