Chapter 33 Flashcards

Comfort and Rest Needs

1
Q

What increases the need for rest & sleep?

A

pain, illness, and injury

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2
Q

______ is a major factor affecting comfort

A

Pain

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3
Q

Age, illness, and activity affect _______

A

comfort

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4
Q

Pain is _______, that is, pain _______ for each person

A
  • personal
  • differs
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4
Q

Pain is ________

A

Subjective

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5
Q

Factors affecting pain is the _______ from ______. Dealing with pain is often easier when ________ and _______ offer comfort & support

A
  • Support
  • Others
  • Family
  • Friends
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6
Q

What _____ to one person may ______ or be ______ to another person

A
  • hurts
  • ache
  • sore
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7
Q

______ and ______ needs increase with illness and injury

A
  • Rest & sleep needs
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8
Q

_________ is a factor affecting pain. Pain seems much worse when it is the person’s main focus

A

attention

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9
Q

Pain can cause ______ because it relates to feelings of fear, dread, worry, and concern

A

anxiety

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10
Q

_______ and _______experiences and those of others help in learning about pain and what to expect

A
  • Past
  • current
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11
Q
  • Past and current experiences
  • Anxiety
  • Rest and sleep needs
  • Attention
  • Support from others

are factors that affect pain, what are 5 other factors affecting pain?

A
  • Personal and family duties
  • The meaning of pain
  • Culture
  • Illness
  • Age
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12
Q
  • Personal and family duties
  • The meaning of pain
  • Culture
  • Illness
  • Age
    are factors that affect pain, what are 5 other factors affecting pain?
A
  • Past and current experiences
  • Anxiety
  • Rest and sleep needs
  • Attention
  • Support from others
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13
Q

In some cultures, the person in pain is ______

A

stoic

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14
Q

______ pain lasts a short time and lessens with healing

A

Acute

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14
Q

_______ pain may mask new pain

A

Chronic

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15
Q

______ pain is sharp or severe. It is felt suddenly from injury, disease, trauma, or surgery

A

Acute

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16
Q

T/F: With chronic pain, there is tissue damage

A

FALSE: Acute pain has tissue damage

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17
Q

_______ pain continues for a long time

A

Chronic

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18
Q

T/F: Chronic pain signals new injury or a life-threatening event

A

FALSE: It is Acute pain that signals new injury or a life-threatening event

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19
Q

_____ pain is often a symptom of an ongoing health problem

A

Chronic

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20
Q

With ______ pain, there is no longer tissue damage, but pain remains

A

Chronic

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21
Q

What is an example of chronic pain?

A

arthritis

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22
Q

________ pain is felt at the site of tissue damage and spreads to other areas

A

Radiating

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23
Q

Low back pain radiated to the buttocks and legs. What kind of pain is this?

A

Radiating pain

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24
Q

What is phantom pain?

A

A pain that comes from a body part that is no longer there.

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25
Q

When reporting signs and symptoms of pain, what information does the nurse need? (8)

A
  1. Location
  2. Onset & duration
  3. Intensity
  4. Description
  5. Factors causing pain
  6. Factors affecting pain
  7. Vital signs
  8. Other signs & symptoms
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26
Q

What does precipitating factors mean?

A

Cause

27
Q

How can a patient explain the intensity of their pain?

A

By using a rate from 0 to 10, the Wong-Baker Faces Pain Rating Scale

28
Q

Distraction, relaxation, and guided imagery are all part of?

A

Comfort Measures

29
Q

What 3 things are related to comfort measures?

A

Distraction, relaxation, guided imagery

30
Q

Wait __ minutes after pain-relief drugs are given to give care or start activities

A

30 minutes

30
Q

Clenching of the jaw, crying, and frowning are all signs of?

A

Pain

31
Q

If a patient has taken strong pain-relief drugs or sedatives, how often should you check on the person?

A

10 to 15 minutes

32
Q

When is it a good time for back massages?

A

After re-positioning, after baths or showers, and with evening care

33
Q

Back massages last __ to __ minutes

A

3 to 5

34
Q

What should you look for on the skin before giving a back massage?

