Unit 10: Comfort, Rest, Pain, and Sleep

T or F: it is unlikely that noise will have an impact on a patient’s condition
T or F: increased anxiety or stress may signal lack of sleep
Golden Rule for Pain Relief
whatever is painful for an adult is painful for a child unless proven otherwise
acute pain
occurs suddenly and without warning
usually a result of tissue damage
persistent (chronic) pain
lasts longer than six months
intermittent or constant
phantom pain
occurs as a result of amputation
real, not imaginary (nerves are actually signaling pain)
pain felt in part of body that is no longer there
radiating pain
moves from site of origin to other areas
T or F: a normally noisy patient may become more quiet as a result of pain
pain-relieving medication
What is the most accurate and reliable indicator of pain?
a. test results from lab or machines
b. physical exam by doctor
c. patient self-report
d. observations of patient’s behavior
T or F: if you suspect a patient is lying about his pain or its intensity it is okay to not let the nurse know that the patient is reporting pain
T or F: you should not include the patient’s description of the severity of a pain because it is subjective and usually unreliable
T or F: if you have administered pain-relieving medication and the patient later is seen talking and smiling it is safe to assume that the patient’s pain is gone or has greatly lessened
T or F: if a patient reports new or worsening pain, it should immediately be reported to the nurse
T or F: a doctor sometimes orders several analgesics for a patient and it is up to the nurse to decide which one to use based on latest observations of the patient
Which of the following are ways nurse assistant can provide comfort care:
a. providing emotional support
b. administer Tylenol or Advil to relieve pain
c. helping patient maintain good hygiene
d. providing privacy
e. minimizing noises in patient room
f. making lights brighter
a, c, d, e
(b only if you are also a CRMA)
How many hours of sleep do infants require?
a. 8-10
b. 10-12
c. 12-16
c. 14-20
How many hours of sleep do newborns need?
a. 8-12
b. 10-14
c. 12-15
d. 16-20
(3-4 hour intervals for a total of 16-20)
How many hours of sleep to school-age children require?
a. 7-9
b. 8-10
c. 9-11
d. 11-12
How many hours of sleep do young adults require?
a. 7-8
b. 8-9
c. 9-10
d. 10-11
How many hours of sleep do elderly adults require?
a. 5-7
b. 7-9
c. 9-11
d. more than 11
nonrapid eyemovement (NERM) sleep
4 phases progressing from light to deep sleep
During what phase(s) of sleep is a person most easily aroused?
a. NREM 1
b. NREM 2
c. NREM 3
4. NREM4
5. REM
a and b
rapid eye movement (REM) sleep
restores mental function
when dreams occur
occurs within 60-90 minutes of falling asleep
eyes move rapidly back and forth behind eyelids
T or F: after REM stage, the cycle recommences at NREM1
cycle goes from REM to NREM2
NREM1 only occurs when patient initially falls asleep
T or F: patients may often have a higher fever during the night than the day
How long does REM stage usually last?
a. 20 minutes
b. 30 minutes
c. 1 hour
d. 1.5 hours
Approximately how long does one round of the sleep cycle last?
a. 30 minutes
b. 1 hour
c. 2 hours
d. 4 hours
e. 8 hours
T or F: a person may feel as if they have just been daydreaming upon arousal from NREM 1
T or F: blood pressure, pulse, and respirations vary (not constant) during REM sleep
During which stage of sleep would sleepwalking and/or enuresis occur?
a. REM
b. NREM 1
c. NREM2
d. NREM 3
e. NREM4
f. any time
T or F: REM is the deepest stage of the sleep cycle
T or F: older adults do not get as much REM sleep and take longer to complete NREM stages of sleep cycle than younger people
T or F: REM stage sleep lasts longer in younger adults than older adults
T or F: increasing trouble falling and staying asleep is part of normal aging process
T or F: forgetfulness may be a sign of sleep deprivation
T or F: yellowing skin or eyes may be a sign of sleep deprivation
this is probably jaundice, a sign of liver damage (but may be normal in some infants until liver is fully mature)
chronic deprivation of quality or quantity of sleep
sleep is interrupted or ends prematurely
excessive sleeping and napping
cause may be physical or psychological
person has sudden, uncontrollable unpredictable urges to fall asleep during day despite adequate nighttime sleep
sleep apnea
air flow stops for 10+ seconds during sleep
potentially dangerous
sleep deprivation
prolonged sleep loss
inadequate quality or quantity of NREM and/or REM sleep
grinding of teeth
may occur during sleep ccycle
T or F: the GI tract secretes less acid when patient first falls asleep
it actually secretes MORE, which may worsen ulcers, acid reflux, ect
T or F: a cool blanket should be given to anxious or tired patients rather than a warm one in the interest of comfort