, !
TABLE OF CONTENTS
[+ [+
Guidelines for Prioritization, Delegation, and Assignment Decisions
[+ [+ [+ [+ [+ [+
1. Pain
2. Cancer
3. Immunologic Problems [+
4. Fluid, Electrolyte, and Acid-Base Balance Problems
[+ [+ [+ [+ [+
5. Safety and Infection Control
[+ [+ [+
6. Respiratory Problems [+
7. Cardiovascular Problems [+
8. Hematologic Problems [+
9. Neurologic Problems [+
10. Visual and Auditory Problems
[+ [+ [+
11. Musculoskeletal Problems [+
12. Gastrointestinal and Nutritional Problems [+ [+ [+
13. Diabetes Mellitus
[+
14. Other Endocrine Problems
[+ [+
15. Integumentary Problems [+
16. Renal and Urinary Problems
[+ [+ [+
17. Reproductive Problems [+
18. Problems in Pregnancy and Childbearing
[+ [+ [+ [+
19. Pediatric Problems
[+
20. Pharmacology NEW! [+
21. Emergencies and Disasters [+ [+
22. Psychiatric–Mental Health Problems [+ [+
, Prioritization Delegation and Assignment 6th Edition LaCharity Test Bank [+ [+ [+ [+ [+ [+ [+ [+
Chapter 1. Pain MUL [+ [+ [+
TIPLE CHOICE [+
1.A client tells the nurse that she rarely experiences pain, but when she does, she seeks medical att
[+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+
ention. The nurse realizes this client understands that pain is important because it:
[+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+
1. is a protective system.
[+ [+ [+
2. includes the automatic withdrawal reflex. [+ [+ [+ [+
3. creates sensitivity to pain. [+ [+ [+
4. helps with healing. [+ [+
ANS: 1 [+
Pain is a protective system that includes protection from unsafe behaviors by use of reflexes,
[+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+
memory, and avoidance. Even though the automatic withdrawal reflex is a part of the pain res
[+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+
ponse, it does not explain why pain is important. Pain does not create sensitivity to pain. Pain
[+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+
does not help with healing.
[+ [+ [+ [+
PTS: 1 DIF: Analyze REF: Definitions and Implications of Pain
[+ [+ [+ [+ [+ [+ [+ [+ [+
2.A client complains that the bed sheets touching his skin are extremely painful. The nurse real
[+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+
izes this client is experiencing:
[+ [+ [+ [+
1. allodynia.
2. modulation.
3. kinesthesia.
4. proprioception.
ANS: 1 [+
Allodynia or hyperalgesia is a state where a slight or nonpainful stimulus is interpreted as very
[+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+
painful. Kinesthesia is the awareness of movement. Proprioception is the awareness of body p
[+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+
osition. Modulation is an influencing factor in the perception of pain.
[+ [+ [+ [+ [+ [+ [+ [+ [+ [+
PTS: 1 DIF: Analyze REF: Peripheral Nervous System
[+ [+ [+ [+ [+ [+ [+
3.A client is complaining of severe abdomen pain. The nurse realizes this client is experiencing wh
[+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+
ich type of pain?
[+ [+ [+
1. Neuralgia
2. Pathological
3. Somatic
4. Visceral
ANS: 4 [+
Visceral pain is pain arising from the body organs or gastrointestinal tract. Somatic pain is pain
[+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [
that originates from the bone, joints, muscles, skin, or connective pain. Neuralgia and
+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+
, pathological pain are both types of pain that result from injury to a nerve or malfunction of the neu
[+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+
ronal transmission process or due to impaired regulation.
[+ [+ [+ [+ [+ [+ [+
PTS:1DIF:AnalyzeREF:Types of Pain [+ [+
4.A client, diagnosed with acute appendicitis, is experiencing abdominal pain. The best way for
[+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+
the nurse to describe this clients pain would be:
[+ [+ [+ [+ [+ [+ [+ [+ [+
1. chronic.
2. neuropathic.
3. referred.
4. acute.
