C HAPTER 21: P AIN M ANAGEMENT , C OMFORT ,
R EST , AND S LEEP
Cooper: Foundation of Nursing, 9th Edition
MULTIPLE CHOICE
1. The nurse is trying to reassure a patient who is concerned about receiving
addictive drugs. What percentage of patients become addicted to
analgesics?
a. Less than 0.1%
b. Less than 1%
c. Less than 5%
d. Less than 6%
ANS: B
Research findings suggest that less than 1% of patients receiving
analgesics become addicted.
DIF: Cognitive Level: Knowledge REF: p. 596 OBJ: 10
TOP: Addiction KEY: Nursing Process Step:
Implementation MSC: NC LEX: Psychosocial Integrit y
2. The nurse is caring for a patient using patient -controlled analgesia (PCA).
What is a major advantage to this method?
a. Less expensive
b. More effective
, c. Less addictive
d. Quicker
ANS: D
The use of the PCA gives quicker relief as there is no delay in waiting
for the nurse to respond to the request for analgesia.
DIF: Cognitive Level: Comprehension REF: p. 600
OBJ: 10 TOP: Patient -controlled anal gesia (PCA)
KEY: Nursing Process Step: Implementation MSC:
NCLEX: Physiological Integrit y
3. A patient tearfull y declares the use of relaxation techniques does not work
for her. What is the best action for the nurse to implement?
a. Give up on the idea.
b. Encourage the patient to try again.
c. Assure the patient that not everyone is successful.
d. Give the patient a sedative.
ANS: B
Some alternative approaches to pain control require practice.
Encouragement to try again is appropriate.
DIF: Cognitive Level: Applic ation REF: p. 606 OBJ: 11
TOP: Alternate methods of pain control KEY: Nursing
Process Step: Implementation MSC: NC LEX:
Physiological Integrity
, 4. A patient is receiving an opioid narcotic. What common side effect should
the nurse be aware of when ass essing this patient?
a. Addiction
b. Vomiting
c. Constipation
d. Diarrhea
ANS: C
Constipation is the most common opioid narcotic side effect for which
patients do not develop a tolerance.
DIF: Cognitive Level: Comprehension REF: p. 598
OBJ: 10 TOP: Constipation KEY: Nursing
Process Step: Assessment MSC: NC LEX: Physiological
Integrit y
5. A male patient reports to the home health nurse that he does not feel
rested although he has slept 8 hours. For what should the nurse assess?
a. Having vivid dreams
b. Eating a heavy m eal before going to bed
c. Consuming an excessive amount of alcohol
d. Taking an anxiol ytic medication
ANS: D
Anxiol ytic (antianxiet y) medications interfere with REM sleep, which
is when people achieve full rest.
R EST , AND S LEEP
Cooper: Foundation of Nursing, 9th Edition
MULTIPLE CHOICE
1. The nurse is trying to reassure a patient who is concerned about receiving
addictive drugs. What percentage of patients become addicted to
analgesics?
a. Less than 0.1%
b. Less than 1%
c. Less than 5%
d. Less than 6%
ANS: B
Research findings suggest that less than 1% of patients receiving
analgesics become addicted.
DIF: Cognitive Level: Knowledge REF: p. 596 OBJ: 10
TOP: Addiction KEY: Nursing Process Step:
Implementation MSC: NC LEX: Psychosocial Integrit y
2. The nurse is caring for a patient using patient -controlled analgesia (PCA).
What is a major advantage to this method?
a. Less expensive
b. More effective
, c. Less addictive
d. Quicker
ANS: D
The use of the PCA gives quicker relief as there is no delay in waiting
for the nurse to respond to the request for analgesia.
DIF: Cognitive Level: Comprehension REF: p. 600
OBJ: 10 TOP: Patient -controlled anal gesia (PCA)
KEY: Nursing Process Step: Implementation MSC:
NCLEX: Physiological Integrit y
3. A patient tearfull y declares the use of relaxation techniques does not work
for her. What is the best action for the nurse to implement?
a. Give up on the idea.
b. Encourage the patient to try again.
c. Assure the patient that not everyone is successful.
d. Give the patient a sedative.
ANS: B
Some alternative approaches to pain control require practice.
Encouragement to try again is appropriate.
DIF: Cognitive Level: Applic ation REF: p. 606 OBJ: 11
TOP: Alternate methods of pain control KEY: Nursing
Process Step: Implementation MSC: NC LEX:
Physiological Integrity
, 4. A patient is receiving an opioid narcotic. What common side effect should
the nurse be aware of when ass essing this patient?
a. Addiction
b. Vomiting
c. Constipation
d. Diarrhea
ANS: C
Constipation is the most common opioid narcotic side effect for which
patients do not develop a tolerance.
DIF: Cognitive Level: Comprehension REF: p. 598
OBJ: 10 TOP: Constipation KEY: Nursing
Process Step: Assessment MSC: NC LEX: Physiological
Integrit y
5. A male patient reports to the home health nurse that he does not feel
rested although he has slept 8 hours. For what should the nurse assess?
a. Having vivid dreams
b. Eating a heavy m eal before going to bed
c. Consuming an excessive amount of alcohol
d. Taking an anxiol ytic medication
ANS: D
Anxiol ytic (antianxiet y) medications interfere with REM sleep, which
is when people achieve full rest.
