Pain, Comfort, Rest, and Sleep Questions

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Pain, Comfort, Rest, and Sleep Questions
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Which statement about a sleep partner would best
support a diagnosis of sleep apnea?

• He falls asleep sometimes when he drives so now
  I do all the driving.
• He kicks and thrashes so much that the bed linen
  is upside down by morning.
• He has nightmares that are so scary that he
  wakes me up because he is afraid.
• He snores and gasps all night long, wakes me up
  and then I cant get back to sleep.

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• d. He snores and gasps all night long, wakes me
  up and then I cant get back to sleep.

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Which adaptation is commonly associated with
severe acute pain?

• Delirium
• Vomiting
• Confusion
• Sleepiness

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• b. Vomiting

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Which adaptation is a result of shortened NREM
sleep?

• Decreased pain tolerance.
• Excessive sleepiness
• Confusion
• Irritability

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• b. Excessive sleepiness

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Which statement by a patient experiencing
insomnia would indicate the need for further
education?

• I like to take a long walk after dinner.
• I always have a small snack just before I go to
  bed.
• I set my bedroom temperature at 65 degrees at
  night.
• I drink a few scotch and sodas while I watch TV
  at night.

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• d. I drink a few scotch and sodas while I watch
  TV at night.

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Which concept associated with sleep must the
nurse understand to best plan nursing care?

• Bedtime routines are associated with an
  expectation of sleep
• Alcohol intake interferes with the ones ability
  to fall asleep
• Sleep needs remain consistent throughout the life
  span
• Total time in bed gradually decreases as one ages

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• Bedtime routines are associated with an
  expectation of sleep

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Which nursing diagnosis associated with sleep
deprivation would be most appropriate for a
patient who has been in the intensive care unit
for two weeks?

• Risk for Disturbed Thought Processes
• Impaired Gas Exchange
• Disuse Syndrome
• Powerlessness

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• Risk for Disturbed Thought Processes

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Which is the most common nursing intervention
that will contribute to onset of sleep in the
hospitalized patient?

• Taking a slow walk around the unit
• Providing warm milk before bedtime
• Teaching progressive muscle relaxation
• Assisting the patient to a position of comfort

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• d. Assisting the patient to a position of comfort

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A concept that is unique to unrelieved chronic
pain is that it

• Is generally better tolerated as the duration of
  exposure increases
• Minimally interferes with activities of daily
  living
• Mobilizes the immune response
• Is related to current pathology

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• Is generally better tolerated as the duration of
  exposure increases

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Which characteristics of pain is associated with
the statement, The pain moves from my chest down
to my left arm.

• Pattern
• Duration
• Location
• Constancy

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• c. Location

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Which aspect of sleep is most often affected with
obstructive sleep apnea?

• Amount
• Quality
• Depth
• Onset

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• b. Quality

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Which question by the nurse would best assess a
patients pain tolerance?

• Do you take pain medication frequently?
• How intense on a scale of 1 to 10 is the pain
  that you feel right now?
• What activities help distract you so that you
  dont feel the need for medication?
• At what point on a scale of 1 to 10 do you feel
  that you must have pain medication?

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• d. At what point on a scale of 1 to 10 do you
  feel that you must have pain medication?

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Which is the most therapeutic open-ended question
the nurse could ask about the quality of a
patients sleep?

• How would you describe you sleep?
• Do you consider your sleep to be restless or
  restful?
• Is the number of hours you sleep at night good
  for you?
• Does your bed partner complain about your sleep
  behavior?

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• How would you describe you sleep?