ANS: 4 [+
Acute pain onset is sudden and of short duration. Chronic pain is a sudden or slow onset of mil
[+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+
d to severe pain that lasts longer than 6 months. Referred pain is the result of the transfer of v
[+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+
isceral pain sensations to a body surface at a distance from the actual origin. Neuropathic pain
[+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [
+is paroxysmal pain that occurs along the branches of a nerve.
[+ [+ [+ [+ [+ [+ [+ [+ [+ [ +
PTS:1DIF:ApplyREF:Types of Pain [+ [+
5.A client is observed holding a pillow over the abdominal region with both knees flexed in
[+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [
+a side-
[+
lying position. Vital signs assessment reveals an elevated blood pressure and heart rate. W
[+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+
hich of the following should the nurse say to this client?
[+ [+ [+ [+ [+ [+ [+ [+ [+ [+
1. Can I get you anything?
[+ [+ [+ [+
2. Would you like something for pain? [+ [+ [+ [+ [+
3. You look comfortable. [+ [+
4. Your blood pressure is up. [+ [+ [+ [+
ANS: 2 [+
Sympathetic responses to pain include elevated blood pressure and heart rate. And since the cli
[+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+
ent is hugging a pillow over the abdominal region with both knees flexed in a side-
[+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+
lying position, the best thing for the nurse to say to this client is Would you like something for
[+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [
+pain? The other responses are incorrect because they do not acknowledge that the client is expe
[+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+
riencing pain. [+
PTS: 1 DIF: Apply REF: Assessing the Clinical Manifestations of Pain
[+ [+ [+ [+ [+ [+ [+ [+ [+ [+
6.A client experiencing chronic pain asks the nurse why she is not prescribed Demerol like she
[+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+
received when she had a total knee replacement. Which of the following should the nurse resp
[+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+
ond to this client?
[+ [+ [+
1. You dont need something that strong.
[+ [+ [+ [+ [+
2. That medication does not exist anymore.
[+ [+ [+ [+ [+
3. That medication does not last very long.
[+ [+ [+ [+ [+ [+
4. It can cause you have high blood pressure.
[+ [+ [+ [+ [+ [+ [+
TABLE OF CONTENTS
[+ [+
Guidelines for Prioritization, Delegation, and Assignment Decisions
[+ [+ [+ [+ [+ [+
1. Pain
2. Cancer
3. Immunologic Problems [+
4. Fluid, Electrolyte, and Acid-Base Balance Problems
[+ [+ [+ [+ [+
5. Safety and Infection Control
[+ [+ [+
6. Respiratory Problems [+
7. Cardiovascular Problems [+
8. Hematologic Problems [+
9. Neurologic Problems [+
10. Visual and Auditory Problems
[+ [+ [+
11. Musculoskeletal Problems [+
12. Gastrointestinal and Nutritional Problems [+ [+ [+
13. Diabetes Mellitus
[+
14. Other Endocrine Problems
[+ [+
15. Integumentary Problems [+
16. Renal and Urinary Problems
[+ [+ [+
17. Reproductive Problems [+
18. Problems in Pregnancy and Childbearing
[+ [+ [+ [+
19. Pediatric Problems
[+
20. Pharmacology NEW! [+
21. Emergencies and Disasters [+ [+
22. Psychiatric–Mental Health Problems [+ [+
, Prioritization Delegation and Assignment 6th Edition LaCharity Test Bank [+ [+ [+ [+ [+ [+ [+ [+
Chapter 1. Pain MUL [+ [+ [+
TIPLE CHOICE [+
1.A client tells the nurse that she rarely experiences pain, but when she does, she seeks medical att
[+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+
ention. The nurse realizes this client understands that pain is important because it:
[+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+
1. is a protective system.
[+ [+ [+
2. includes the automatic withdrawal reflex. [+ [+ [+ [+
3. creates sensitivity to pain. [+ [+ [+
4. helps with healing. [+ [+
ANS: 1 [+
Pain is a protective system that includes protection from unsafe behaviors by use of reflexes,
[+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+
memory, and avoidance. Even though the automatic withdrawal reflex is a part of the pain res
[+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+
ponse, it does not explain why pain is important. Pain does not create sensitivity to pain. Pain
[+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+
does not help with healing.
