Deck 3: Comfort

Question 1

The nurse is preparing to assess comfort for several clients. If the nurse, in addition to assessing the client's physical experience of pain, assesses whether the client has a present and reliable personal support network, then the nurse is assessing which context of holistic human experience during this process?

A)Transcendence
B)Environmental
C)Psychospiritual
D)Sociocultural

Answer 1

Sociocultural

Question 2

The nurse is creating a pain management plan using the three-step approach for a client with intractable pain. Which interventions should the nurse include in this plan? Select all that apply.

A)Administer a nonopioid analgesic first.
B)Administer an opioid analgesic first.
C)Administer a nonopioid with an opioid second.
D)Administer an opioid analgesic last.
E)Administer analgesics upon client request.

Answer 2

Administer a nonopioid analgesic first.
Administer a nonopioid with an opioid second.
Administer an opioid analgesic last.

Question 3

A toddler being prepared for a lumbar puncture begins to cry when carried into the treatment room by the mother. Which nursing diagnosis is most appropriate for the client at this time?

A)Knowledge Deficient of the procedure
B)Anxiety related to anticipated painful procedure
C)Fear related to the unfamiliar environment
D)Ineffective Coping related to an invasive procedure

Answer 3

Anxiety related to anticipated painful procedure

Question 4

A client is experiencing sudden-onset severe pain in the left lower quadrant of the abdomen that is rated as a 10 on a pain scale of 0-10. The client is also experiencing nausea, vomiting, and restlessness. Based on this data, the nurse concludes that the client is experiencing which phenomenon?

A)Acute pain
B)Chronic pain
C)End-of-life pain
D)Fibromyalgia pain

Question 5

Which client is most likely to reject attempts at comfort?

A)An infant crying
B)A school-age child with abdominal pain who is anxious about a procedure
C)An adolescent with a sleep disorder who doesn't want his parents to be near him
D)An older adult with end-stage renal disease

Question 6

Which of the following is a pharmacologic therapy for acute pain?

A)Antidepressants
B)Muscle relaxants
C)Opioid analgesics
D)Stimulants

Question 7

The nurse is caring for a pediatric client with a surgical wound. The wound is red with purulent drainage and is causing discomfort for the client. Which diagnostic test will determine if the discomfort of the wound is caused by an infection?

A)White blood cell count
B)Hematocrit measurement
C)Urine analysis
D)X-rays of the site

Question 8

What is an example of chronic pain?

A)Pain that precedes injury
B)Pain that follows injury and ends when healing is complete
C)Pain that is felt during injury and immediately after
D)Pain that outlasts the healing process

Question 9

The nurse is caring for a client who is experiencing acute chest pain that is rated as a 9 on a 0 to 10 pain scale. Based on this data, which medication does the nurse expect to administer?

A)Acetaminophen
B)Morphine
C)Ibuprofen
D)Naproxen

Question 10

The nurse is designing a teaching plan for community members on ways to prevent chronic pain. Which information should the nurse include in this teaching plan? Select all that apply.

A)Eating a healthy diet
B)Obtaining adequate sleep
C)Avoiding illicit drug use
D)Limiting smoking to only before bedtime
E)Avoiding repetitive movements

Question 11

A client who has been undergoing treatment for chronic back pain has been considering various over-the-counter nonopioids to manage the pain. The nurse has assessed the client's needs and discussed the use of available methods with the client. Which client statement indicates the need for further instruction?

A)"Nonopioid pain medications can have serious side effects I need to consider and watch for carefully."
B)"I should not take a higher than recommended dose because the beneficial effect isn't likely to be higher with a higher dose."
C)"I may use these medications for as long as I think they are necessary."
D)"I may use both opioid and nonopioid medications together, especially to relieve severe pain."

Question 12

A preschool-age client's IV has infiltrated and must be restarted immediately for medication administration. There is no time for placing local anesthetic cream on the skin to decrease the pain associated with the procedure. Which complementary therapy would be most helpful when placing the IV for this pediatric client?

