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Chapter 24

Comfort, Rest, and Sleep

QuestionAnswer
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