[+ [+ [+ [+
PTS: 1 DIF: Analyze REF: Definitions and Implications of Pain
[+ [+ [+ [+ [+ [+ [+ [+ [+
2.A client complains that the bed sheets touching his skin are extremely painful. The nurse real
[+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+
izes this client is experiencing:
[+ [+ [+ [+
1. allodynia.
2. modulation.
3. kinesthesia.
4. proprioception.
ANS: 1 [+
Allodynia or hyperalgesia is a state where a slight or nonpainful stimulus is interpreted as very
[+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+
painful. Kinesthesia is the awareness of movement. Proprioception is the awareness of body p
[+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+
osition. Modulation is an influencing factor in the perception of pain.
[+ [+ [+ [+ [+ [+ [+ [+ [+ [+
PTS: 1 DIF: Analyze REF: Peripheral Nervous System
[+ [+ [+ [+ [+ [+ [+
3.A client is complaining of severe abdomen pain. The nurse realizes this client is experiencing wh
[+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+
ich type of pain?
[+ [+ [+
1. Neuralgia
2. Pathological
3. Somatic
4. Visceral
ANS: 4 [+
Visceral pain is pain arising from the body organs or gastrointestinal tract. Somatic pain is pain
[+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [
that originates from the bone, joints, muscles, skin, or connective pain. Neuralgia and
+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+
, pathological pain are both types of pain that result from injury to a nerve or malfunction of the neu
[+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+
ronal transmission process or due to impaired regulation.
[+ [+ [+ [+ [+ [+ [+
PTS:1DIF:AnalyzeREF:Types of Pain [+ [+
4.A client, diagnosed with acute appendicitis, is experiencing abdominal pain. The best way for
[+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+
the nurse to describe this clients pain would be:
[+ [+ [+ [+ [+ [+ [+ [+ [+
1. chronic.
2. neuropathic.
3. referred.
4. acute.
ANS: 4 [+
Acute pain onset is sudden and of short duration. Chronic pain is a sudden or slow onset of mil
[+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+
d to severe pain that lasts longer than 6 months. Referred pain is the result of the transfer of v
[+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+
isceral pain sensations to a body surface at a distance from the actual origin. Neuropathic pain
[+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [
+is paroxysmal pain that occurs along the branches of a nerve.
[+ [+ [+ [+ [+ [+ [+ [+ [+ [ +
PTS:1DIF:ApplyREF:Types of Pain [+ [+
5.A client is observed holding a pillow over the abdominal region with both knees flexed in
[+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [
+a side-
[+
lying position. Vital signs assessment reveals an elevated blood pressure and heart rate. W
[+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+
hich of the following should the nurse say to this client?
[+ [+ [+ [+ [+ [+ [+ [+ [+ [+
1. Can I get you anything?
[+ [+ [+ [+
2. Would you like something for pain? [+ [+ [+ [+ [+
3. You look comfortable. [+ [+
4. Your blood pressure is up. [+ [+ [+ [+
ANS: 2 [+
Sympathetic responses to pain include elevated blood pressure and heart rate. And since the cli
[+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+
ent is hugging a pillow over the abdominal region with both knees flexed in a side-
[+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+
lying position, the best thing for the nurse to say to this client is Would you like something for
[+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [
+pain? The other responses are incorrect because they do not acknowledge that the client is expe
[+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+
riencing pain. [+
PTS: 1 DIF: Apply REF: Assessing the Clinical Manifestations of Pain
[+ [+ [+ [+ [+ [+ [+ [+ [+ [+
6.A client experiencing chronic pain asks the nurse why she is not prescribed Demerol like she
[+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+
received when she had a total knee replacement. Which of the following should the nurse resp
[+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+
ond to this client?
[+ [+ [+
1. You dont need something that strong.
[+ [+ [+ [+ [+
2. That medication does not exist anymore.
[+ [+ [+ [+ [+
3. That medication does not last very long.
[+ [+ [+ [+ [+ [+
4. It can cause you have high blood pressure.
[+ [+ [+ [+ [+ [+ [+
