Chapter 33

Question 1

What increases the need for rest & sleep?

Answer 1

pain, illness, and injury

Question 2

______ is a major factor affecting comfort

Answer 2

Pain

Question 3

Age, illness, and activity affect _______

Answer 3

comfort

Question 4

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

Answer 4

• personal
• differs

Question 4

Pain is ________

Answer 4

Subjective

Question 5

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

Answer 5

• Support
• Others
• Family
• Friends

Question 6

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

Answer 6

• hurts
• ache
• sore

Question 7

______ and ______ needs increase with illness and injury

Answer 7

• Rest & sleep needs

Question 8

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

Answer 8

attention

Question 9

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

Answer 9

anxiety

Question 10

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

Answer 10

• Past
• current

Question 11

• 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?

Answer 11

• Personal and family duties
• The meaning of pain
• Culture
• Illness
• Age

Question 12

• Personal and family duties
• The meaning of pain
• Culture
• Illness
• Age
  are factors that affect pain, what are 5 other factors affecting pain?

Answer 12

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

Question 13

In some cultures, the person in pain is ______

Answer 13

stoic

Question 14

______ pain lasts a short time and lessens with healing

Answer 14

Acute

Question 14

_______ pain may mask new pain

Answer 14

Chronic

Question 15

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

Answer 15

Acute

Question 16

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

Answer 16

FALSE: Acute pain has tissue damage

Question 17

_______ pain continues for a long time

Answer 17

Chronic

Question 18

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

Answer 18

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

Question 19

_____ pain is often a symptom of an ongoing health problem

Answer 19

Chronic

Question 20

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

Answer 20

Chronic

Question 21

What is an example of chronic pain?

Answer 21

arthritis

Question 22

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

Answer 22

Radiating

Question 23

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

Answer 23

Radiating pain

Question 24

What is phantom pain?

Answer 24

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

Question 25

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

Answer 25

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

Question 26

What does precipitating factors mean?

Answer 26

Cause

Question 27

How can a patient explain the intensity of their pain?

Answer 27

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

Question 28

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

Answer 28

Comfort Measures

Question 29

What 3 things are related to comfort measures?

Answer 29

Distraction, relaxation, guided imagery

Question 30

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

Answer 30

30 minutes

Question 30

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

Answer 30

Pain

Question 31

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

Answer 31

10 to 15 minutes

Question 32

When is it a good time for back massages?

Answer 32

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

Question 33

Back massages last __ to __ minutes

Answer 33

3 to 5

Question 34

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

Answer 34

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

Question 35

Lotion reduces ____ during the massage and ____ the skin

Answer 35

* friction * softens

Question 36

What should you do before giving a back massage?

Answer 36

Check the care plan and with the nurse.

Question 37

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

Answer 37

* Heart * Back injuries * Skin * Lung

Question 38

What are the best positions for a massage?

Answer 38

Prone or side-lying

Question 39

What are ways you can warm lotion before applying?

Answer 39

* Rub some lotion between your hands * Place the bottle in the bath water * Hold the bottle under warm water

Question 40

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

Answer 40

* elbows * knees * heels * breakdown

Question 41

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

Answer 41

side-lying

Question 42

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

Answer 42

* fast * slow

Question 43

To end a massage, stroke with _____, ______ movements

Answer 43

* stroke * firm

Question 44

* Sharp * Cramping * Burning * Constant * Intermittent Are characteristics of pain, what are 5 other characteristics of pain?

Answer 44

* Aching * Throbbing * Stabbing * Piercing * Dull

Question 45

* Aching * Throbbing * Stabbing * Piercing * Dull Are characteristics of pain, what are 5 other characteristics of pain?

Answer 45

* Sharp * Cramping * Burning * Constant * Intermittent

Question 46

During sleep, ______ signs are lower than when awake.

Answer 46

vital

Question 47

Tissue healing & repair occur when _______

Answer 47

asleep

Question 48

What factors affect sleep? (8)

Answer 48

* Illness * Nutrition * Exercise * Sleep setting * Drugs & other substances * Life-style changes * Age * Emotional Problems

Question 49

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

Answer 49

FALSE

Question 50

The protein ______ tends to help sleep

Answer 50

tryptophan

Question 51

______ and ______ problems may result from sleep disorders

Answer 51

Physical & behavioral

Question 52

Physical & behavioral problems may result from?

Answer 52

Sleep disorders

Question 53

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

Answer 53

Insomnia

Question 54

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

Answer 54

Sleep deprivation

Question 55

_____ _____ is when pauses in breathing occur during sleep

Answer 55

Sleep apnea

Question 56

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

Answer 56

7 to 9

Question 57

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

Answer 57

a. Pain is a warning sign from the body

Question 58

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

Answer 58

d. Report the person's exact words

Question 59

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

Answer 59

nonverbal

Question 60

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

Answer 60

FALSE: nonverbal pain!

Question 61

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

Answer 61

nonverbal

Question 62

Meet ____, ______, ______ needs before times of rest

Answer 62

* food * fluid * elimination

Question 63

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

Answer 63

REST

Question 64

Sleep lowers ______, ______, and _______

Answer 64

* stress * tension * anxiety

Question 65

A person thinks and functions better after ______

Answer 65

sleep

Question 66

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

Answer 66

TRUE