A)Moderate sedation
B)Restraint using a "mummy wrap"
C)Anesthesia
D)Distraction using bubbles

Question 13

Which of the following statements best describes the therapeutic approach to acute and chronic pain, fatigue, fibromyalgia, and sleep disorders?

A)Therapy is primarily psychosocial in nature.
B)Therapy involves both pharmacologic and nonpharmacologic approaches.
C)Therapy is essentially physiologically focused.
D)Therapy mostly involves the client avoiding risk behaviors.

Question 14

The nurse is reviewing the admission orders for an older adult client who is being admitted for a hysterectomy. The client, who has been diagnosed as having uterine cancer, has chronic pain caused by arthritis. The healthcare provider has prescribed long-acting oral narcotic medication to be administered every 4 hours. What should the nurse do when providing the medication to the client?

A)Administer the medication if the client requests it.
B)Administer the medication every 4 hours around the clock.
C)Consult the provider to order intravenous pain medication.
D)Administer the medication sparingly to avoid narcotic addiction.

Question 15

Which of the following best characterizes the sociocultural context of holistic human experience?

A)Balance of physical processes
B)Connection to a higher power
C)Connection to others
D)Equilibrium with external circumstances

Question 16

The nurse provides an in-service to peers regarding situations that can affect the comfort level of the clients on the unit. Which client statement indicates that the client's sense of well-being is negatively impacted?

A)"I feel like I have no energy today."
B)"I don't feel any physical pain today."
C)"I was able to sleep uninterrupted last night."
D)"I am so glad that playing cards takes my mind off my worries."

Question 17

What is the relationship between a full opioid agonist and the ceiling effect?

A)A full opioid agonist produces few withdrawal symptoms when the drug's effects plateau and the client begins easing off the drug.
B)A client may use a full opioid agonist as much or as little as necessary to control chronic pain with no ill effects.
C)Side effects may limit a full opioid agonist's use but not a plateau in the beneficial effects it produces.
D)At some point, a full opioid agonist's side effects cease to increase in potency, but the pain-relieving effect continues to increase.

Question 18

An 18-month-old toddler scheduled for routine vaccinations begins to cry when placed on the examination table. The parent attempts to comfort the toddler, but nothing is effective. Which action by the nurse is the most appropriate?

A)Allow the toddler to sit on the parent's lap and begin the assessment.
B)Allow the toddler to stand on the floor until the crying stops.
C)Ask another nurse in the office to hold the toddler because the parent is not able to control the toddler's behavior.
D)Instruct the parent to hold the toddler down tightly to complete the examination.

Question 19

The nurse is preparing to assess a 1-year-old client for signs of discomfort. When conducting the assessment, which action by the nurse is the most appropriate?

A)Asking the client to rate the pain on a scale of 0-10 during the assessment process
B)Asking the parent to hold the client in the lap during the assessment process
C)Reading a book to the client during the assessment process
D)Recommending that the parent leave the room during the assessment process

Question 20

Which of the following statements best characterizes risk for injury as it relates to pain?

A)Risk for injury is an external risk factor for pain.
B)It is difficult to predict what might pose a risk for injury.
C)Risk for injury can be decreased by living a healthy lifestyle.
D)Precautions against risk for injury are rarely successful in preventing injury.

Question 21

The nurse is caring for a dying child. Which nursing action supports the primary goal for a dying child?

A)Keep the child entertained so she does not think about dying.
B)Ensure that a good relationship is maintained with the family.
C)Administer pain medication as ordered.
D)Maintain a busy schedule for child and family members.

Question 22

What word best describes the pain a client experiences at the end of life?

A)Unmanageable
B)Unpredictable
C)Inevitable
D)Acute

Question 23

A competent older adult client has a living will that expresses the client's desire to avoid resuscitation and heroic life support measures. The family members are not supportive of this directive and plan to contest the living will. Which nursing action is the most appropriate?