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The most appropriate goal for an adult who has
the nursing diagnosis Disturbed Sleep Pattern
Related to Nocturia is, The patient will

• Report fewer early morning awakenings because of
  a wet bed
• Demonstrate a reduction in nighttime bathroom
  visits
• Resume sleeping immediately after voiding
• Use an incontinence device at night

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• b. Demonstrate a reduction in nighttime bathroom
  visits

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When meeting patients sleep and rest needs it is
most important for the nurse to

• Teach how sleep and rest promote wellness
• Address both the physical and mental components
  of rest
• Encourage at least 8 hours of uninterrupted time
  for sleep
• Recognize that less metabolic energy is expended
  during illness

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• b. Address both the physical and mental
  components of rest

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Which characteristic of pain is associated with
the statement, It feels like my arm is burning.

• Location
• Intensity
• Quality
• Pattern

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• c. Quality

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When caring foe a patient in pain, the most
important thing the nurse must recognize is that

• The extent of pain is directly related to the
  amount of tissue damage
• Administrating analgesics for pain will
  eventually lead to addiction
• Behavioral adaptations are congruent with
  statements about pain
• The person experiencing the pain is the authority
  about the pain

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• d. The person experiencing the pain is the
  authority about the pain

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Which is the most common cause of sleep
deprivation in the hospital setting?

• Fragmented sleep
• Early awakening
• Restless legs
• Sleep apnea

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• Fragmented sleep

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The concept associated with sleep that the nurse
must understand to best plan nursing care for the
hospitalized patient is

• People require 8 hours of uninterrupted sleep to
  meet energy needs
• Frequency of nighttime awakenings decreases with
  age
• Fear can contribute to the need to stay awake
• Bed rest decreases the need to sleep

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• c. Fear can contribute to the need to stay awake

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Which word reflects the pattern of pain?

• Episodic
• Phantom
• Moderate
• Tenderness

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• Episodic

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Which patient statement about alcohol intake is
based on a common physiologic response?

• After I go drinking, I have to urinate during
  the night.
• When I drink, I get hungry in the middle of the
  night.
• Falling asleep is hard, but once asleep I sleep
  great.
• If I drink too much, I oversleep in the morning.

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• After I go drinking, I have to urinate during
  the night.

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Which sleeping position is best for a person
experiencing sleep apnea?

• Dorsal recumbent
• Semi-Fowlers
• Lateral
• Supine

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• c. Lateral

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The most effective intervention to promote sleep
that is appropriate for patients in any age group
is

• Providing a back rub
• Playing relaxing music
• Following a bed-time routine
• Offering a glass of warm milk

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• c. Following a bed-time routine

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When assessing a patient in pain which defining
characteristic is more common in chronic pain
than in acute pain?

• Grunting
• Grimacing
• Depression
• Diaphoresis

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• c. Depression

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When caring for patients in pain it is important
for the nurse to recognize that patients

• Are able to describe qualities of their pain
• Who are in pain will request pain medication
• Need to know that the nurse believe what they say
  about their pain
• Will demonstrate vital that are congruent with
  the intensity of pain

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• c. Need to know that the nurse believe what they
  say about their pain

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Which is the most appropriate goal for a patient
with a nursing diagnosis of Disturbed Sleep
Pattern Related to Pain? The patient will

• Be provided with a back massage every evening
• Report feeling rested after awakening in the
  morning
• Request less pain medication during the night
• Experience 4 hours of uninterrupted sleep

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• b. Report feeling rested after awakening in the
  morning

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Which action is most effective when helping a
patient who is experiencing mild pain to get
ready for bed?

• Obtaining an order for a narcotic
• Assisting the patient with relaxing imagery
• Encouraging the patient to take a warm shower
• Encouraging the patient to be active during the
  day

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• b. Assisting the patient with relaxing imagery

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Which statement would indicate that the patient
is experiencing bruxism?

• I walk around in my sleep almost every night but
  I dont remember it.
• I annoy the whole family with the loud snoring
  noises I make at night.
• I occasionally urinate in bed when I am sleeping
  and its embarrassing.
• I am told by my wife that I make a lot of noise
  grinding my teeth when I sleep.

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• d. I am told by my wife that I make a lot of
  noise grinding my teeth when I sleep.