Deck 28: Comfort,rest,and Sleep

Question 1

A person has no physical or emotional pain.The person is calm and at peace.This is

A)Insomnia
B)Comfort
C)Rest
D)Sleep

Answer 1

Comfort

Question 2

Mr.Jones is a nursing center resident.Which room temperature will most likely promote his comfort?

A)65°F
B)68°F
C)75°F
D)85°F

Answer 2

75°F

Question 3

Which of the following does not promote comfort?

A)A clean mattress
B)A clean and orderly room
C)An odor-free room
D)A room temperature below 70°F

Answer 3

A room temperature below 70°F

Question 4

Acute pain

A)Is felt suddenly
B)Is felt in a body part that is no longer there
C)Is felt at the site of tissue damage and in nearby areas
D)Is constant or occurs on and off

Question 5

Phantom pain is

A)Felt suddenly
B)Felt in a body part that is no longer there
C)Felt at the site of tissue damage and in nearby areas
D)Discomfort

Question 6

Creating and focusing on an image is

A)Distraction
B)Guided imagery
C)Relaxation
D)Rest

Question 7

How many nursing center residents can share a room?

A)No more than 2
B)No more than 3
C)No more than 4
D)No more than 5

Question 8

A patient complains of severe pain.Which is incorrect?

A)You need to collect information about the person's pain.
B)Pain means that there is tissue damage.
C)Response to pain is influenced by the person's culture.
D)Sore,hurt,and aching mean the same thing.

Question 9

Radiating pain is

A)Felt suddenly
B)Felt in a body part that is no longer there
C)Felt at the site of tissue damage and in nearby areas
D)Constant or occurs on and off

Question 10

Anxiety tends to

A)Relieve pain
B)Increase pain
C)Promote sleep
D)Lessen fear and worry

Question 11

Acute pain is typically caused by

A)Injury,disease,trauma,or surgery
B)Arthritis
C)Tissue damage
D)A body part that is no longer there

Question 12

Changing a person's center of attention is

A)Guided imagery
B)Distraction
C)Circadian rhythm
D)Relaxation

Question 13

To be free from mental or physical stress is

A)Comfort
B)Rest
C)Relaxation
D)Sleep

Question 14

Why is pain usually worse at night?

A)It is dark outside.
B)There are fewer distractions and the person has more time to think.
C)Fewer people are around to explain treatments and therapies.
D)Nighttime influences a person's cultural responses to pain.

Question 15

The day-night cycle is

A)REM sleep
B)NREM sleep
C)The sleep-wake cycle
D)Circadian rhythm

Question 16

A state of unconsciousness,reduced voluntary muscle control,and lowered metabolism is

A)Comfort
B)Rest
C)Relaxation
D)Sleep

Question 17

Insomnia is

A)The day-night cycle
B)A state of unconsciousness
C)A chronic condition in which the person cannot sleep or stay asleep all night
D)To ache,hurt,be sore,or have pain

Question 18

Which statement about pain is correct?

A)The meaning of pain is the same for everyone.
B)You can see and feel another person's pain.
C)Sore and aching mean the same thing to everyone.
D)Pain is a warning from the body.

Question 19

Chronic pain typically continues for

A)Days
B)Hours
C)Minutes
D)Months

Question 20

Urinary incontinence in bed at night is

A)Enuresis
B)NREM sleep
C)REM sleep
D)Sleep wetting

Question 21

Which statement is incorrect?

A)Children may not understand pain.
B)Children have fewer pain experiences than adults do.
C)Children deal with pain in the same way adults do.
D)Children rely on adults for help in relieving pain.

Question 22

A patient complains of pain.Which will not help you collect information about the person's pain?

A)Ask if the pain is mild,moderate,or severe.
B)Ask the person what factors cause the pain.
C)Check the person's vital signs.
D)Give the person drugs to relieve the pain.

Question 23

The nurse assesses that a patient has pain.The nurse asks you to sit and talk to the person and play some music.These measures are intended to

A)Distract the person
B)Relax the person
C)Use guided imagery
D)Help the person sleep

Question 24

Which of the following words are not used to describe pain?

A)Full,bounding,and feeble
B)Sharp,knifelike,and stabbing
C)Aching,burning,and cramping
D)Pressure,squeezing,and viselike

Question 25

You are reporting a patient's pain to the nurse.Which is correct?

A)Use the person's exact words.
B)Report where you saw the pain.
C)Report where you measured the pain.
D)Report the information at the end of the shift.

Question 26

Some persons do not feel pain.These persons are at risk for

A)Dementia
B)Undetected disease or injury
C)Non-REM sleep
D)Sleep deprivation and insomnia

Question 27

A resident has dementia.The person is restless and is grunting and groaning.You know that the behaviors are

A)Signs and symptoms of pain
B)Related to dementia
C)Cultural responses
D)Related to anxiety

Question 28

The nurse wants a resident to rest.The following promote rest except

A)Meeting the person's physical needs
B)Following the person's routines for rest
C)Making the person lie down
D)Providing a quiet setting

Question 29

A resident was given pain medication.When the person gets out of bed,you must be alert for signs and symptoms of

A)Orthostatic hypotension
B)Nausea and vomiting
C)Dementia
D)Infection

Question 30

A resident complains of severe pain.The following measures are on the person's care plan.Which should you question?