A)Place the document on the chart.
B)Contact the Social Services department.
C)Explain to the client that the conflict could invalidate the document.
D)Notify the hospital attorney.

Question 24

An 8-year-old female client complains of chronic fatigue that has persisted for several months despite an adequate amount of sleep each night. The nurse plans the care based on a nursing diagnosis of Fatigue. What intervention is the nurse most likely to try first?

A)Recommend a sleep study.
B)Recommend a healthy and well-balanced diet with adequate water intake.
C)Recommend that the client's parents keep a journal of her activities and sleep patterns.
D)Recommend cognitive-behavioral therapy.

Question 25

The nurse is caring for a client who has suffered a massive cerebral hemorrhage and is not expected to survive. The client's mother indicates the client is Catholic. Which intervention is most appropriate?

A)If the nurse is not Catholic, then finding a Catholic nurse to continue care for the client is necessary.
B)The nurse should contact a priest and ask him what must be done for the client.
C)The nurse should assume the client's desires based on the nurse's existing understanding of the Catholic faith.
D)The nurse should ask the client or the client's family what they want in terms of religious rituals.

Question 26

What best explains the reason that a nurse should be responsible for communicating any changes in the condition of a client at the end of life that would warrant a change in the care plan?

A)Nurses typically are responsible for definitively diagnosing patient conditions.
B)Nurses are the healthcare providers who tend to have the greatest amount of contact with clients at the end of life.
C)Clients typically do not prefer to talk to physicians about problems.
D)It is legally mandated that nurses are solely responsible for communicating this information.

Question 27

Which of the following triggers pain?

A)The central nervous system
B)The peripheral nervous system
C)The musculoskeletal system
D)The cardiovascular system

Question 28

A participant in a seminar given by a nurse asks for information about lifestyle situations that might contribute to chronic fatigue. Which examples might the nurse identify in response to this request? Select all that apply.

A)Thyroid problems
B)Chronic back pain
C)Marijuana use
D)Vigorous exercise three times a week
E)Swimming after a meal

Question 29

Which of the following statements describes all pain?

A)Pain is the result of tissue damage.
B)Pain's effects are primarily physiological, not mental or emotional.
C)Pain can be localized to a particular area of the body.
D)Pain's effects can be verbalized.

Question 30

An older adult client with terminal lung cancer is not breathing well and has cold and mottled skin. The client has a living will and requests comfort measures only. What should the nurse do to help this client?

A)Ask the family what they want to be done for the client.
B)Withhold all care until the client dies.
C)Contact the provider for orders to control the client's breathing.
D)Provide the client with pain medication as ordered.

Question 31

During an assessment, an adolescent reports: "I get up at 6 a.m., I attend early-morning band classes three times each week, I play sports for 2 hours each day after school, and homework takes me 3 hours each night. I always feel tired." Based on these data, which question will the nurse ask while continuing the client's history?

A)"Do you think you are involved in too many activities?"
B)"Do you consume foods high in iron such as red meat and green, leafy vegetables?"
C)"How many hours of sleep do you get each night?"
D)"Have you considered talking with your teachers about decreasing your homework?"

Question 32

If nutrients and hydration are provided artificially for a client at the end of life because of the client's diminished muscle control, then what is another therapy that is likely to accompany this therapy?

A)Provide oral care regularly.
B)Provide mechanical ventilation.
C)Gently massage extremities.
D)Maintain client safety.

Question 33

Which of the following statements best describes the body's adaptation to pain?

A)The worse pain becomes, the more obvious it is.
B)Once the body adapts to pain, its detrimental effects cease.
C)The observation of pain's effects may become more difficult.
D)The body's sympathetic response increases.

Question 34

The nurse is taking care of a client with terminal lung cancer who is showing signs of imminent death. What change should the nurse most expect the client to exhibit first?

