Deck 27: Comfort, Rest, and Sleep

Question 1

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

Answer 1

Family and friends offer comfort and support

Question 2

Mr.Jones is a nursing center resident.Which room temperature promotes his comfort?

A)65° F
B)68° F
C)75° F
D)85° F

Answer 2

75° F

Question 3

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

Answer 3

A chronic condition in which the person cannot sleep or stay asleep all night

Question 4

Acute 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 5

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 6

Which statement about pain 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 that they get.
D)The ability to feel pain increases with aging.

Question 7

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 8

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 9

Urinary incontinence in bed at night is

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

Question 10

A resident complains of severe pain.Which statement 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 11

The day-night cycle is

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

Question 12

Creating and focusing on an image is

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

Question 13

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

Question 14

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 15

How many 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 16

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

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

Question 17

Changing a person's center of attention is

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

Question 18

To be free from mental or physical stress is

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

Question 19

Anxiety tends to

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

Question 20

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

Question 21

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)No visitors are allowed.

Question 22

The nurse wants a resident to rest.All of the following promote rest except

A)Meeting the person's physical needs
B)Following the person's routines for rest
C)Making the person lay down
D)Having the person change into sleepwear

Question 23

Sleep is needed for all of the following except

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

Question 24

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 25

The person is hard to arouse during

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

Question 26

You are reporting a resident's complaint of pain to the nurse.Which is correct?

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

Question 27

A resident 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 28

All of the following measures promote rest except

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

Question 29

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 30

A resident likes to take a nap in the early afternoon.Which statement 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 31

The nurse assesses that a resident 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 32

A resident complains of severe pain.She 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 33

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 34

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 35

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 36

The nurse gave a resident a pain medication.Which is not a safety measure?

A)Raise the bed.
B)Use bed rails according to the care plan.
C)Check on the person every 10 to 15 minutes.
D)Provide assistance when the person is up.

Question 37

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 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

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 40

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

A)Full,bounding,and feeble
B)Sharp,knife-like,and stabbing
C)Aching,burning,and cramping
D)Pressure,squeezing,and vise-like

Question 41

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

A)Taking part in planning care promotes comfort,rest,and sleep.
B)Untreated pain decreases quality of life.
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 42

You find a person sleepwalking.You should do all of 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 43

Which of the following do not indicate 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 44

Which of the following do not indicate sleep deprivation?

A)Fatigue and mood swings
B)Pain and joint inflammation
C)Decreased reasoning and judgment
D)Coordination problems

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 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 47

The nurse gives a resident 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 48

Insomnia includes all of 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 49

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)Insomnia
B)Sleep deprivation
C)Circadian rhythm
D)Distraction

Question 50

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

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