306-test 3

Start Studying!

Terms

undefined, object

copy deck

It is determined that the client will need pharmacologic treatment to assist with his sleep patterns. the nutse anticipates that treatment with an antianxiety-reducing, relaxation-promoting medication will include the use of: a. barbituates b. amphetam: benzodiazepines
What body functions do circadian rhythms affect?: body temperature, heart rate, blood pressure, hormone secretion, sensory acuity, and mood.
How does the RAS work?: it recieves visual, auditory, pain, and tactile sensory stimuli. works to maintain alertness and wakefullness
How does the BSR work?: releases serotonin and sends impulses that stimulate people to fall asleep.
What's the sleep pattern, through NREM sleep and REM sleep?: NREM 1 - NREM 2 - NREM 3 - NREM 4 - NREM 3 - NREM 2 - REM - NREM 2...
In which stage of sleep does dreaming occur?: REM sleep
What is the deepest stage of sleep?: NREM 4
In which stage can sleepwalking occur?: NREM 4
In which stage is it hard to rouse the sleeper?: REM sleep
What is hypersomnulence?: excessive sleepiness during the day
What are intrinsic dyssomnias?: disorders with achieving or maintaining sleep, insomnia, narcolepsy, obstructive sleep apnea.
What are extrinsic dyssomnias?: develop from external factors, which when removed sleep returns to normal.
What are circadian rhythm dyssomnias?: arise from misalignment of normal timing of sleep and what is desired by the individual or what is a societal norm.
What are parsomnias?: undesired behaviors that occur during sleep.
What is the number one complained sleep disorder?: insomnia
When assessing a client with obstructive sleep apnea, the nurse understand the most common symptom is? a. headache b. early wakening c. impaired reasoning d. excessive daytime sleepiness: excessive daytime sleepiness
one priority nursing intervention to promote sleep for a hospitalized individual is to? a. turn television on low to late-night programming b. avoid awakening client for nonessential activities. c. give prescribed sleeping medications at dinner. d. ha: avoid waking client for nonessential tasks
The use of nonprescription sleeping medications is not advisable because these medications can: a. lead to further sleep disruption even when they initially seem to be effective b. be expensive and difficult to obtain c. cause severed depression and an: lead to further sleep disruption
If a client is using herbal compounds such as valerian for sleep, the nurse should caution the client that these compounds may: a. interfere with prescribed medications b. cause diarrhea and anxiety c. not be used indefinately d. produce severe insomn: interfere with prescribed medications
a client taking a beta andrenergic blocker for hypertension can experience interference with sleep patterns such as: a. nocturia b. increased daytime sleepiness c. increased waking from sleep d. increased difficulty falling asleep: increased daytime sleepiness
the care plan for improving sleep in an older person may include: a. a nap during the day to make up for lost sleep b. exercise in the evening to increase fatigue c. allowing the client to sleep as late as possible d. decreasing fluieds 2-4 hours befo: decreasing fluids
currently the american academy of pediatrics reccomends that healthy infants be place in a sidelying position during sleep to decrease the incidence of: a. falls. b. vomiting c. cradle cap d. SIDS: SIDS
narcolepsy can be best explained as: a. a sudden muscle weakness during exercies b. stopping breathing for short intervals during sleep c. frequent waking during night. d. overwhelming wave of sleepiness and falling asleep: overwhelming sleepiness and falling asleep
a nurse measure to promote sleep in school age children is to: a. make sure room is dark and quiet b. encourage evening exercise c. encourage television viewing d. encourage quiet activities prior to bedtime: encourage quiet activities
True or false. there are no national standards for physicians and nurses to follow to provide appropriate pain management.: false
true or false. observable physical changs and vital signs are a reliable indicator of pain severity.: false
true or false. a person talking or laughing with friends is not in pain.: false
true or false. patients may sleep in spite of severe pain.: true
true or false. pain wont kill you.: false
the most likely reason why a pateint with pain would request increased dose of pain medication is: a. the patient is experiencing pain. b. " anxiety or depression c. " physically dependent to med. d. " becoming addicted.: the pt is experiencing pain
true or false. if a patient's pain is relieved by the administration of a placebo, the pain is not real.: false
true or false. analgesics for acute and chronic pain are more effective prn than atc.: false
true or false. children under age two have little sensitivity to pain and limited memory of pain.: false
true or false. elderly patients cannot tolerate strong medications such as opioids for pain.: false
true or false. beyond a certain dose, increases in opioids will not improve pain relief.: false
true or false. non drug interventions do not help relieve severe pain.: false
What is acute pain?: short duration. well-defined cause. subsides with healing. symptoms may include increased BP, P, R, sweating, restlessness, moaning, guarding.
What is chronic pain?: cancer pain. nonmalignant pain. lasts more than several months. pain tolerance-no physical symptoms. depression and fatigue.
What is nociceptive pain?: somatic pain-bone, joint, muscle, skin, or CT. visceral pain-visceral organs such as GI track and pancreas.
What does WILD SCARF stand for?: When occur. Intensity. Location. Duration. affect on Sleep. ability to Concentrate. Appetite or Activity level affected. affect Felationships. influencne Fatigue or Functioning.
What are the pain categories according to WHO?: mild pain 1-3. moderate pain 4-6. moderate to severe pain 7-10.
What is addiction?: psychological dependence, compulsive drug use for effects other than pain relief.
What is tolerance?: larger dose of opioid required to maintain the original effect.
What is physical dependence?: abrupt discontinuation of opioid produces a withdrawal syndrome.
