,
, Prioritization Delegation and Assignment 4th Edition LaCharity Test Bank d d d d d d d d
Chapter 1. Pain d d
dMULTIPLE
dCHOICE
1.A client tells the nurse that she rarely experiences pain, but when she does,
d d d d d d d d d d d d d
dshe seeks medical attention. The nurse realizes this client understands that pain is
d d d d d d d d d d d d
dimportant because it: d d
1. is a protective system.
d d d
2. includes the automatic withdrawal reflex. d d d d
3. creates sensitivity to pain. d d d
4. helps with healing. d d
ANS: 1 d
Pain is a protective system that includes protection from unsafe behaviors by
d d d d d d d d d d d
duse of reflexes, memory, and avoidance. Even though the automatic withdrawal
d d d d d d d d d d
dreflex is a part of the pain response, it does not explain why pain is
d d d d d d d d d d d d d d
dimportant. Pain does not create sensitivity to pain. Pain does not help with
d d d d d d d d d d d d
dhealing.
PTS: 1 DIF: Analyze REF: Definitions and Implications of Pain
d d d d d d d d d
2.A client complains that the bed sheets touching his skin are extremely painful.
d d d d d d d d d d d d
dThe nurse realizes this client is experiencing:
d d d d d d
1. allodynia.
2. modulation.
3. kinesthesia.
4. proprioception.
ANS: 1 d
Allodynia or hyperalgesia is a state where a slight or nonpainful stimulus is
d d d d d d d d d d d d
dinterpreted as very painful. Kinesthesia is the awareness of movement.
d d d d d d d d d
dProprioception is the awareness of body position. Modulation is an influencing
d d d d d d d d d d
dfactor in the perception of pain.
d d d d d
PTS: 1 DIF: Analyze REF: Peripheral Nervous System
d d d d d d d
3.A client is complaining of severe abdomen pain. The nurse realizes this client
d d d d d d d d d d d d
dis experiencing which type of pain?
d d d d d
1. Neuralgia
2. Pathological
3. Somatic
4. Visceral
ANS: 4 d
Visceral pain is pain arising from the body organs or gastrointestinal tract.
d d d d d d d d d d d
dSomatic pain is pain that originates from the bone, joints, muscles, skin, or
d d d d d d d d d d d d
, d connective pain. Neuralgia and pathological pain are both types of pain that
d d d d d d d d d d
d result from injury to a nerve or malfunction of the neuronal transmission process
d d d d d d d d d d d d
d or due to impaired regulation.
d d d d
PTS:1DIF:AnalyzeREF:Types of Pain d d
4.A client, diagnosed with acute appendicitis, is experiencing abdominal pain. The
d d d d d d d d d d
best way for the nurse to describe this clients pain would be:
d d d d d d d d d d d d
1. chronic.
2. neuropathic.
3. referred.
4. acute.
ANS: 4 d
Acute pain onset is sudden and of short duration. Chronic pain is a sudden or
d d d d d d d d d d d d d d
slow onset of mild to severe pain that lasts longer than 6 months. Referred
d d d d d d d d d d d d d d
pain is the result of the transfer of visceral pain sensations to a body surface
d d d d d d d d d d d d d d d
at a distance from the actual origin. Neuropathic pain is paroxysmal pain that
d d d d d d d d d d d d d
occurs along the branches of a nerve.
d d d d d d d
PTS:1DIF:ApplyREF:Types of Pain d d
5.A client is observed holding a pillow over the abdominal region with both
d d d d d d d d d d d d
knees flexed in a side-lying position. Vital signs assessment reveals an
d d d d d d d d d d d
elevated blood pressure and heart rate. Which of the following should the
d d d d d d d d d d d d
nurse say to this client?
d d d d d
1. Can I get you anything? d d d d
2. Would you like something for pain? d d d d d
3. You look comfortable. d d
4. Your blood pressure is up. d d d d
ANS: 2 d
Sympathetic responses to pain include elevated blood pressure and heart rate. And
d d d d d d d d d d d
dsince the client is hugging a pillow over the abdominal region with both knees
d d d d d d d d d d d d d
dflexed in a side- lying position, the best thing for the nurse to say to this
d d d d d d d d d d d d d d d
dclient is Would you like something for pain? The other responses are incorrect
d d d d d d d d d d d d
dbecause they do not acknowledge that the client is experiencing pain.
d d d d d d d d d d
PTS: 1 DIF: Apply REF: Assessing the Clinical Manifestations of Pain
d d d d d d d d d d
6.A client experiencing chronic pain asks the nurse why she is not prescribed
d d d d d d d d d d d d
Demerol like she received when she had a total knee replacement. Which of
d d d d d d d d d d d d d
the following should the nurse respond to this client?