A)Decreased blood pressure
B)Blurry vision
C)Confusion
D)Irregular pulse rate

Question 35

An older school-age child is brought to the emergency department after a car accident. The parents witness and stare at the resuscitation scene unfolding before them. The child is not responding to the resuscitative efforts after 30 minutes. Which is the best communication strategy for the nurse to use in this situation?

A)Ask the parents whether they would like resuscitative efforts to be continued at this point.
B)Ask the parents to stand at the foot of the cart to watch.
C)Inform the parents that resuscitative efforts have not been effective and are not beneficial to the child.
D)Ask the parents to leave until the child has stabilized.

Question 36

The parents of a child with terminal cancer ask the nurse that the child not be told that he will not recover. The nurse anticipates that the child might ask the nurse if he is dying. What would be most appropriate for the nurse to do?

A)Suggest a meeting with the healthcare team and the parents.
B)If the child asks about death, offer to bring in the child life therapist to help explain the situation.
C)Tell the child he is dying if the child asks and offer to stay with him.
D)Prepare to ignore the child's question if the child asks it and change the subject.

Question 37

The wife of a patient with end-stage chronic obstructive pulmonary disease (COPD)tells the nurse that she wishes her husband were eligible for hospice care but she thinks that hospice is only available for cancer patients. She is also concerned that, even if he were eligible for hospice care, they couldn't afford it, they'd have medical personnel constantly underfoot, and her husband would have to switch healthcare providers. Which responses by the nurse are appropriate? Select all that apply.

A)Inform her that a diagnosis of cancer is not required for hospice care.
B)Inform her that hospice care is very expensive.
C)Tell her that hospice care is intended to ease the burden of primary caregivers, not add to it by being in the way.
D)Tell her that, even though her husband has end-stage COPD, he is not eligible for hospice care.
E)Inform her that all hospice programs are provided 24/7 in long-term care facilities.

Question 38

The nurse is caring for the family of a terminally ill client. The family members have been tearful and sad since the diagnosis was given. What is the best nursing diagnosis for this family?

A)Grieving
B)Hopelessness
C)Compromised Family Coping
D)Caregiver Role Strain

Question 39

A client reports feeling tired and not refreshed after sleeping. The client also tells the nurse that family members have been making comments about the client's loud snoring at night. What should the nurse suspect as being the cause of this client's fatigue?

A)Insomnia
B)Depression
C)Thyroid disorder
D)Sleep apnea

Question 40

An adolescent client with terminal cancer tells the nurse that she does not want any more treatment, even though her parents are planning for her to participate in a study trial that involves aggressive chemotherapy. Which action by the nurse is the most appropriate?

A)Tell the client that the decision is her parents' and she has to participate in the study.
B)Tell her that, at 16, she can make her own decisions no matter what her parents want.
C)Request that the parents and daughter meet together with the healthcare team to discuss options and the implications of various choices.
D)Tell her not to worry because her parents want the best for her.

Question 41

The nurse is caring for a client who is experiencing chronic fatigue related to medication being taken for seasonal allergies. What should the nurse anticipate would most likely help this client?

A)A medication change to treat seasonal allergies
B)Physical therapy to promote exercise
C)Acupuncture and massage
D)Sleep medication to increase rest time

Question 42

A man brings his wife to the clinic and states, "I want you to fix my wife and tell her that there is nothing wrong with her." The client has symptoms of pain, sleep disorders, and stiffness. Which would be most appropriate for the nurse to include in a plan of care for this family?

A)Medications used to treat fibromyalgia
B)An exercise program to increase energy
C)Information and literature on fibromyalgia
D)Suggested dietary changes to help with the pain

Question 43

The nurse is caring for a client who has recently been diagnosed with fibromyalgia. The client has complained of pain, fatigue, and sleep disruptions. Which medication should the nurse anticipate will most likely be prescribed as part of the client's treatment plan?

