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CNA 2016 C. 24*

Comfort, Rest, and Sleep

QuestionAnswer
Acute pain is felt suddenly
The day-night cycle is Circadian rhythm
Changing a person’s center of attention is distraction
A person has no physical or emotional pain. The person is calm and at peace. This is comfort
Urinary incontinence in bed at night is enuresis
Creating and focusing on an image is guided imagery
Insomnia is a chronic condition in which the person cannot sleep or stay asleep all night
Phantom pain is felt in a body part that is no longer there
Radiating pain is felt at the site of tissue damage in nearby areas
To be free from mental or physical stress is relaxation
A state of unconsciousness, reduced voluntary muscle activity, and lowered metabolism sleep
What promotes comfort? an odor free room, clean linens, clean room
Mr. Jones is a nursing center resident. What room temperature promotes his comfort? 75 degrees
How many residents can share a room? No more than 4
Response to pain is influenced by the person's culture
is a warning from the body. pain
Anxiety tends to increase pain
Why is pain usually worse at night? there are fewer distractions and the person has more time to think
Some people ignore pain to meet personal and family duties. True
Dealing with pain is often easier when family or friends offer comfort and support
A resident has dementia. The person cannot explain when or where the pain is. How can you tell when the person has pain? behavior changes signal pain
A resident complains of pain. What will help you collect information about the person’s pain? ask the person to describe the pain
A resident complains of pain. Ask if the pain is mild, moderate, or severe. True
Use the person’s ___________ to report a resident’s complaint of pain to the nurse. exact words
A resident complains of severe pain. She is sweating and complains of nausea. The sweating and nausea are other signs and symptoms of pain
A resident has dementia. The person is restless and is grunting and groaning. You know that the behaviors are signs and symptoms of pain
Some persons do not feel pain. These persons are at risk for undetected disease or injury
A resident complains of severe pain. Position the person in good alignment.
The nurse assesses that a resident has pain. Give a back massage. True
The nurse gave a resident a pain medication. What are the safety measures? use bed rails according to the care plan
A resident has pain. The person is taught how to breathe deeply and slowly and how to contract and relax muscle groups. What is this called? relaxation
The nurse assesses that a resident has pain. The nurse asks you to sit and talk to the person and play some music. These measures are intended to distract the person
A resident was given pain medication. When the person gets out of bed, you must be alert for signs and symptoms of orthostatic hypotension.
The nurse wants a resident to rest. What will promote rest? Meeting the person's physical needs
Keeping the person’s call light within reach will promote rest. True
A resident likes to take a nap in the early afternoon. The person should be allowed to rest at that time. True
Sleep is needed for what? tissue healing and repair
The person is hard to arouse during REM sleep
A resident is 84 years old. How many hours of sleep does the person need? 5-7
What measures will promote sleep? Assist with a shower before bedtime.
The nurse gives a resident a sleeping pill at bedtime. You know that sleeping pills can interfere with REM sleep
A resident has red, puffy eyes in the morning. During the day, the person is sleepy, has problems finding the right words, and is restless. These are signs and symptoms of insomnia
Insomnia includes waking early and being unable to fall back asleep
The nurse assesses that a resident is suffering from sleep deprivation. The amount and quality of sleep are are decreased
Indications of sleep deprivation Fatigue, mood swings, agitation, restlessness, disorientation
You find a person sleepwalking. You should Protect the person from injury
A resident has difficulty sleeping. The person is up and walking around. What should you do? let the person wander in safe supervised area
Created by: heatherhibbs