Deck 19: Pain Management, Rest, and Restorative Sleep

Question 1

A client asks why the shoulder is hurting when the problem is in the abdomen.Which type of pain should the nurse explain this client is experiencing?

A)Referred
B)Radiating
C)Intractable
D)Intermittent

Answer 1

Referred

Question 2

A client with chronic pain reports that pretending to be lying on a beach with the sun warming the legs helps relieve the chronic hip and leg pain caused by arthritis.Which nonpharmacological method is this client using to control pain?

A)Distraction
B)Guided imagery
C)Progressive relaxation
D)Therapeutic suggestion

Answer 2

Guided imagery

Question 3

A client reports having difficulty sleeping.What should the nurse teach this client about restorative sleep?

A)The sleep cycle is enhanced by medications for sleep.
B)The sleep cycle should be approximately 80% rapid eye movement (REM).
C)Non-rapid eye movement (NREM)sleep is the most restful cycle.
D)REM sleep consists of four stages.

Answer 3

Non-rapid eye movement (NREM)sleep is the most restful cycle.

Question 4

A client reports having a sore jaw and tooth pain in the mornings.Which sleep disorder should the nurse suspect this client is experiencing?

A)Bruxism
B)Narcolepsy
C)Sleep apnea
D)Restless legs syndrome

Question 5

A client reports waking up frequently during the night and not getting restful sleep.Which response should the nurse make?

A)"Perhaps you should try going to bed earlier."
B)"You could try watching TV.That helps me fall asleep."
C)"Drinking alcohol can cause you to wake up during the night."
D)"Exercising at night before you go to bed can enhance sleep."

Question 6

The nurse explains to a client with chronic pain that exercise may relieve some pain.What should the nurse explain about the role of exercise on the gate control theory of pain?

A)Stimulates the narrow nerve fibers to shut the gate
B)Stimulates the narrow nerve fibers to open the gate
C)Stimulates the broad nerve fibers to shut the gate
D)Stimulates the broad nerve fibers to open the gate

Question 7

A client reports feeling pain "only when I move." Which type of pain is this client experiencing?

A)Visceral
B)Cutaneous
C)Neuropathic
D)Deep somatic

Question 8

During a home visit, the nurse notes that a client experiencing chronic pain manages the pain better when sitting quietly holding a small kitten.Which type of distraction is this client using for pain control?

A)Visual
B)Tactile
C)Auditory
D)Intellectual

Question 9

A client reports that chronic pain is usually tolerable until under stress and then the pain becomes unbearable.Which should the nurse respond to this client?

A)"Stress causes endorphins to be released, increasing the pain."
B)"Stress causes the gateway to pain to close, increasing the pain."
C)"Stress causes the thalamus to open the gateway to pain, increasing the pain."
D)"Stress causes the thalamus to close the gateway to pain, increasing the pain."

Question 10

The nurse is providing care to a client with chronic pain.Which action should the nurse take when caring for this client? Select all that apply.

A)Wean off pain medications
B)Suggest a variety of nonpharmacological methods
C)Accept the client as an expert
D)Avoid the use of narcotics
E)Verbalize acknowledgment of the client's pain

Question 11

After rating pain as an 8 on a scale from 1 to 10, the nurse finds the client sleeping when bringing pain medication.Which action should the nurse take?

A)Document that the client refused the medication.
B)Leave the medication on the client's bedside stand.
C)Wake the client up gently and provide the medication.
D)Change the route and administer the medication through the intravenous line.

Question 12

A client experiencing pain rated as a 7 on a scale from 1 to 10 continues to have pain despite having medication 2 hours ago.Which response should the nurse make when the client requests additional medication?

A)"I can't give you any more medication for 2 hours."
B)"Sometimes thinking about the pain makes it feel worse."
C)"Let me reposition you and rub your back to help relieve the pain"
D)"I will shut the door and turn out the light to help the medication work faster."

Question 13

The nurse observes that although several clients are experiencing pain, the pain response and tolerance are different.Which factors about pain perception should the nurse keep in mind when assessing for pain? Select all that apply.

A)Emotions
B)Individual values
C)Educational level
D)Developmental stage
E)Ethnic and cultural beliefs

Question 14

A client with terminal cancer asks how massage can decrease pain.Which should the nurse explain about massage in pain control?

A)Blocks endorphins that, when released, inhibit pain receptors
B)Stimulates the release of endorphins, which are thought to block the transmission of pain
C)Assists endorphins in opening the gate and attaching to opiate receptors
D)Stimulates opiate or pain receptors to release endorphins, and thereby essentially changes how the brain identifies pain.

Question 15

A critically ill client may have difficulty in getting the restorative sleep necessary for healing.Which action should the nurse take to help this client?

A)Dim the lights and close the door
B)Encourage the client to get some exercise
C)Refrain from waking the client for nursing care
D)Silence alarms on equipment to enhance rest

Question 16

The mother of a preschool-age child reports having difficulty getting the child to go to sleep at night.Which suggestion should the nurse provide this mother?

A)Read a bedtime story to the child.
B)Encourage the child to play a game.
C)Turn on the television in the child's room.
D)Permit the child to stay awake until feeling sleepy.

Question 17

A client recovering from an amputation asks why the foot that was removed is still causing pain.Which type of pain should the nurse explain that the client is experiencing?

A)Cutaneous
B)Deep somatic
C)Neuropathic
D)Soft-tissue

Question 18

The nurse has determined that a client's pain is acute and plans to administer pain medication.Which signs and symptoms of acute pain did the nurse use to make this clinical determination? Select all that apply.

A)Dilated pupils
B)Constricted pupils
C)Syncope
D)Increased heart rate
E)Reduced attention span

Question 19

A client has been using a TENS unit for one hour to help relieve back pain.Which action should the nurse take after removing the unit from the client?

A)Assess pain level
B)Turn off the device
C)Clean the electrodes
D)Provide pain medication

Question 20

A mother asks how much sleep a 4-year-old child needs.Which response should the nurse make?

A)"A 4-year-old should sleep 16 hours a day, including naps."
B)"A 4-year-old should sleep no more than 10 hours a day."
C)"A 4-year-old should sleep an average of 13 to 14 hours a day."
D)"A 4-year-old should sleep approximately 12 hours a day."

Question 21

The nurse is concerned that a client is experiencing chronic pain.Which psychological symptoms did the nurse assess to make this clinical determination? Select all that apply.

A)Fear
B)Fatigue
C)Depression
D)Low self-esteem
E)Poor attention span