Chapter 19: Pain Management
Fundamental Nursing Skills and Concepts 12th Edition, Timby
MULTIPLE CHOICE
1. The nurse recommends that normal sleep patterns can best be acquired by suggesting to
the patient that they:
a. smoke cigarettes.
b. drink wine.
c. take a nap during the day.
d. exercise in the mornings.
ANS: D
Maintaining a regular exercise schedule not too close to bedtime helps a person sleep.
DIF: Cognitive Level: Comprehension REF: k 604 OBJ: Theory #8
TOP: Sleep KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: basic care and comfort
2. A sleeping patient has periodic pauses in breathing, then starts to breathe again. The nurse
recognizes this sleep pattern is consistent with:
a. insomnia.
b. sleep apnea.
c. narcolepsy.
d. excessive NREM sleep.
ANS: B
Sleep apnea is a condition in which the person stops breathing for brief periods during
sleep.
DIF: Cognitive Level: Analysis REF: k 606 OBJ: Theory #8
TOP: Sleep KEY: Nursing Process Step: Assessment
MSC: NCLEX: Physiological Integrity: basic care and comfort
3. The suggestion by the nurse which is most helpful to a patient who complains of
chronically not feeling rested after sleep would be:
a. avoid going to bed hungry or overly full.
b. try to exercise just before going to bed.
c. sleep late the next morning if possible if you are tired on awakening.
d. take a nap during the day to help relieve overall fatigue.
ANS: A
Going to bed hungry or with a full stomach can interfere with sleep.
DIF: Cognitive Level: Application REF: k 606 OBJ: Clinical Practice #8
TOP: Sleep Disturbances KEY: Nursing Process Step:
Implementation MSC: NCLEX: Physiological Integrity: basic care and
comfort
4. The most helpful intervention by the nurse for a hospitalized child who is having
difficulty falling asleep would be:
a. keeping a night light on in the room.
, b. turning off all of the lights in the room.
c. having the parents bring a favorite blanket or pillow from home.
d. giving of juice and cookies before being put to bed.
ANS: C
Many patients sleep better when they can have a favorite blanket or pillow from
home.
DIF: Cognitive Level: Application REF: k 607 OBJ: Clinical Practice #8
TOP: Sleep KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: basic care and comfort
5. A patient who has difficulty falling asleep at night because of anxiety over family
problems asks if he should start taking sedative pills from the pharmacy to sleep better.
The best advice to give this patient is that these pills can be used for:
a. long periods of time, but it is best to check with the physician first.
b. short periods of time, but it is best to check with the physician first.
c. long periods of time without physician approval, because they are non-
prescription drugs.
d. short periods of time without physician approval, because they are non-
prescription drugs.
ANS: B
Sedative and hypnotic medications can be used to promote sleep, but they should be
used for short-term relief and only after a physician has been consulted.
DIF: Cognitive Level: Comprehension REF: k 607 OBJ: Clinical
Practice #8 TOP: Sleep KEY: Nursing Process Step: N/A
MSC: NCLEX: Physiological Integrity: pharmacological therapies
6. A natural supplement that can enhance sleep for many people is:
a. melatonin.
b. calcium.
c. magnesium.
d. oil of lavender.
ANS: A
Melatonin, a natural supplement can enhance sleep hours for many people. Calcium
and magnesium are used to relieve leg cramps.
DIF: Cognitive Level: Knowledge REF: k 607, Sleep aids OBJ:
Clinical Practice #8 TOP: Natural Sleep Aid KEY: Nursing Process
Step: N/A MSC: NCLEX: N/A
7. The nurse takes into consideration The Joint Commission (TJC) standards for pain
assessment and treatment include:
a. pain treatment is based on objective data collected by the nurse.
b. pain treatment ends at discharge.
c. pain is assessed only for patients who complain of pain.
d. all patients have the right to appropriate assessment of pain.
