Which action made by the PMHNP demonstrates the use of a paradoxical intervention?

Which action made by the PMHNP demonstrates the use of a paradoxical intervention?

The PMHNP is working with a patient who has insomnia and battles going to sleep. The patient reports consistent self-defeating behaviors, and hates trying to go to sleep. Which action made by the PMHNP demonstrates the use of a paradoxical intervention?

A. Telling the patient to start trying to go to sleep earlier, since it takes long to fall asleep
B. Telling the patient to resist sleep and stay awake
C. Having the patient perform a relaxing ritual before bedtime
D. Instructing the patient to avoid stimulants and sugars for 3 hours before falling asleep

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