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CNA 2016 C. 24*
Comfort, Rest, and Sleep
| Question | Answer |
|---|---|
| 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 |