ANS: D
The TJC standards related to pain state that all patients have a right to appropriate
Fundamental Nursing Skills and Concepts 12th Edition, Timby
MULTIPLE CHOICE
1. The nurse recommends that normal sleep patterns can best be acquired by suggesting to
the patient that they:
a. smoke cigarettes.
b. drink wine.
c. take a nap during the day.
d. exercise in the mornings.
ANS: D
Maintaining a regular exercise schedule not too close to bedtime helps a person sleep.
DIF: Cognitive Level: Comprehension REF: k 604 OBJ: Theory #8
TOP: Sleep KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: basic care and comfort
2. A sleeping patient has periodic pauses in breathing, then starts to breathe again. The nurse
recognizes this sleep pattern is consistent with:
a. insomnia.
b. sleep apnea.
c. narcolepsy.
d. excessive NREM sleep.
ANS: B
Sleep apnea is a condition in which the person stops breathing for brief periods during
sleep.
DIF: Cognitive Level: Analysis REF: k 606 OBJ: Theory #8
TOP: Sleep KEY: Nursing Process Step: Assessment
MSC: NCLEX: Physiological Integrity: basic care and comfort
3. The suggestion by the nurse which is most helpful to a patient who complains of
chronically not feeling rested after sleep would be:
a. avoid going to bed hungry or overly full.
b. try to exercise just before going to bed.
c. sleep late the next morning if possible if you are tired on awakening.
d. take a nap during the day to help relieve overall fatigue.
ANS: A
Going to bed hungry or with a full stomach can interfere with sleep.
DIF: Cognitive Level: Application REF: k 606 OBJ: Clinical Practice #8
TOP: Sleep Disturbances KEY: Nursing Process Step:
Implementation MSC: NCLEX: Physiological Integrity: basic care and
comfort
4. The most helpful intervention by the nurse for a hospitalized child who is having
difficulty falling asleep would be:
a. keeping a night light on in the room.
, b. turning off all of the lights in the room.
c. having the parents bring a favorite blanket or pillow from home.
d. giving of juice and cookies before being put to bed.
ANS: C
Many patients sleep better when they can have a favorite blanket or pillow from
home.
DIF: Cognitive Level: Application REF: k 607 OBJ: Clinical Practice #8
TOP: Sleep KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: basic care and comfort
5. A patient who has difficulty falling asleep at night because of anxiety over family
problems asks if he should start taking sedative pills from the pharmacy to sleep better.
The best advice to give this patient is that these pills can be used for:
a. long periods of time, but it is best to check with the physician first.
b. short periods of time, but it is best to check with the physician first.
c. long periods of time without physician approval, because they are non-
prescription drugs.
d. short periods of time without physician approval, because they are non-
prescription drugs.
ANS: B
Sedative and hypnotic medications can be used to promote sleep, but they should be
used for short-term relief and only after a physician has been consulted.
DIF: Cognitive Level: Comprehension REF: k 607 OBJ: Clinical
Practice #8 TOP: Sleep KEY: Nursing Process Step: N/A
MSC: NCLEX: Physiological Integrity: pharmacological therapies
6. A natural supplement that can enhance sleep for many people is:
a. melatonin.
b. calcium.
c. magnesium.
d. oil of lavender.
ANS: A
Melatonin, a natural supplement can enhance sleep hours for many people. Calcium
and magnesium are used to relieve leg cramps.
DIF: Cognitive Level: Knowledge REF: k 607, Sleep aids OBJ:
Clinical Practice #8 TOP: Natural Sleep Aid KEY: Nursing Process
Step: N/A MSC: NCLEX: N/A
7. The nurse takes into consideration The Joint Commission (TJC) standards for pain
assessment and treatment include:
a. pain treatment is based on objective data collected by the nurse.
b. pain treatment ends at discharge.
c. pain is assessed only for patients who complain of pain.
d. all patients have the right to appropriate assessment of pain.
ANS: D
The TJC standards related to pain state that all patients have a right to appropriate
