A rule of thumb.
When seeing an option with "refer", it is almost always the WRONG answer in all NBMEs and Uworld questions.
The big take-away while reading this question for me was that, first-if you can tell that there is probably nothing really going wrong here with this patient then second-you should read the question carefully when it asks what the most appropriate "initial" action, and whenever you think a question is gearing towards a "behavioral" type question, pay close attention to comments the patient might make. The patient comes in because she is "concerned". Not because of symptoms. Bingo.
The answer is reassurance because this is all normal behavior. She's only snored TWICE in the past year w/ no daytime sleepiness or other problems.
It wouldn't be a sleep journal because it could imply that something is wrong, but there isn't. She's 27 and if anything she should upgrade from her husband complaining about nothing important.
submitted by bingcentipede(219), 2020-04-28T19:16:57Z
The answer is reassurance because this is all normal behavior. She's only snored TWICE in the past year w/ no daytime sleepiness or other problems.
It wouldn't be a sleep journal because it could imply that something is wrong, but there isn't. She's 27 and if anything she should upgrade from her husband complaining about nothing important.