A 6-year-old boy is admitted to the hospital for a surgical procedure associated with a hospital stay.When the nurse asks his mother about the boy's sleep patterns,she says,"Sometimes he will get out of bed,walk into the kitchen,and get the cereal out of the cabinet.Then he just turns around and goes back to bed." The nurse explains that he is sleepwalking.The best nursing diagnosis for Tad would be:

A) Risk for Insomnia related to sleepwalking.
B) Risk for Fatigue related to sleepwalking.
C) Disturbed Sleep Pattern related to dyssomnia.
D) Risk for Injury related to sleepwalking.

Sleepwalking occurs during stages III and IV of NREM sleep.The sleeper leaves the bed and walks about with little awareness of surroundings.He may perform what appear to be conscious motor activities but does not wake up and has no memory of the event on awakening.The boy is at high risk for injury when sleepwalking because of his lack of awareness of his surroundings.Insomnia is a medical diagnosis rather than a nursing diagnosis.Certainly his sleep pattern is disturbed; however,there is little in the way of independent actions that the nurse could take for either the problem or etiology of this diagnosis,so it would not be useful.The boy does not awaken while sleepwalking and is not likely to experience fatigue from the event.