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Chapter 25
Comfort, Rest, and Sleep
| Question | Answer |
|---|---|
| What is a state of well-being in which one has no physical or emotional pain? | Comfort |
| OBRA requires that rooms be designed and equipped for comfort which includes no more than _______ persons in a room. | Four |
| OBRA requires that rooms be designed and equipped for comfort which includes a suspended _____________ that goes around each bed for privacy. | Curtain |
| OBRA requires that rooms be designed and equipped for comfort which includes a bed of proper ___________ and size for the person. | Height |
| OBRA requires that rooms be designed and equipped for comfort which includes a clean, comfortable _______________. | Mattress |
| OBRA requires that rooms be designed and equipped for comfort which includes linens that suit the ______________ and climate. | Weather |
| OBRA requires that rooms be designed and equipped for comfort which includes a clean, orderly, and _______-______ room. | Odor-free |
| OBRA requires that rooms be designed and equipped for comfort which includes room temperatures between ________ and 81 F. | 71 |
| OBRA requires that rooms be designed and equipped for comfort which includes adequate ________________ and room humidity. | Ventilation |
| OBRA requires that rooms be designed and equipped for comfort which includes adequate and comfortable ______________. | Lighting |
| What word means to ache, hurt, or be sore (also discomfort)? | Pain |
| Comfort and pain are ________________ data which means you must rely on what the person reports to you. | Subjective |
| Pain is a ______________ sign from the body. | Warning |
| Pain is often called the ______________ vital sign. | Fifth |
| Pain signals tissue ____________. | Damage |
| What kind of pain is felt suddenly from injury, disease, trauma, or surgery? | Acute |
| What kind of pain continues for a long period of time (months or years) or occurs off and on? | Chronic |
| What kind of pain is felt at the site of tissue damage and in nearby areas? | Radiating |
| What kind of pain is felt in a body part that is no longer there? | Phantom |
| Pain and anxiety are related, often pain can ____________ anxiety. | Cause |
| Anxiety can ___________ how much pain is felt. | Increase |
| Sleep and rest needs __________ with illness and injury. | Increase |
| Pain seems ________ when tired or restless. | Worse |
| The person may tend to ___________ on pain when tired and unable to rest or sleep. | Focus |
| Pain seems worse at ___________. | Night |
| Personal and family __________ affect pain responses. | Duties |
| Often pain is _____________ when a person has family or work obligations to meet. | Ignored |
| Dealing with pain is often ___________ when family and fiends offer comfort and support. | Easier |
| Some people deal with pain alone which can increase ____________. | Anxiety |
| Culture affects pain _______________. | Responses |
| Some diseases cause _____________ pain sensations. | Decreased |
| Due to some diseases the person may not __________ pain or be able to accurately describe its severity. | Feel |
| Thinking and reasoning may be affected in older persons therefore they may not be able to verbally _____________ feelings of pain. | Communicate |
| Increased confusion, facial gestures, or ___________ may signal pain. | Restlessness |
| When reporting and recording about pain you should use the person's ___________ words. | Exact |
| The nurse needs certain information to assess the person's pain such as the ____________ of the pain. Ask the person to point to the area. | Location |
| The nurse needs certain information to assess the person's pain such as the onset and ______________ of the pain. | Duration |
| The nurse needs certain information to assess the person's pain such as the ______________ of the pain. Ask the person to rate the pain on a scale of 1-10. | Intensity |
| The nurse needs certain information to assess the person's pain such as a ____________ of the pain. | Description |
| The nurse needs certain information to assess the person's pain such as ________________ factors meaning things that cause pain. | Precipitating |
| The nurse needs certain information to assess the person's pain such as factors _____________ pain like what makes it better or worse. | Affecting |
| The nurse needs certain information to assess the person's pain such as the person's vital signs because acute pain can ___________ vital signs. | Increase |
| What means to change the person's center of attention through the use of music, games, singing, TV, or other activities? | Distraction |
| What means to be free from mental and physical stress? | Relaxation |
| To relax a person is taught to ___________ deeply and slowly and to contract and relax muscle groups. | Breathe |
| When a person creates and focuses on an image it is called ____________ imagery. | Guided |
| Nausea and sweating are __________ responses to pain. | Body |
| Groaning and grunting are ____________ associated with pain. | Behaviors |