A

Look for breaks in skin, bruises, reddened areas, and other signs of skin breakdown

35
Q

Lotion reduces ____ during the massage and ____ the skin

A
  • friction
  • softens
36
Q

What should you do before giving a back massage?

A

Check the care plan and with the nurse.

37
Q

Back massages can harm persons with certain ______ diseases, ______ ______ and surgeries, ____ diseases, and ______ disorders

A
  • Heart
  • Back injuries
  • Skin
  • Lung
38
Q

What are the best positions for a massage?

A

Prone or side-lying

39
Q

What are ways you can warm lotion before applying?

A
  • Rub some lotion between your hands
  • Place the bottle in the bath water
  • Hold the bottle under warm water
40
Q

After the massage, apply lotion to the ______, ______, and _____. Those bony areas are at risk for skin __________

A
  • elbows
  • knees
  • heels
  • breakdown
41
Q

Lay the towel on the bed along the back if the person is in ______ position

A

side-lying

42
Q

When massaging a patient, use _____ movements to stimulate, use _____ movements to relaxt the person

A
  • fast
  • slow
43
Q

To end a massage, stroke with _____, ______ movements

A
  • stroke
  • firm
44
Q
  • Sharp
  • Cramping
  • Burning
  • Constant
  • Intermittent
    Are characteristics of pain, what are 5 other characteristics of pain?
A
  • Aching
  • Throbbing
  • Stabbing
  • Piercing
  • Dull
45
Q
  • Aching
  • Throbbing
  • Stabbing
  • Piercing
  • Dull
    Are characteristics of pain, what are 5 other characteristics of pain?
A
  • Sharp
  • Cramping
  • Burning
  • Constant
  • Intermittent
46
Q

During sleep, ______ signs are lower than when awake.

A

vital

47
Q

Tissue healing & repair occur when _______

A

asleep

48
Q

What factors affect sleep? (8)

A
  • Illness
  • Nutrition
  • Exercise
  • Sleep setting
  • Drugs & other substances
  • Life-style changes
  • Age
  • Emotional Problems
49
Q

T/F: Life-style changes do not affect sleep

A

FALSE

50
Q

The protein ______ tends to help sleep

A

tryptophan

51
Q

______ and ______ problems may result from sleep disorders

A

Physical & behavioral

52
Q

Physical & behavioral problems may result from?

A

Sleep disorders

53
Q

_______ is a chronic condition in which the person cannot sleep or stay asleep all night

A

Insomnia

54
Q

_______ _______ is when the amount and quality of sleep are not adequate, causing reduced function and alertness

A

Sleep deprivation

55
Q

_____ _____ is when pauses in breathing occur during sleep

A

Sleep apnea

56
Q

Older adults need about __ to __ hours of sleep each night

A

7 to 9

57
Q

Which statement about pain is true?
a. Pain is a warning sign from the body
b. Age and culture do not affect pain responses
c. Pain experiences are the same for each person
d. Pain can be measured with equipment

A

a. Pain is a warning sign from the body

58
Q

A person is restless and complains of pain. You should
a. Rate the intensity based on the person’s behavior
b. Give a pain-relief drug and tell the nurse
c. Tell the nurse only if you think the person has pain
d. Report the person’s exact words

A

d. Report the person’s exact words

59
Q

Moaning, crying, and calling out are all examples of ______ signs of pain

A

nonverbal

60
Q

T/F: Rubbing the area, guarding, redness or swelling are all signs of verbal pain

A

FALSE: nonverbal pain!

61
Q

Slow, rapid, loud or quiet speech is an example of _____ pain

A

nonverbal

62
Q

Meet ____, ______, ______ needs before times of rest

A
  • food
  • fluid
  • elimination
63
Q

Calm, at ease, relaxed, no stress or anxiety, and planning patient care for uninterrupted sleep time are all related to?

A

REST

64
Q

Sleep lowers ______, ______, and _______

A
  • stress
  • tension
  • anxiety
65
Q

A person thinks and functions better after ______

A

sleep

66
Q

T/F: Night-time wandering in a safe and supervied setting is allowed for some persons

A

TRUE