Test 4--Chapter 27 Comfort, Rest, and Sleep

Question 1

_______ and ______ increase the need for rest and sleep

Answer 1

Illness and injury increase the need for rest and sleep

Question 2

Pain or discomfort definition

Answer 2

to ache, hurt, or be sore.

Question 3

Comfort and discomfort are _________

Answer 3

Comfort and discomfort are subjective

Question 4

Pain is a ________ from the body

Answer 4

Pain is a warning from the body

Question 5

Acute pain

Answer 5

is felt suddenly from injury, disease, trauma, or surgery.
It usually lasts less than 6 months

Question 6

Chronic pain

Answer 6

lasts longer than 6 months

Question 7

Radiating pain

Answer 7

felt at the site of tissue damage and in nearby areas

Question 8

Phantom pain

Answer 8

is felt in a body part that is no longer there.

Question 9

˜Factors affecting pain

• Past ________
• Pain can cause ______
• ________ increases how much pain the person feels.
• Rest and ______
• __________: the more a person thinks about the pain, the worse it seems.
• ________ and ______ duties affect pain responses.

Answer 9

˜Factors affecting pain

• Past experience
• Pain can cause anxiety.
• Anxiety increases how much pain the person feels.
• Rest and sleep
• Attention: the more a person thinks about the pain, the worse it seems.
• Personal and family duties affect pain responses.

Question 10

Persons with _______ may not be able to tell you about their pain.

Answer 10

Persons with dementia may not be able to tell you about their pain.

Question 11

˜The nurse needs this information to assess the person’s pain:

• _______ and any _______
• Onset and duration
• Intensity: rate from 0 to 10
• Description
• Factors causing pain (precipitating factors)
• Factors affecting pain: better and worse
• Vital signs
• Other signs and symptoms

Answer 11

˜The nurse needs this information to assess the person’s pain:

• Location and any radiation
• Onset and duration
• Intensity: rate from 0 to 10
• Description
• Factors causing pain (precipitating factors)
• Factors affecting pain: better and worse
• Vital signs
• Other signs and symptoms

Question 12

Techniques for dealing with pain

Distraction

Answer 12

to change the person’s center of attention.

Question 13

Techniques for dealing with pain

Relaxation

Answer 13

to be free from mental and physical stress.

Question 14

Techniques for dealing with pain

Guided imagery

Answer 14

creating and focusing on an image.

Question 15

Side effects of pain controlling drugs

Answer 15

• orthostatic hypotension,
• drowsiness,
• dizziness, and
• coordination problems.

Question 16

How will you meet safety and security needs?

• Keeping the _________ within reach
• Explaining the ________ for care
• Explaining how _____ is given
• Following the person’s ________ and _______ whenever possible

Answer 16

Meeting safety and security needs

• Keeping the signal light within reach
• Explaining the reasons for care
• Explaining how care is given
• Following the person’s routines and rituals whenever possible

Question 17

What is sleep?

Answer 17

a state of unconsciousness, reduced voluntary muscle activity, and lowered metabolism

Question 18

What are the benefits of sleep?

• ˜It lets the ____ and ____ rest.
• ˜The body saves _____.
• ˜Body functions ____
• ˜_____ _____ are lower than when awake.
• ˜Tissue _______ and _______ occur.
• ˜Sleep lowers ______, ______, and _______.
• ˜It _________ and ________ the person.

Answer 18

• ˜It lets the mind and body rest.
• ˜The body saves energy.
• ˜Body functions slow.
• ˜Vital signs are lower than when awake.
• ˜Tissue healing and repair occur.
• ˜Sleep lowers stress, tension, and anxiety.
• ˜It refreshes and renews the person.

Question 19

Circadian Rhythm

Answer 19

daily rhythm based on a 24-hour cycle.

includes the sleep-wake cycle

Question 20

What are the two phases of sleep?

Answer 20

NonREM or NREM = non rapid eye movement

REM = rapid eye movement

Question 21

NREM sleep

Answer 21

the phase of sleep in which there is no rapid eye movement. The first phase when physical restoration occurs.

Question 22

REM sleep

Answer 22

The rapid eye movement phase is called REM sleep. The second phase when mental restoration occurs.

Question 23

The amount needed __________ with age.

Answer 23

The amount needed decreases with age.

Question 24

Insomnia definition

Answer 24

˜a chronic condition in which the person cannot sleep or stay asleep all night.

Question 25

What are the three forms of insomnia?

Answer 25

• Cannot fall asleep
• Cannot stay asleep
• Awakens early and cannot fall back asleep

Question 26

˜With sleep deprivation, the ______ and _______of sleep are decreased.

Answer 26

˜With sleep deprivation, the amount and quality of sleep are decreased.

Question 27

What should you do if a person is sleepwalking?

Answer 27

You need to protect the person from injury and falling; guide the person back to bed and waken the person gently.