RNSG 1430 Comfort questions with verified answers
. A child who is terminally ill with bone cancer is in severe pain. Nursing
interventions should be based on the knowledge that:
A. children tend to be overmedicated for pain.
B. giving large doses of opioids causes euthanasia.
C. narcotic addiction is common in terminally ill children.
D. large doses of opioids are justified when there are no other treatment options
Ans✓✓✓ D. large doses of opioids are justified when there are no other
treatment options
Large doses of opioids may be needed because the child has become
physiologically tolerant to the drug, requiring higher doses to achieve the same
degree of pain control. Pain is considered the fifth vital sign, and management of
pain is critical to treatment of a child with bone cancer.
Continuing studies report that children are consistently under medicated for pain.
The dosage of opioids is titrated to relieve pain, not cause death.
Addiction refers to a psychological dependence on the narcotic medication, which
does not occur in terminal care.
. A nurse is starting an intravenous (IV) line for a school-age child with cancer. The
child says, "I have had a million IVs. They hurt." The nurse's response should be
based on the knowledge that:
A. children tolerate pain better than adults.
B. children become accustomed to painful procedures.
C. children often lie about experiencing pain.
D. children often demonstrate increased behavioral signs of discomfort with
repeated painful procedures. Ans✓✓✓ D. children often demonstrate increased
behavioral signs of discomfort with repeated painful procedures.
Children with chronic illnesses are more likely to identify invasive procedures as
stressful compared with children with acute illnesses.There are no data to
,support the theory that children tolerate pain better than adults. The child has
increasing difficulty with numerous and repeated painful procedures rather than
becoming accustomed to them. Pain is whatever the experiencing person defines
it to be.
. The nurse is discussing the effects of pain with an older adult patient diagnosed
with osteoarthritis. The most therapeutic response to the patient's comment of, "I
wonder whether it would hurt if I took a nap in the afternoon?"
A. "As long as it did not interfere with your getting a good night's sleep."
B. "I'd suggest taking your nap right after you take your pain medication."
C. "If it helps you cope better with the pain, I don't see any harm in taking a nap."
D. "I think a nap is a good idea because we seem to feel pain more when we are
tired." Ans✓✓✓ Answer: D
Rationale: Fatigue heightens the perception of pain and decreases coping abilities.
If fatigue occurs along with sleeplessness, the perception of pain is even greater.
Pain is often experienced less after a restful sleep than at the end of a long day.
The other options are not inappropriate but are not as informative regarding the
benefit of rest on the perception or effects of pain.
.Non-pharmacologic strategies for pain management:
A. may reduce pain perception.
B. make pharmacologic strategies unnecessary.
C. usually take too long to implement.
D. trick children into believing they do not have pain. Ans✓✓✓ A. may reduce
pain perception.
, Non-pharmacologic techniques for pain management may help the child with
associated fears and stress related to pain. The strategies may provide assistance
with coping that may reduce the perception of pain, decrease anxiety, and
increase the effectiveness of medications. The child with moderate or severe pain
will require pharmacologic intervention. The child should be taught non-
pharmacologic pain management strategies before pain occurs, therefore
reducing the implementation time.
The child will still have the pain, but the perception may be altered.
1. Observable changes in vital signs or behavioral expressions of pain will be
present if the patient has severe pain.
A. True
B. False Ans✓✓✓ true
10. If the patient experiences a side effect of an opioid medication, the treatment
generally involves discontinuing the opioid.
A. True
B. False Ans✓✓✓
11.The nurse is caring for a cognitively impaired patient who has experienced a
painful procedure. The nurse is most effective in determining the patient's pain
medication needs when using which of the following assessment methods?
A. Medicating the patient with the prn analgesic as often as ordered.
B. Utilizing the Verbal Descriptor Scale to assess the patient's pain experience.
C. Asking the patient to rate his or her pain on a scale of 1to 10, with 10 being the
most severe pain.
