A client began an exercise program to lose weight to improve sleep but reports it still takes at least two hours to fall asleep. Which action should the nurse implement?

• A. Encourage the client to exercise every day to eliminate bedtime wakefulness.
• B. Advise stopping exercise after dinner to avoid stimulation.
• C. Recommend taking a sedative before bedtime.
• D. Suggest watching television before bed to relax.

Answer: (A)

Regular physical activity helps regulate the sleep-wake cycle and reduces how long it takes to fall asleep. When a client has trouble drifting off even after starting an exercise plan, reinforcing a daily exercise habit is the best move because consistency builds the habit of faster sleep onset and better sleep quality over time. Exercise increases overall energy expenditure and can lower arousal at night, helping the body cues align with sleep. If needed, tailor timing so workouts occur earlier in the day to avoid any potential late-evening stimulation, but maintain the daily routine. The other options rely on pharmacologic aids or activities that can be stimulating near bedtime and do not address the underlying sleep-hygiene pattern.