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Chapter 19 Pain Management, Rest, and Restorative Sleep
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Chapter 19 Pain Management, Rest, and Restorative Sleep
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Chapter 19: Pain Management, Rest, and Restorative SleepMultiple Choice
Identify the choice that best completes the statement or answers the question.
1. A client recovering from an amputation asks why the foot that was removed is still causing pain. Which type
of pain should the nurse explain that the client is experiencing?
1. Cutaneous
2. Deep somatic
3. Neuropathic
4. Soft-tissue
2. The nurse explains to a client with chronic pain that exercise may relieve some pain. What should the nurse
explain about the role of exercise on the gate control theory of pain?
1. Stimulates the narrow nerve fibers to shut the gate
2. Stimulates the narrow nerve fibers to open the gate
3. Stimulates the broad nerve fibers to shut the gate
4. Stimulates the broad nerve fibers to open the gate
3. A client with terminal cancer asks how massage can decrease pain. Which should the nurse explain about
massage in pain control?
1. Blocks endorphins that, when released, inhibit pain receptors
2. Stimulates the release of endorphins, which are thought to block the transmission of pain
3. Assists endorphins in opening the gate and attaching to opiate receptors
4. Stimulates opiate or pain receptors to release endorphins, and thereby essentially changes
how the brain identifies pain.
4. A client reports having difficulty sleeping. What should the nurse teach this client about restorative sleep?
1. The sleep cycle is enhanced by medications for sleep.
2. The sleep cycle should be approximately 80% rapid eye movement (REM).
3. Non–rapid eye movement (NREM) sleep is the most restful cycle.
4. REM sleep consists of four stages.
5. A mother asks how much sleep a 4-year-old child needs. Which response should the nurse make?
1. “A 4-year-old should sleep 16 hours a day, including naps.”
2. “A 4-year-old should sleep no more than 10 hours a day.”
3. “A 4-year-old should sleep an average of 13 to 14 hours a day.”
4. “A 4-year-old should sleep approximately 12 hours a day.”
6. A critically ill client may have difficulty in getting the restorative sleep necessary for healing. Which
action should the nurse take to help this client?
1. Dim the lights and close the door
2. Encourage the client to get some exercise
3. Refrain from waking the client for nursing care
4. Silence alarms on equipment to enhance rest
7. A client reports waking up frequently during the night and not getting restful sleep. Which response should
the nurse make?
1. “Perhaps you should try going to bed earlier.”
2. “You could try watching TV. That helps me fall asleep.”
, 3. “Drinking alcohol can cause you to wake up during the night.”
4. “Exercising at night before you go to bed can enhance sleep.”
8. A client reports that chronic pain is usually tolerable until under stress and then the pain becomes unbearable.
Which should the nurse respond to this client?
1. “Stress causes endorphins to be released, increasing the pain.”
2. “Stress causes the gateway to pain to close, increasing the pain.”
3. “Stress causes the thalamus to open the gateway to pain, increasing the pain.”
4. “Stress causes the thalamus to close the gateway to pain, increasing the pain.”
9. A client asks why the shoulder is hurting when the problem is in the abdomen. Which type of pain should the
nurse explain this client is experiencing?
1. Referred
2. Radiating
3. Intractable
4. Intermittent
10. A client reports feeling pain “only when I move.” Which type of pain is this client experiencing?
1. Visceral
2. Cutaneous
3. Neuropathic
4. Deep somatic
11. A client experiencing pain rated as a 7 on a scale from 1 to 10 continues to have pain despite having
medication 2 hours ago. Which response should the nurse make when the client requests additional
medication?
1. “I can’t give you any more medication for 2 hours.”
2. “Sometimes thinking about the pain makes it feel worse.”
3. “Let me reposition you and rub your back to help relieve the pain”
4. “I will shut the door and turn out the light to help the medication work faster.”
12. During a home visit, the nurse notes that a client experiencing chronic pain manages the pain better when
sitting quietly holding a small kitten. Which type of distraction is this client using for pain control?
1. Visual
2. Tactile
3. Auditory
4. Intellectual
13. The mother of a preschool-age child reports having difficulty getting the child to go to sleep at night. Which
suggestion should the nurse provide this mother?
1. Read a bedtime story to the child.
2. Encourage the child to play a game.
3. Turn on the television in the child’s room.
4. Permit the child to stay awake until feeling sleepy.
14. A client reports having a sore jaw and tooth pain in the mornings. Which sleep disorder should the nurse
suspect this client is experiencing?
1. Bruxism
2. Narcolepsy
3. Sleep apnea
4. Restless legs syndrome
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