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CH 12
Promoting Client Well-Being, Comfort, and Sleep
| Question | Answer |
|---|---|
| acute pain | sudden pain due to injury, disease, trauma, surgery. gen lasts less than 6 months |
| chronic pain is also referred to as_____________ | persistent pain |
| nocturia | need to urinate during the night |
| persistent pain is pain that lasts longer than ____ months; it may be _________ or _____________ off and on | 6, constant, occur |
| radiating pain is pain that is felt in a part of the body separate from source of pain t/f | f; that describes referred pain |
| radiating pain | pain that is felt not just at t he site of tissue damage but extends to nearby areas |
| Erikson's stage _____________ vs __________________ happens at 0-1 year | trust vs distrust |
| Erikson's stage _________________ vs ______________ happens at 1-3 years | autonomy vs doubt |
| Erikson's stage _________________ vs_______________ happens at 3-6 years | initiative vs guilt |
| Erikson's stage competent vs inferiority happens between what ages? | 6-12 |
| Erikson's stage identity vs role confusion happens at what age? | 12-20 |
| Erikson's stage identity that happens between 20-40 involves what two opposing factors? | intimacy vs isolation |
| Erikson's stage identity that happens between ____-_______ involves generativity vs stagnation | 40-65 |
| Erikson's stage _______________ vs____________ happens after 65 years | integrity vs despair |
| Maslow's highest priority need is what? | physical needs |
| the highest need you can achieve in Maslow's hierarchy is? | self actualization |
| safety,_______________ and ______________ then self esteem are placed between physical and self actualization on Maslow's hierarchy | love and belonging |
| according to Maslow basic needs must be met to ___________________ and _______________ | survive and function |
| age, illness, activity, temp, ventilation, odours, quiet and darkness are factors that effect comfort t/f | f; age, illness, INACTIVITY, ventilation, odours, NOISE and LIGHT |
| most people feel comfortable between 18- 26 'C t/f | f; 20-23'C |
| knowing what to expect can help or hinder a clients ability's to handle pain t/f | t |
| lessening anxiety can ______________ pain | reduce |
| an anxious client feels troubled or threatened t/f | t |
| ill or injured clients need less sleep so they can devote more time to ROM t/f | f; they need more rest and sleeo |
| lack of sleep effects a clients ability to cope with comfort t/f | f; reduces their ability to cope with PAIN |
| pain is better at night because the client isn't distracted and bothered t/f | f; less distractions can lead to client paying more attention so pain seems worse |
| pain is a universal concept t/f | f; pain means different things to different people |
| pain is easier to deal with when ____________ and _______________ offer comfort and support | friends and family |
| dealing with pain alone can increase fear, anxiety and suffering t/f | t |
| culture has very little impact on pain t/f | f; varies widely from culture to culture how people are taught to manage pain |
| some older adults may think that new pain is related to ____________________________even though it may not be | existing health problems |
| without pain relief, older adults who experience pain may have a decrease in appetite, mentation or mobility t/f | t |
| sometimes the only sign an older client is in pain is change in behavior t/f | t |
| when reporting about clients pain, report the location, onset/duration, intensity, description, factors causing pain and vital signs t/f | t |
| when reporting a clients description of pain, it is ok to summarize in your own words because it saves time t/f | f; always use exact words of client |
| body response to pain may inc an increase in P,R BP, nausea, pale skin, diaphoresis, and vomiting t/f | t |
| some behaviors that may be a S&S of pain inc crying, gasping, speech changes, grimacing, groaning, grunting, splinting, irritability, refusing to move t/f | t |
| moaning, quietness, restlessness, rubbing, screaming and rocking are behaviors that may indicate client is in pain t/f | t |
| children are very good communicators about their pain t/f | f; kids may not understand they are in pain, or have the words to let caregivers know |
| distraction | changing clients focus |
| relaxation | absence of mental or physical stress |
| guided imagery | creating image in mind and focusing on it |
| what 45 mins after administering pain meds before giving care t/f | f; 30 |
| if client was given pain meds or sedatives keep the bed in lowest position, bed rails as/CP, check every 10-15 mins, provide assistance when ambulating, cold/ hot application as/n, calm/quiet/dark area provided t/f | t |
| rested | calm, at ease, relaxed, free from stress and anxiety |
| clients with OCPD may find it easier sleeping in a __________ because it is easier to __________________ | chair, breath |
| thirst, hunger, elimination needs, pain, discomfort, anxiety, and fear can affect rest t/f | t |
| when providing care for rest needs that are not physical like love and belonging have no affect on rest t/f | f; they do affect sleep |
| clients should not be allowed to rest as needed because your scheduling and time management matter more. t/f | f; never rush a client, allow rest periods as needed |
| people in late adult hood (65+) require 5-7 hrs of sleep t/f | t |
| sleep requirements increase with age t/f | f; decrease. new borns need14-18, 65+ need5-7 |
| people 40-65 need 7 hrs of sleep a night t/f | t |
| sleep is a _______________ physical need | basic |
| sleep allows mind and body to rest, saves body energy, allows body functions to speed up t/f | f; body functions slow down |
| during sleep vital signs fall and tissue heals and repairs itself t/f | t |
| normal adults pass through 3-5 cycles of NREM and REM t/f | f; 4-6 |
| quality of sleep refers to how poorly a person sleeps t/f | f; refers to how well a person sleeps |
| illness causing discomfort, pain, ___________ and coughing can effect sleep | nausea |
| nutrition effects sleep because protein found in milk, cheese and beef can promote sleep as well as caffeine increases sleep t/f | f; caffeine decreases sleep because its a stimulant |
| allow at least 20 mins between exercise and bedtime t/f | f; 2 hrs |
| exercise is considered a stimulant t/f | t |
| noise, light, unfamiliar settings are environmental factors that effect sleep t/f | t |
| medications have no effect on sleep t/f | f; can cause drowsiness and may interfere with sleep |
| alcohol is a great way to relax and 1 oz is recommended before bed to promote sleep t/f | f; alcohol disrupts normal sleeping patterns |
| change and stress ____________ sleep | affect |
| people with emotional distress may have __________ falling asleep or _______________asleep | difficulty, staying |
| when determining intensity of pain, you are determining if the pain is _______________, __________________ or severe | mild, moderate |
| tools that are used to rate pain include pain scales, colour visual analogue scale and __________________ | oucher pain scale |
| when in pain vitals such as BP,P,R,T are likely to decrease t/f | f; they are likely to increase unless shock sets in |
| responses to pain may include inability to maintain a position, refusing to move, being quiet / restless, rubbing, irritability and changes in speech t/f | t |
| allowing flexible bedtimes may promote sleep t/f | t |
| eating a heavy bedtime snack may promote sleep t/f | f; a light meal |
| it is common to wait ___ mins after a pain relief drug is given to perform procedures or give care. | 30 |
| ____________ and __________ us the care planning process to promote comfort and relieve pain | nurses, case managers |
| meds ordered by a dr provide pain relief but sometimes cause drowsiness, ___________ and lack of coordination | dizziness |
| ___________, older adults and people with _____________ generally need a higher room temp for comfort | infants, illnesses |
| ill clients are sensitive to ________________ | noise |
| glares, shadows and dull lighting can cause falls, ___________, and eye strain | headaches |
Created by:
Wil.Wilson
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