Observing the patient's body movements and facial expressions for typical pain
behaviors. Ans✓✓✓ Answer: D
. A child who is terminally ill with bone cancer is in severe pain. Nursing
interventions should be based on the knowledge that:
A. children tend to be overmedicated for pain.
B. giving large doses of opioids causes euthanasia.
C. narcotic addiction is common in terminally ill children.
D. large doses of opioids are justified when there are no other treatment options
Ans✓✓✓ D. large doses of opioids are justified when there are no other
treatment options
Large doses of opioids may be needed because the child has become
physiologically tolerant to the drug, requiring higher doses to achieve the same
degree of pain control. Pain is considered the fifth vital sign, and management of
pain is critical to treatment of a child with bone cancer.
Continuing studies report that children are consistently under medicated for pain.
The dosage of opioids is titrated to relieve pain, not cause death.
Addiction refers to a psychological dependence on the narcotic medication, which
does not occur in terminal care.
. A nurse is starting an intravenous (IV) line for a school-age child with cancer. The
child says, "I have had a million IVs. They hurt." The nurse's response should be
based on the knowledge that:
A. children tolerate pain better than adults.
B. children become accustomed to painful procedures.
C. children often lie about experiencing pain.
D. children often demonstrate increased behavioral signs of discomfort with
repeated painful procedures. Ans✓✓✓ D. children often demonstrate increased
behavioral signs of discomfort with repeated painful procedures.
Children with chronic illnesses are more likely to identify invasive procedures as
stressful compared with children with acute illnesses.There are no data to
,support the theory that children tolerate pain better than adults. The child has
increasing difficulty with numerous and repeated painful procedures rather than
becoming accustomed to them. Pain is whatever the experiencing person defines
it to be.
. The nurse is discussing the effects of pain with an older adult patient diagnosed
with osteoarthritis. The most therapeutic response to the patient's comment of, "I
wonder whether it would hurt if I took a nap in the afternoon?"
A. "As long as it did not interfere with your getting a good night's sleep."
B. "I'd suggest taking your nap right after you take your pain medication."
C. "If it helps you cope better with the pain, I don't see any harm in taking a nap."
D. "I think a nap is a good idea because we seem to feel pain more when we are
tired." Ans✓✓✓ Answer: D
Rationale: Fatigue heightens the perception of pain and decreases coping abilities.
If fatigue occurs along with sleeplessness, the perception of pain is even greater.
Pain is often experienced less after a restful sleep than at the end of a long day.
The other options are not inappropriate but are not as informative regarding the
benefit of rest on the perception or effects of pain.
.Non-pharmacologic strategies for pain management:
A. may reduce pain perception.
B. make pharmacologic strategies unnecessary.
C. usually take too long to implement.
D. trick children into believing they do not have pain. Ans✓✓✓ A. may reduce
pain perception.
, Non-pharmacologic techniques for pain management may help the child with
associated fears and stress related to pain. The strategies may provide assistance
with coping that may reduce the perception of pain, decrease anxiety, and
increase the effectiveness of medications. The child with moderate or severe pain
will require pharmacologic intervention. The child should be taught non-
pharmacologic pain management strategies before pain occurs, therefore
reducing the implementation time.
The child will still have the pain, but the perception may be altered.
1. Observable changes in vital signs or behavioral expressions of pain will be
present if the patient has severe pain.
A. True
B. False Ans✓✓✓ true
10. If the patient experiences a side effect of an opioid medication, the treatment
generally involves discontinuing the opioid.
A. True
B. False Ans✓✓✓
11.The nurse is caring for a cognitively impaired patient who has experienced a
painful procedure. The nurse is most effective in determining the patient's pain
medication needs when using which of the following assessment methods?
A. Medicating the patient with the prn analgesic as often as ordered.
B. Utilizing the Verbal Descriptor Scale to assess the patient's pain experience.
C. Asking the patient to rate his or her pain on a scale of 1to 10, with 10 being the
most severe pain.
Observing the patient's body movements and facial expressions for typical pain
behaviors. Ans✓✓✓ Answer: D