A)Position the person in good alignment.
B)Keep bed linens tight and wrinkle-free.
C)Provide loud music for distraction.
D)Provide blankets for warmth.

Question 31

The nurse gave a patient a pain medication.Which will not promote the person's safety?

A)Raising the bed to the high position
B)Using bed rails according to the care plan
C)Checking on the person every 10 to 15 minutes
D)Providing assistance when the person is up

Question 32

These statements are about pain.Which is incorrect?

A)Some people ignore pain to meet personal and family duties.
B)Family and friends can help the person deal with pain.
C)Pain is useful for some people because of the attention they get.
D)The ability to feel pain increases with aging.

Question 33

The nurse assesses that a resident has pain.The following measures are on the person's care plan.Which should you question?

A)Assist with elimination needs.
B)Give a back massage.
C)Use touch to provide comfort.
D)Do not allow visitors.

Question 34

A resident has pain.The person is taught how to breathe deeply and slowly and how to contract and relax muscle groups.What is this called?

A)Distraction
B)Relaxation
C)Guided imagery
D)Rest

Question 35

Toddlers and preschoolers may not have the words to express pain.

Question 36

You must always check with the nurse before picking up and holding a child.

Question 37

A resident complains of pain.Which will not help you collect information about the person's pain?

A)Ask the person to point to the area of pain.
B)Ask to see the pain.
C)Ask the person when the pain started.
D)Ask the person to describe the pain.

Question 38

A resident has dementia.The person cannot explain when or where the pain is.How can you tell when the person has pain?

A)The person's family will tell you.
B)Behavior changes may signal pain.
C)The person will be stoic.
D)Pain is not a concern.Persons with dementia cannot feel pain.

Question 39

Dealing with pain is often easier when

A)Family and friends offer comfort and support
B)The person is alone
C)The person is in the hospital
D)The person has never had pain before

Question 40

A patient complains of severe pain.The person is sweating and complains of nausea.The sweating and nausea are

A)Other signs and symptoms of pain
B)Due to anxiety
C)Drug side effects
D)Related to the person's illness

Question 41

A resident is 84 years old.How many hours of sleep does the person need?

A)5 to 7
B)7 to 8
C)10 to 11
D)11 to 12

Question 42

The person is hard to arouse during

A)Stage 1 of NREM sleep
B)REM sleep
C)Insomnia
D)Sleepwalking

Question 43

Insomnia includes the following except

A)Sleepwalking
B)Being unable to fall asleep
C)Being unable to stay asleep
D)Waking early and being unable to fall back asleep

Question 44

Which are not signs or symptoms of sleep deprivation?

A)Sweating,nausea,and vomiting
B)Hand tremors and irregular pulse
C)Slowed responses to questions and slurred speech
D)Agitation,restlessness,and disorientation

Question 45

The nurse assesses that a resident is suffering from sleep deprivation.Which is correct?

A)The person cannot sleep or stay asleep.
B)The amount and quality of sleep are decreased.
C)The person leaves his bed and walks about during sleep.
D)The person is having pain.

Question 46

Which are not signs or symptoms of sleep deprivation?

A)Fatigue and mood swings
B)Joint pain and discomfort
C)Decreased reasoning and judgment
D)Coordination problems

Question 47

You find a person sleepwalking.You should do the following except

A)Turn on the lights
B)Gently wake the person
C)Protect the person from injury
D)Guide the person back to bed

Question 48

The nurse gives a patient a sleeping pill at bedtime.You know that sleeping pills

A)Promote healthy sleep
B)Can interfere with REM sleep
C)Are given for emotional problems
D)Are given to prevent insomnia

Question 49

A resident has difficulty sleeping.The person is up and walking around.What should you do?

A)Guide the person back to bed and close the room door.
B)Restrain the person.
C)Let the person wander in a safe supervised area.
D)Give the person toast and coffee.

Question 50

Which of the following measures will not promote sleep?

A)Providing tea and chocolate cake before bedtime
B)Assisting with ambulation in the courtyard after the evening meal
C)Assisting with a shower before bedtime
D)Allowing television programs as requested

Question 51

A resident has red,puffy eyes in the morning.During the day,the person is sleepy,has problems finding the right words,and is restless.These are signs and symptoms of

A)Sleepwalking
B)Sleep deprivation
C)Circadian rhythm
D)Distraction

Question 52

How many hours of sleep does a newborn need?

A)10 to 11
B)11 to 12
C)12 to 14
D)14 to 18

Question 53

Which statement about comfort,rest,and sleep is incorrect?

A)Taking part in planning care promotes comfort,rest,and sleep.
B)All persons have the right to correct pain management.
C)Sleep problems are uncommon in persons with Alzheimer's disease and other dementias.
D)You help the nurse meet the person's needs by reporting signs and symptoms of pain.

Question 54

A resident likes to take a nap in the early afternoon.Which is correct?

A)The person should be allowed to rest at that time.
B)It is better if the person rests in the late afternoon.
C)Napping is avoided.
D)A nap is allowed only if part of the person's care plan.

Question 55

Sleep is needed for the following except

A)Lowering stress and tension
B)Tissue healing and repair
C)Regaining energy and mental alertness
D)Promoting muscle activity

Question 56

The following measures promote rest except

A)Visiting with caring family
B)Keeping the person's signal light within reach
C)Practicing relaxation methods
D)Having the person put on a hospital gown