Question 1

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

Accepted Answer

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

Question 2

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?

Accepted Answer

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 3

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?

Accepted Answer

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 4

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?

Accepted Answer

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

Question 5

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?

Accepted Answer

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 6

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

Accepted Answer

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 7

Fibromyalgia is a disorder that involves which of the following?

Accepted Answer

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

Question 8

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?

Accepted Answer

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 9

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?

Accepted Answer

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 10

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?

Accepted Answer

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

Question 11

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?

Accepted Answer

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

Question 12

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

Accepted Answer

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 13

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.

Accepted Answer

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

Question 14

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?

Accepted Answer

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 15

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?

Accepted Answer

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

Question 16

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?

Accepted Answer

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

Question 17

Which client is most likely to reject attempts at comfort?

Accepted Answer

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 18

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?

Accepted Answer

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 19

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?

Accepted Answer

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 20

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?

Accepted Answer

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.

Exam 3: Comfort