d d d d d d d d d
1. You dont need something that strong.d d d d d
2. That medication does not exist anymore. d d d d d
3. That medication does not last very long.d d d d d d
4. It can cause you have high blood pressure.
d d d d d d d
, Prioritization Delegation and Assignment 4th Edition LaCharity Test Bank d d d d d d d d
Chapter 1. Pain d d
dMULTIPLE
dCHOICE
1.A client tells the nurse that she rarely experiences pain, but when she does,
d d d d d d d d d d d d d
dshe seeks medical attention. The nurse realizes this client understands that pain is
d d d d d d d d d d d d
dimportant because it: d d
1. is a protective system.
d d d
2. includes the automatic withdrawal reflex. d d d d
3. creates sensitivity to pain. d d d
4. helps with healing. d d
ANS: 1 d
Pain is a protective system that includes protection from unsafe behaviors by
d d d d d d d d d d d
duse of reflexes, memory, and avoidance. Even though the automatic withdrawal
d d d d d d d d d d
dreflex is a part of the pain response, it does not explain why pain is
d d d d d d d d d d d d d d
dimportant. Pain does not create sensitivity to pain. Pain does not help with
d d d d d d d d d d d d
dhealing.
PTS: 1 DIF: Analyze REF: Definitions and Implications of Pain
d d d d d d d d d
2.A client complains that the bed sheets touching his skin are extremely painful.
d d d d d d d d d d d d
dThe nurse realizes this client is experiencing:
d d d d d d
1. allodynia.
2. modulation.
3. kinesthesia.
4. proprioception.
ANS: 1 d
Allodynia or hyperalgesia is a state where a slight or nonpainful stimulus is
d d d d d d d d d d d d
dinterpreted as very painful. Kinesthesia is the awareness of movement.
d d d d d d d d d
dProprioception is the awareness of body position. Modulation is an influencing
d d d d d d d d d d
dfactor in the perception of pain.
d d d d d
PTS: 1 DIF: Analyze REF: Peripheral Nervous System
d d d d d d d
3.A client is complaining of severe abdomen pain. The nurse realizes this client
d d d d d d d d d d d d
dis experiencing which type of pain?
d d d d d
1. Neuralgia
2. Pathological
3. Somatic
4. Visceral
ANS: 4 d
Visceral pain is pain arising from the body organs or gastrointestinal tract.
d d d d d d d d d d d
dSomatic pain is pain that originates from the bone, joints, muscles, skin, or
d d d d d d d d d d d d
, d connective pain. Neuralgia and pathological pain are both types of pain that
d d d d d d d d d d
d result from injury to a nerve or malfunction of the neuronal transmission process
d d d d d d d d d d d d
d or due to impaired regulation.
d d d d
PTS:1DIF:AnalyzeREF:Types of Pain d d
4.A client, diagnosed with acute appendicitis, is experiencing abdominal pain. The
d d d d d d d d d d
best way for the nurse to describe this clients pain would be:
d d d d d d d d d d d d
1. chronic.
2. neuropathic.
3. referred.
4. acute.
ANS: 4 d
Acute pain onset is sudden and of short duration. Chronic pain is a sudden or
d d d d d d d d d d d d d d
slow onset of mild to severe pain that lasts longer than 6 months. Referred
d d d d d d d d d d d d d d
pain is the result of the transfer of visceral pain sensations to a body surface
d d d d d d d d d d d d d d d
at a distance from the actual origin. Neuropathic pain is paroxysmal pain that
d d d d d d d d d d d d d
occurs along the branches of a nerve.
d d d d d d d
PTS:1DIF:ApplyREF:Types of Pain d d
5.A client is observed holding a pillow over the abdominal region with both
d d d d d d d d d d d d
knees flexed in a side-lying position. Vital signs assessment reveals an
d d d d d d d d d d d
elevated blood pressure and heart rate. Which of the following should the
d d d d d d d d d d d d
nurse say to this client?
d d d d d
1. Can I get you anything? d d d d
2. Would you like something for pain? d d d d d
3. You look comfortable. d d
4. Your blood pressure is up. d d d d
ANS: 2 d
Sympathetic responses to pain include elevated blood pressure and heart rate. And
d d d d d d d d d d d
dsince the client is hugging a pillow over the abdominal region with both knees
d d d d d d d d d d d d d
dflexed in a side- lying position, the best thing for the nurse to say to this
d d d d d d d d d d d d d d d
dclient is Would you like something for pain? The other responses are incorrect
d d d d d d d d d d d d
dbecause they do not acknowledge that the client is experiencing pain.
d d d d d d d d d d
PTS: 1 DIF: Apply REF: Assessing the Clinical Manifestations of Pain
d d d d d d d d d d
6.A client experiencing chronic pain asks the nurse why she is not prescribed
d d d d d d d d d d d d
Demerol like she received when she had a total knee replacement. Which of
d d d d d d d d d d d d d
the following should the nurse respond to this client?
d d d d d d d d d
1. You dont need something that strong.d d d d d
2. That medication does not exist anymore. d d d d d
3. That medication does not last very long.d d d d d d
4. It can cause you have high blood pressure.
d d d d d d d