A)Duloxetine
B)Milnacipran
C)Pregabalin
D)Acetaminophen

Question 44

The nurse is counseling an adult client with fibromyalgia. What are some elements of counseling that can help this client develop effective coping skills? Select all that apply.

A)Ask the client about specific stressors in the client's life and how the client handles them.
B)Inform the client about what to do as the disease worsens.
C)Ask the client about sources of support that the client may be able to rely on.
D)Advise the client that a dimension of self-efficacy is independently developing a response to the problems of fibromyalgia.
E)Suggest to the client that some symptoms may be psychosomatic.

Question 45

A pregnant client experiencing fatigue describes her typical diet as consisting of fast food such as burgers and fries for lunch, takeout from Chinese or Mexican restaurants for dinner, and orange juice or a fruit smoothie in the morning. What is the problem with this diet?

A)The fast food because it's likely high in fat.
B)The takeout food might be saucy and heavy.
C)The burgers contain red meat.
D)The fruit smoothies are processed.

Question 46

During a home visit, the family of a client with fibromyalgia asks the nurse what they can do to help the client with painful episodes. What should the nurse suggest to the client and family?

A)Protect the client from injury.
B)Plan a family reunion or vacation.
C)Divide household chores among each member of the family.
D)Keep the client in bed.

Question 47

The nurse is discussing goals to relieve pain and fatigue with a client newly diagnosed with fibromyalgia. Which goal statement would be realistic for this client to achieve within 30 days?

A)Cook dinner five nights a week.
B)Join an exercise group to meet five nights a week.
C)Walk her son to school daily.
D)Get a job outside the home.

Question 48

An adult client is diagnosed with fibromyalgia. The client asks the nurse whether a recent of infection with the Coxsackie B virus could have caused fibromyalgia. Which response by the nurse is the most appropriate?

A)The Coxsackie B virus has nothing to do with fibromyalgia.
B)The Coxsackie B virus may have triggered the fibromyalgia.
C)The Coxsackie B virus definitely caused the fibromyalgia.
D)The Coxsackie B virus probably caused the fibromyalgia.

Question 49

A 13-year-old female client is diagnosed with juvenile primary fibromyalgia syndrome. What should the nurse expect regarding this client?

A)The nurse will treat the client in much the same way as an adult with fibromyalgia.
B)Chronic fatigue can be ruled out as a likely clinical manifestation.
C)The client's pain will likely have lasted no more than 3 months.
D)The client's WPI score will be no greater than 7.

Question 50

An adult female client is diagnosed with chronic fatigue syndrome. What statement best accompanies the diagnosis?

A)Continued bed rest will relieve the condition.
B)The client's physician has ruled out an obvious cause for the fatigue.
C)The client is suffering complications from a severe stress reaction.
D)The client needs a rigorous exercise regimen.

Question 51

During a home visit with new parents, the nurse learns that a new mother is fatigued because the baby is not sleeping well. Which suggestion could the nurse make that would most help decrease this client's fatigue?

A)Advise the client to alternate night feedings with the baby's father to allow each parent to rest.
B)Suggest that the client ask the neighbors to babysit one night a week.
C)Ask the physician for medication to restore energy.
D)Increase exercise time each week to promote energy.

Question 52

The son of a client with fibromyalgia asks the nurse if he will also experience the health problem. Which responses by the nurse are appropriate for this situation? Select all that apply.

A)If your diet is high in fatty foods, you have a greater chance of developing fibromyalgia.
B)Having a family member with fibromyalgia increases the risk for developing it.
C)If you exercise often enough you'll be fine.
D)Only people aged 20-50 develop fibromyalgia.
E)Fibromyalgia is more prominent in women.

Question 53

What word best describes fatigue from culture shock?

A)Linguistic
B)Temporary
C)Geographical
D)Mild

Question 54

A client who has multiple sclerosis is complaining of fatigue. In recommending an exercise program to this client, what is the most likely factor the nurse will need to consider other than physician approval?

