The nurse is having a conversation with an adolescent regarding the need for sleep. The adolescent states that it is common to stay up with friends several nights a week. Which action should the nurse take next?

A) Talk with the adolescent's parent about staying up with friends and the need for sleep.
B) Discuss with the adolescent sleep needs and the effects of excessive daytime sleepiness.
C) Refer the adolescent for counseling about alcohol abuse problems.
D) Take no action for this normal occurrence.

Discussion regarding adolescent sleep needs should first occur with the adolescent. Although it may be common for this adolescent to want to visit with friends and experience activities that go late into the night, these activities can and do impact the hours of sleep and the physical needs of the adolescent, no matter the reason for the late nights, and they do need to be addressed. The nurse will address the adolescent, not the parents. Addressing alcohol abuse problems is not the next step but may be required later. While staying up late may be a normal occurrence for this adolescent, action is required.