Which organization declared pain relief a basic legal right?: American Bar Association
Pain is viewed as: a. a seperate disease b. a symptom of illness c. a symptom of a condition d. objective finding: a seperate disease
this type of pain lasts longer than anticipated, may not have an identifiable cause, and leads to great personal suffering: a. cancer pain. b. chronic pain. c. acute pain. d. idiopathic pain.: chronic pain
one of the reasons many nurses avoid acknowledging a patient's pain is: a. inadequate pain management skills b. insufficient time to respond to patient. c. fear that the intervention will cause addiction. d. inability to manage their client lo: fear of addiction
What is aphasia?: deficit in production and understanding language.
What is expressive aphasia?: can't name objects
What is hyperesthesia?: extreme sensitivity
What is stereognosis?: recognize objects through touch and not sight.
The client has experience a CVA with resultant expressive aphasia. the nurse promotes communication through: a. speaking very loudly and slowly b. speaking to the client on the unaffected side. c. using picture charts for the client's responses.: using picture charts
What is presbyopia?: the lens hardens, near vision decreases.
What is the number one cause of blindness?: diabetic retinopathy.
This sense enables a person to be aware of the position and movement of thei body parts without seeing them.: kinesthetic
this sense allows a person to recognize an object's size, shape, and texture.: kinesthetic
a client who is in constant pain and undergoes frequent monitoring of vital signs is at risk for experiencing sensory....: overload
proprioceptive changes after age 60 include: a. hearing and vision impairment. b. difficulty with balance, spacial orientation, coordination. c. hearing impairment and difficulty with balance and coordination. d. vision impairment and difficulty w: difficulty with balance, spatial orientation, and coordination.
for a hearing impaired client to hear a spoken conversation the nurse should.... a. approach quietly from behind. b. face t he client when speaking and speak louder htna normal. c. select a public area to have the conversation. d. face the cl: face client, speak slow, normal volume.
when obtaining a history of the client's hearing loss, the nurse should ask: a. how long have you been deaf? b. do you have any vision problems? c. why don't you pay attention to me when i speak? d. how does your hearing loss compare to a: how does your hearing loss compare to a year ago?
sensory deficits happen when a problem with sensory reception or perception occurs. as a result clients may: a. withdraw socially to cope with the loss. b. rely solely on one sense. c. respond normally to stimuli. d. function safely within t: withdraw socially to cope.
The nurse has completed an assessment of the client and identified the following nursing diagnoses. Which one of the following nursing diagnoses indicates a need to postpone teaching that was planned? a. Knowledge deficit regarding impending surgery: activity intolerance related to pain.
The nurse selects a variety of teaching methods to use with clients. For a toddler, the nurse should use: a. Role playing b. Problem solving c. Independent learning d. Simple explanations and pictures: simple explanations and pictures
The nurse has important information to share with a parent who has brought his child to the emergency department. The nurse discovers that the parent, who appears very anxious, has just learned his son will require surgery. The most effective teaching app: telling
The nurse is demonstrating to the client how to put on anti-embolytic stockings. In the middle of the lesson, the client asks, Why have my feet been swelling? The nurse stops and responds to the client. Which of the following is the teaching principle t: timing
A nurse-initiated or independent activity for promotion of respiratory function in a terminally ill client is to: a. Limit fluids b. Position the client upright c. Reduce narcotic analgesic use d. Administer bronchodilators: position client upright
The nurse is assigned to a client who was recently diagnosed with a terminal illness. During morning care, the client asks about organ donation. The nurse should: a. Have the client first discuss the subject with the family b. Suggest the client delay m: assist client to obtain information
A client has been diagnosed with terminal cancer of the liver and is receiving chemotherapy on a medical unit. In an in-depth conversation with the nurse, the client states, “I wonder why this happened to me?” According to Kübler-Ross, the nurse identifie: denial
Hospice nursing care has a different focus for client. The nurse is aware that client care provided through a hospice is: a. Designed to meet the clients individual wishes, as much as possible b. Usually aimed at offering curative treatment for the cli: designed to meet the client's needs as much as possible
The nurse is using Bowlbys phases of mourning as a framework for assessing the clients response to the traumatic loss of her leg. During the yearning and searching phase, the nurse anticipates that the client may respond by: a. Crying off and on: crying on and off
With advancing age, which of the following normal physiological changes in sensory function occurs? a. Decreased sensitivity to glare b. Increased number of taste buds c. Difficulty discriminating vowel sounds d. Decreased sensitiv: decreased sensitivity to pain.
What is bereavement?: the combination of grief and mourning.
What are Kubler-Ross's stages of death and dying?: denial, anger, bargaining, depression, acceptance.
What are Bowlby's phases of mourning?: numbing, yearning and searching, disorganization and despair, reorganization.
What are the four tasks of mourning in Worden's theory of grief?: task 1 - accept reality of loss. task 2 - work through pain of grief. task 3 - adjust to environment where deceased is missing. task 4 - emotionally relocate the deceased, move on with life.
What are some normal thoughts of grief?: disbelief, confusion, preoccupation with deceased, sense of presence of deceased, hallucinations, hopelessness.

Start Studying!

Deck Info

Number of cards 77

Created By lizzysue