A)Complementary dietary recommendations
B)The intensity of the workout
C)Complementary therapy recommendations
D)Pharmacologic therapy

Question 55

The nurse identifies the nursing diagnosis of Chronic Pain as being appropriate for a client with fibromyalgia. Which manifestation did the client most likely report that caused the nurse to select this diagnosis?

A)Pain from eyestrain
B)Pain from a severe skin rash
C)Acute chest pain
D)Tender points in the knees

Question 56

A client has been prescribed iron supplements to treat fatigue and a hemoglobin level of 9. What additional information should the nurse suggest to the client to help reduce feelings of fatigue associated with a low red blood cell count? Select all that apply.

A)Increasing intake of ice cream
B)Drinking a glass of orange juice each day
C)Increasing intake of red meat
D)Increasing intake of wax beans
E)Increasing intake of green, leafy vegetables

Question 57

The nurse is caring for a client who is diagnosed with fibromyalgia. Based on this diagnosis, which clinical manifestations might the nurse anticipate for this client? Select all that apply.

A)Weakness
B)Exhaustion
C)Pain in the calves of the leg
D)Nausea and vomiting
E)Anxiety

Question 58

What most determines the effectiveness of pharmacologic therapy for fatigue?

A)The patient's attitude toward taking medication
B)The length of time the patient has been fatigued
C)The appropriateness to the patient's condition
D)The patient's commitment to complementary therapies

Question 59

What is a lifestyle risk factor for fatigue?

A)Chemotherapy
B)Stress
C)Surgery
D)Inactivity

Question 60

The mother of three teenagers is diagnosed with fibromyalgia and asks the nurse to how to keep up with all of the children's activities. Which suggestion by the nurse is the most appropriate?

A)Attempt to attend all the functions of the children.
B)Negotiate with the children to alternate attendance of their functions.
C)Avoid attending any afterschool functions for the children.
D)Ask the children to limit their activities.

Question 61

Sleep disorders mainly do what with respect to the activities of daily living?

A)Interfere
B)Decrease
C)Change
D)Increase

Question 62

A client with a history of insomnia is scheduled for a polysomnogram that requires an overnight stay in a sleep laboratory. The test will not include audio and video equipment. It will monitor the client's blood oxygen levels, heart rate, breathing, and eye and leg movements, and it will use an electroencephalogram to monitor brain waves. What disorder is least likely to be identified in this test?

A)Periodic limb movement disorder
B)Sleep apnea
C)Sleep talking
D)Restless leg syndrome

Question 63

An older adult client recovering from prostate surgery is waking up frequently during the night. Which client statement supports the nursing diagnosis Disturbed Sleep Pattern?

A)"The pain in my hips is unbearable at times."
B)"I walk for half an hour after I eat breakfast."
C)"I take my Zoloft as soon as I get up in the morning."
D)"I have one cup of regular coffee in the morning."

Question 64

An adult client diagnosed with sleep apnea has been prescribed a continuous positive airway pressure (CPAP)machine as treatment. The nurse is instructing the client on how to use the machine. Which instruction least relates to ensuring the patient's comfort with the device?

A)Use a properly sized mask with the straps tight.
B)Instruct the client to wear the mask with air pressure while sleeping.
C)Show how to adjust the pressure to reduce difficulty exhaling.
D)Demonstrate relaxation techniques to reduce a claustrophobic feeling when wearing the mask.

Question 65

Which of the following is most characteristic of the clinical manifestations of sleep apnea?

A)Difficulty thinking
B)Difficulty breathing
C)Difficulty waking up
D)Difficulty controlling motor functions

Question 66

Which client is exhibiting hypersomnia?

A)The client only gets about 5 or 6 hours of sleep each night.
B)The client gets roughly 8 hours of sleep each night but can't stay awake during the day.
C)The client consistently has trouble getting to sleep and often lies awake for hours after bedtime.
D)The client experiences repetitive involuntary leg movements that interfere with sleep.