| Nursing measures to promote comfort and relieve pain include positioning the person in good _____________. | Alignment |
| Nursing measures to promote comfort and relieve pain include keeping bed ____________ tight and wrinkle-free. | Linens |
| Nursing measures to promote comfort and relieve pain include assisting with __________ needs when they arise. | Elimination |
| Nursing measures to promote comfort and relieve pain include providing ___________ for warmth and to prevent chilling. | Blankets |
| Nursing measures to promote comfort and relieve pain include giving a back ____________. | Massage |
| Nursing measures to promote comfort and relieve pain include providing soft music to ______________ the person. | Distract |
| Nursing measures to promote comfort and relieve pain include using ________ to provide comfort. | Touch |
| Nursing measures to promote comfort and relieve pain include allowing friends and family at the bedside as __________ by the person. | Requested |
| If the person is taking strong pain medication or sedatives you should practice certain safety measures such as keeping the bed in the _______________ position. | Lowest |
| If the person is taking strong pain medication or sedatives you should practice certain safety measures such as ____________ the bed rails as directed. | Raising |
| If the person is taking strong pain medication or sedatives you should practice certain safety measures such as checking on the person every _____ - ________ minutes. | 10-15 |
| If the person is taking strong pain medication or sedatives you should practice certain safety measures such as providing assistance when the person needs to get _________ out of bed. | Up |
| Some medications can cause _____________ hypotension. | Orthostatic |
| Medications can cause drowsiness, dizziness, and _____________ problems. | Coordination |
| What means to be calm, at ease, and relaxed when the person has no anxiety or stress? | Rest |
| You can promote rest by meeting _____________ needs. | Physical |
| To promote rest you should take measure to control __________ and discomfort. | Pain |
| A comfortable position and good ______________ helps to promote rest. | Alignment |
| Meeting safety and _____________ needs helps to promote rest. | Security |
| Keeping the ________ _________ within reach helps a person feel secure. | Call light |
| Some people are ____________ after a 15-20 minute rest. | Refreshed |
| What is a state of unconsciousness, reduced voluntary muscle activity, and lowered metabolism? | Sleep |
| Sleep is a ____________ need. | Basic |
| When a person is asleep, _____________ healing and repair occurs. | Tissue |
| The ______________ rhythm is based on a 24-hour cycle. Also called day-night cycle or body rhythm. | Circadian |
| During stage 4: __________ sleep the person is hard to arouse. | NREM |
| Urinary incontinence in bed at night, also called ___________ may occur during NREM sleep. | Enuresis |
| Older adults aged 65 years and older need ____ - ______ hours of sleep per day. | 5-7 |
| To promote sleep some person take ____________ pills. | Sleeping |
| Sleeping pill reduce the length of __________ sleep. | REM |
| What is a chronic condition in which the person cannot sleep or stay asleep all night? | Insomnia |
| One of the three forms of insomnia is characterized by an ___________ to fall asleep. | Inability |
| One of the three forms of insomnia occurs when a person can fall asleep but cannot ________ asleep. | Stay |
| One of the three forms of insomnia involves _____________ awakening and an being unable to fall back asleep. | Early |
| What is it called when the amount and quality of sleep are decreased? | Sleep deprivation |
| What is happening when the person leaves bed and walks around without being aware of their surroundings? | Sleepwalking |
| When a person is sleepwalking you need to protect them from injury because ______________ is a risk. | Falling |
| When a person is sleepwalking you should guide them back to bed and gently ___________ them. | Awaken |
| Many people have rituals and _____________ before bed. | Routines |
| Nighttime ______________ is common in persons with Alzheimer's disease and other dementias. | Wandering |
| Nigh-time wandering in a ___________ setting is the best approach for some persons. | Safe |
| Nursing measures that promote sleep include avoiding __________ activity before bedtime. | Physical |
| Nursing measures that promote sleep include allowing for a _____________ bedtime preferably when a person is tired, not at a certain time. | Flexible |
| Nursing measures that promote sleep include letting the person take a warm _______________ if desired. | Bath |
| Nursing measures that promote sleep include avoiding ____________ beverages. | Caffinated |
| Nursing measures that promote sleep include having the person ___________ before going to bed. | Void |
| Nursing measures that promote sleep include positioning the person in good _____________ and making sure they are comfortable. | Alignment |
Created by:
na3
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