Chapter 33 Flashcards

Comfort and Rest Needs

1
Q

What increases the need for rest & sleep?

A

pain, illness, and injury

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2
Q

______ is a major factor affecting comfort

A

Pain

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3
Q

Age, illness, and activity affect _______

A

comfort

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4
Q

Pain is _______, that is, pain _______ for each person

A
  • personal
  • differs
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4
Q

Pain is ________

A

Subjective

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5
Q

Factors affecting pain is the _______ from ______. Dealing with pain is often easier when ________ and _______ offer comfort & support

A
  • Support
  • Others
  • Family
  • Friends
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6
Q

What _____ to one person may ______ or be ______ to another person

A
  • hurts
  • ache
  • sore
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7
Q

______ and ______ needs increase with illness and injury

A
  • Rest & sleep needs
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8
Q

_________ is a factor affecting pain. Pain seems much worse when it is the person’s main focus

A

attention

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9
Q

Pain can cause ______ because it relates to feelings of fear, dread, worry, and concern

A

anxiety

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10
Q

_______ and _______experiences and those of others help in learning about pain and what to expect

A
  • Past
  • current
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11
Q
  • Past and current experiences
  • Anxiety
  • Rest and sleep needs
  • Attention
  • Support from others

are factors that affect pain, what are 5 other factors affecting pain?

A
  • Personal and family duties
  • The meaning of pain
  • Culture
  • Illness
  • Age
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12
Q
  • Personal and family duties
  • The meaning of pain
  • Culture
  • Illness
  • Age
    are factors that affect pain, what are 5 other factors affecting pain?
A
  • Past and current experiences
  • Anxiety
  • Rest and sleep needs
  • Attention
  • Support from others
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13
Q

In some cultures, the person in pain is ______

A

stoic

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14
Q

______ pain lasts a short time and lessens with healing

A

Acute

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14
Q

_______ pain may mask new pain

A

Chronic

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15
Q

______ pain is sharp or severe. It is felt suddenly from injury, disease, trauma, or surgery

A

Acute

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16
Q

T/F: With chronic pain, there is tissue damage

A

FALSE: Acute pain has tissue damage

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17
Q

_______ pain continues for a long time

A

Chronic

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18
Q

T/F: Chronic pain signals new injury or a life-threatening event

A

FALSE: It is Acute pain that signals new injury or a life-threatening event

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19
Q

_____ pain is often a symptom of an ongoing health problem

A

Chronic

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20
Q

With ______ pain, there is no longer tissue damage, but pain remains

A

Chronic

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21
Q

What is an example of chronic pain?

A

arthritis

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22
Q

________ pain is felt at the site of tissue damage and spreads to other areas

A

Radiating

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23
Low back pain radiated to the buttocks and legs. What kind of pain is this?
Radiating pain
24
What is phantom pain?
A pain that comes from a body part that is no longer there.
25
When reporting signs and symptoms of pain, what information does the nurse need? (8)
1. Location 2. Onset & duration 3. Intensity 4. Description 5. Factors causing pain 6. Factors affecting pain 7. Vital signs 8. Other signs & symptoms
26
What does precipitating factors mean?
Cause
27
How can a patient explain the intensity of their pain?
By using a rate from 0 to 10, the Wong-Baker Faces Pain Rating Scale
28
Distraction, relaxation, and guided imagery are all part of?
Comfort Measures
29
What 3 things are related to comfort measures?
Distraction, relaxation, guided imagery
30
Wait __ minutes after pain-relief drugs are given to give care or start activities
30 minutes
30
Clenching of the jaw, crying, and frowning are all signs of?
Pain
31
If a patient has taken strong pain-relief drugs or sedatives, how often should you check on the person?
10 to 15 minutes
32
When is it a good time for back massages?
After re-positioning, after baths or showers, and with evening care
33
Back massages last __ to __ minutes
3 to 5
34
What should you look for on the skin before giving a back massage?
Look for breaks in skin, bruises, reddened areas, and other signs of skin breakdown
35
Lotion reduces ____ during the massage and ____ the skin
* friction * softens
36
What should you do before giving a back massage?
Check the care plan and with the nurse.
37
Back massages can harm persons with certain ______ diseases, ______ ______ and surgeries, ____ diseases, and ______ disorders
* Heart * Back injuries * Skin * Lung
38
What are the best positions for a massage?
Prone or side-lying
39
What are ways you can warm lotion before applying?
* Rub some lotion between your hands * Place the bottle in the bath water * Hold the bottle under warm water
40
After the massage, apply lotion to the ______, ______, and _____. Those bony areas are at risk for skin __________
* elbows * knees * heels * breakdown
41
Lay the towel on the bed along the back if the person is in ______ position
side-lying
42
When massaging a patient, use _____ movements to stimulate, use _____ movements to relaxt the person
* fast * slow
43
To end a massage, stroke with _____, ______ movements
* stroke * firm
44
* Sharp * Cramping * Burning * Constant * Intermittent Are characteristics of pain, what are 5 other characteristics of pain?
* Aching * Throbbing * Stabbing * Piercing * Dull
45
* Aching * Throbbing * Stabbing * Piercing * Dull Are characteristics of pain, what are 5 other characteristics of pain?
* Sharp * Cramping * Burning * Constant * Intermittent
46
During sleep, ______ signs are lower than when awake.
vital
47
Tissue healing & repair occur when _______
asleep
48
What factors affect sleep? (8)
* Illness * Nutrition * Exercise * Sleep setting * Drugs & other substances * Life-style changes * Age * Emotional Problems
49
T/F: Life-style changes do not affect sleep
FALSE
50
The protein ______ tends to help sleep
tryptophan
51
______ and ______ problems may result from sleep disorders
Physical & behavioral
52
Physical & behavioral problems may result from?
Sleep disorders
53
_______ is a chronic condition in which the person cannot sleep or stay asleep all night
Insomnia
54
_______ _______ is when the amount and quality of sleep are not adequate, causing reduced function and alertness
Sleep deprivation
55
_____ _____ is when pauses in breathing occur during sleep
Sleep apnea
56
Older adults need about __ to __ hours of sleep each night
7 to 9
57
Which statement about pain is true? a. Pain is a warning sign from the body b. Age and culture do not affect pain responses c. Pain experiences are the same for each person d. Pain can be measured with equipment
a. Pain is a warning sign from the body
58
A person is restless and complains of pain. You should a. Rate the intensity based on the person's behavior b. Give a pain-relief drug and tell the nurse c. Tell the nurse only if you think the person has pain d. Report the person's exact words
d. Report the person's exact words
59
Moaning, crying, and calling out are all examples of ______ signs of pain
nonverbal
60
T/F: Rubbing the area, guarding, redness or swelling are all signs of verbal pain
FALSE: nonverbal pain!
61
Slow, rapid, loud or quiet speech is an example of _____ pain
nonverbal
62
Meet ____, ______, ______ needs before times of rest
* food * fluid * elimination
63
Calm, at ease, relaxed, no stress or anxiety, and planning patient care for uninterrupted sleep time are all related to?
REST
64
Sleep lowers ______, ______, and _______
* stress * tension * anxiety
65
A person thinks and functions better after ______
sleep
66
T/F: Night-time wandering in a safe and supervied setting is allowed for some persons
TRUE