Question 67

A client with clinical depression asks the nurse for suggestions on how to improve the quality of sleep. The client often drinks a glass of wine before bedtime to help sleep. The client falls asleep quickly but then wakes up an hour or so later and often feels anxious. A period of wakefulness follows, often lasting several hours. Which of the following planning goals would be least appropriate for this client?

A)Avoid the use of alcohol late in the evening.
B)Reduce or remove environmental distractions from the bedroom.
C)Maintain a consistent bedtime.
D)Report decreased snoring.

Question 68

A 15-year-old female client diagnosed with juvenile primary fibromyalgia syndrome asks the nurse whether the fibromyalgia can be cured so that she won't have to deal with it as an adult. Which of the following is the best response the nurse could make to this question?

A)The fibromyalgia likely can be cured with proper sleep hygiene, exercise, and pharmacologic management.
B)Fibromyalgia can be difficult to treat effectively, but the symptoms are unlikely to persist into adulthood.
C)It is likely that the fibromyalgia will persist into adulthood, and there is no cure, but the symptoms can be treated and the condition is not life-threatening.
D)The client will suffer from persistent fibromyalgia for the remainder of her life unless a cure can be found.

Question 69

What primarily differentiates lack of sleep due to a sleep disorder from lack of sleep due to another developing condition?

A)The length of sleep
B)The quality of sleep
C)The symptoms of lack of sleep
D)The cause for the lack of sleep

Question 70

An older adult client is talking with the nurse about sleep problems. Which fact regarding sleep should the nurse teach this client?

A)All elderly individuals experience disrupted sleep and depression.
B)The need for sleep decreases with age.
C)Sleep problems signal the onset of other developing medical conditions.
D)The elderly do not experience as much deep sleep as a younger person.

Question 71

The nurse is assessing a client for a sleep-rest disorder. Which client behavior is most indicative of such a disorder?

A)The client answers history questions in detail.
B)The client expresses impatience after two or three questions and insists that the nurse hurry up and finish.
C)The client expresses a concern about the privacy of the information he reveals.
D)The client cannot answer definitely whether he sleeps in strange positions.

Question 72

Which statement best exemplifies the etiology of fibromyalgia?

A)Stress and poor sleep hygiene are the main precipitating factors for fibromyalgia.
B)No exact cause is known, but some clients with fibromyalgia may have precipitating factors.
C)The primary cause for fibromyalgia in nearly all clients who have it is infection.
D)Precipitating factors for fibromyalgia are primarily physiological.

Question 73

Fibromyalgia is a disorder that involves which of the following?

A)Muscle strength
B)Respiratory control
C)Heat regulation
D)Pain Processing

Question 74

Which is a characteristic of fibromyalgia?

A)Difficult to treat
B)Definite as to cause
C)Easy to prevent
D)Brief in its effects

Question 75

A resident in an assisted-living facility is restless most nights and sits in the lounge area reading. When questioned, the resident reports suffering from insomnia. What should the nurse expect as a likely outcome if the resident continues with this pattern of sleep?

A)Sleep paralysis
B)Onset of cardiac dysfunction
C)Onset of new underdiagnosed health problems
D)The client's activities during the day may be hindered by these episodes.

Question 76

The nurse is conducting a clinic visit with a mother and an adolescent client. Both the mother and the adolescent report that the adolescent is not able to sleep until late at night and then wakes up too late in the morning. This has caused the adolescent to be late for school several times. The mother states, "I don't know what to do." Which response by the nurse is the most appropriate?

A)Inform her that several techniques can potentially help correct this problem.
B)Recommend a polysomnography (PSG).
C)Indicate that this is simply a normal change of the body's internal clock associated with puberty, and it will work itself out.
D)Ask about other medical conditions because the adolescent's sleep patterns indicate the onset of a chronic illness.