Deck 31: Comfort, Rest, and Sleep

Question 1

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) The nighttime influences a person's cultural responses to pain.

Answer 1

There are fewer distractions and the person has more time to think.

Question 2

Creating and focusing on an image is:

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

Answer 2

Guided imagery

Question 3

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

Answer 3

Felt in a body part that is no longer there

Question 4

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 5

The day-night cycle is:

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

Question 6

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

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

Question 7

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

Question 8

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 9

Urinary incontinence in bed at night is:

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

Question 10

Changing a person's center of attention is:

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

Question 11

Which of the following promotes comfort?

A) Clothes which are scattered across the floor
B) Multiple stacks of mail and magazines
C) An odor-free room
D) A room temperature below 70° F

Question 12

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 13

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 14

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 15

Chronic pain typically continues for:

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

Question 16

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 17

A patient complains of severe pain.Which is correct?

A) You need to collect information about the person's pain.
B) Pain means that there is tissue damage.
C) You need to treat the pain with medication.
D) If the person is sleeping soon after complaining of pain,is not truly in pain.

Question 18

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 19

Anxiety tends to:

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

Question 20

To be free from mental or physical stress is:

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

Question 21

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 22

These statements are about pain.Which is correct?

A) Pain is determined by the nurse.
B) Family and friends are not able to 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 23

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 24

The nurse gave a patient a pain medication.Which will promote the person's safety?

A) Raising the bed to the high position
B) Using bed rails regardless of whether the patient wants them or not
C) Checking on the person every hour
D) Providing assistance when the person is up

Question 25

Which statement is correct?

A) Children never understand pain.
B) Children have less pain 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 26

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 27

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 28

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 29

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 30

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 31

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 32

Which of the following measures promotes rest?

A) Limiting visitation with caring family
B) Keeping the television on to provide background noise
C) Practicing relaxation methods
D) Having the person put on a hospital gown

Question 33

A patient complains of pain.Which will help you collect information about the person's pain?

A) Ask if the pain is mild,moderate,or severe.
B) Ask the person what he ate for breakfast.
C) Ask the family members if they feel the person is really in pain.
D) Give the person drugs to relieve the pain.

Question 34

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 35

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 36

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 37

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 38

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 39

The person is hard to arouse during:

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

Question 40

The nurse wants a resident to rest.Which of the following will promote rest?

A) Having the person keep the curtains open
B) Following the person's routines for rest
C) Making the person lie down
D) Providing music in the background through the intercom system

Question 41

The circadian rhythm is known as:

A) A daily rhythm based on a 24-hour cycle
B) A regular heart rhythm
C) The rhythm of the respiratory effort
D) The rhythm of a 60-second minute

Question 42

Which are signs or symptoms of sleep deprivation?

A) Sweating,nausea,and vomiting
B) Regular pulse rate
C) Hyperactive response to questions and fast speech
D) Agitation,restlessness,and disorientation

Question 43

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 44

You find a person sleepwalking.You should do which of the following?

A) Turn on the lights.
B) Grab the person by the shoulders and look the person in the eye until he wakes up.
C) Shake the person's arms until he wakes up.
D) Guide the person back to bed.

Question 45

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 46

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 47

Which of the following measures will promote sleep?

A) Providing tea and chocolate cake before bedtime
B) Assisting with exercise workouts in the evening
C) Assisting with a shower before bedtime
D) Playing a game of BINGO with other residents

Question 48

Insomnia includes which of the following?

A) Sleepwalking
B) Sleep deprivation
C) Nightmares
D) Waking early and being unable to fall back asleep

Question 49

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 50

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

Question 51

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

Question 52

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