Chapter 19. Pain Management, Rest, and Restorative Sleep updated 2022/2023

Multiple Choice Identify the choice that best completes the statement or answers the question. ____ 1. A patient who had an amputation just below the knee several days ago expresses confusion about why a foot that has been amputated is still causing intense pain. A nurse explains that the type of pain experienced by the patient is 1. Cutaneous pain. 2. Deep somatic pain. 3. Neuropathic pain. 4. Soft-tissue pain. ____ 2. A nurse explains to a patient with chronic pain that exercise may relieve some pain. The nurse goes on to explain that based on the gate control theory, exercise 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 patient who is suffering from terminal cancer asks a nurse how massage decreases his pain. The nurse explains that in theory, 1. Massage blocks endorphins that, when released, inhibit pain receptors. 2. Massage stimulates the release of endorphins, which are thought to block the transmission of pain. 3. Massage assists endorphins in opening the gate and attaching to opiate receptors. 4. Massage stimulates opiate or pain receptors to release endorphins, and thereby essentially changes how the brain identifies pain. ____ 4. A 52-year-old Chinese American patient is admitted to hospice care because of terminal cancer. The nurse understands that this patient may hold that pain 1. Is better expressed by moaning than by complaining in words. 2. Should be verbalized instead of communicated by grimacing. 3. Does not need to be endured, so pain medication should be asked for when needed. 4. Should be suffered in silence, without verbal complaints or other expressions of discomfort