ATI LPN
Study Guide for Fundamentals of Nursing Care: Concepts, Connections & Skills
Chapter 19 : Pain Management, Rest, and Restorative Sleep Questions
Question 1 of 5
Fill in the blank. The natural body chemicals produced by the brain in response to pleasant thoughts or feelings, exercise, laughter, sex, and massage and that act similarly to morphine and produce feelings of euphoria, well-being, and pleasure are known as
Correct Answer: A
Rationale: Endorphins are natural chemicals produced by the brain that act like morphine, reducing pain and promoting feelings of euphoria and well-being.
Question 2 of 5
Fill in the blank. That rest that allows an individual to awaken feeling rested, refreshed, rejuvenated, energized, and ready to meet new challenges is
Correct Answer: A
Rationale: Restorative sleep is the type of rest that leaves an individual feeling refreshed, rejuvenated, and energized upon waking.
Question 3 of 5
Your 98-year-old patient has severe diabetes and, as a result of complications, had his left leg amputated above the knee several months ago. He is confused and combative. When he reports to you that his left foot hurts, you know that this is known as
Correct Answer: C
Rationale: Phantom limb pain is the sensation of pain in a limb that has been amputated, as experienced by the patient in this scenario.
Question 4 of 5
Which of the following statements is(are) thought to accurately describe the gate control theory?
Correct Answer: A,C
Rationale: The gate control theory posits that pain transmission is modulated by a 'gate' in the spinal cord. Stimulation of smaller nerve fibers (e.g., by injury) opens the gate, allowing pain signals to pass (
C). Sensory stimuli like massage close the gate, blocking pain (A is correct, but B is incorrect as broad nerve fiber stimulation closes, not opens, the gate). The thalamus is not directly involved in gate control (D is incorrect).
Question 5 of 5
An individual's thoughts and emotions are also believed to affect the opening and closing of the gate by stimulating production of
Correct Answer: B
Rationale: Endorphins, produced in response to positive thoughts and emotions, can close the pain gate, reducing pain perception, per the gate control theory.