TEST BANK FOR PRIORITIZATION DELEGATION AND
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ASSIGNMENT 5TH EDITION LACHARITY NURSING
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Prioritization Delegation and Assignment 4th Edition LaCharity Test Bank
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Chapter 1. Pain
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,MULTIPLE CHOICE
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1.A client tells the nurse that she rarely experiences pain, but when she does, she seeks medical
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attention. The nurse realizes this client understands that pain is important because it:
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1. is a protective system.
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2. includes the automatic withdrawal reflex. r r r r
3. creates sensitivity to pain. r r r
4. helps with healing. r r
ANS: 1 r
Pain is a protective system that includes protection from unsafe behaviors by use of reflexes,
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memory, and avoidance. Even though the automatic withdrawal reflex is a part of the pain
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response, it does not explain why pain is important. Pain does not create sensitivity to pain. Pain
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does not help with healing.
r r r r r
PTS: 1 DIF: Analyze REF: Definitions and Implications of Pain
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2.A client complains that the bed sheets touching his skin are extremely painful. The nurse realizes
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this client is experiencing:
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1. allodynia.
2. modulation.
3. kinesthesia.
4. proprioception.
ANS: 1 r
Allodynia or hyperalgesia is a state where a slight or nonpainful stimulus is interpreted as very
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painful. Kinesthesia is the awareness of movement. Proprioception is the awareness of body
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position. Modulation is an influencing factor in the perception of pain.
r r r r r r r r r r r
PTS: 1 DIF: Analyze REF: Peripheral Nervous System
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3.A client is complaining of severe abdomen pain. The nurse realizes this client is experiencing which
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type of pain?
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1. Neuralgia
2. Pathological
3. Somatic
4. Visceral
ANS: 4 r
Visceral pain is pain arising from the body organs or gastrointestinal tract. Somatic pain is pain that
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originates from the bone, joints, muscles, skin, or connective pain. Neuralgia and
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,pathological pain are both types of pain that result from injury to a nerve or malfunction of the neuronal
r r r r r r r r r r r r r r r r r r
transmission process or due to impaired regulation.
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PTS:1DIF:AnalyzeREF:Types of Pain r r
4.A client, diagnosed with acute appendicitis, is experiencing abdominal pain. The best way for the
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nurse to describe this clients pain would be:
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1. chronic.
2. neuropathic.
3. referred.
4. acute.
ANS: 4 r
Acute pain onset is sudden and of short duration. Chronic pain is a sudden or slow onset of mild to
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severe pain that lasts longer than 6 months. Referred pain is the result of the transfer of visceral
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pain sensations to a body surface at a distance from the actual origin. Neuropathic pain is
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paroxysmal pain that occurs along the branches of a nerve.
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PTS:1DIF:ApplyREF:Types of Pain r r
5.A client is observed holding a pillow over the abdominal region with both knees flexed in a
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side-lying position. Vital signs assessment reveals an elevated blood pressure and heart rate.
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Which of the following should the nurse say to this client?
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1. Can I get you anything? r r r r
2. Would you like something for pain? r r r r r
3. You look comfortable. r r
4. Your blood pressure is up. r r r r
ANS: 2 r
Sympathetic responses to pain include elevated blood pressure and heart rate. And since the client
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is hugging a pillow over the abdominal region with both knees flexed in a side-lying position, the
r r r r r r r r r r r r r r r r r
best thing for the nurse to say to this client is Would you like something for pain? The other
r r r r r r r r r r r r r r r r r r r
responses are incorrect because they do not acknowledge that the client is experiencing pain.
r r r r r r r r r r r r r r
PTS: 1 DIF: Apply REF: Assessing the Clinical Manifestations of Pain
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6.A client experiencing chronic pain asks the nurse why she is not prescribed Demerol like she
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received when she had a total knee replacement. Which of the following should the nurse respond
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to this client?
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1. You dont need something that strong.r r r r r
2. That medication does not exist anymore.
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3. That medication does not last very long.
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4. It can cause you have high blood pressure.
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, ANS: 3 r
Meperidine is no longer a major drug for acute or chronic pain due to its short analgesic duration of
r r r r r r r r r r r r r r r r r r
2 to 3 hours and the potential for accumulative toxic effects of its metabolite, normeperidine. The
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best response for the nurse to make to the client would be that medication does not last very long.
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The other responses are inaccurate.
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PTS:1DIF:ApplyREF:Opioid Analgesics r
7.A client is informed that a tricyclic antidepressant medication is going to help control his chronic
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pain. The nurse would expect the physician to prescribe:
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1. Amitriptyline.
2. Baclofen.
3. Gabapentin.
4. Diazepam.
ANS: 1 r
Amitriptyline is an antidepressant. Gabapentin is an anticonvulsant. Baclofen is a muscle relaxant.
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Diazepam is a benzodiazepine.
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PTS: 1 DIF: Analyze REF: Adjuvant Medications
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8.A client receiving around-the-clock medication for terminal cancer experiences additional pain when
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performing activities of daily living. The nurse realizes this client is experiencing:
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1. breakthrough pain. r
2. intractable pain. r
3. psychosomatic pain. r
4. acute pain. r
ANS: 1 r
Breakthrough pain is commonly seen in the advanced stages of cancer. It is spontaneous,
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unpredictable, and can be initiated by certain activities such as during activities of daily living.
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Intractable pain is resistant to some or all forms of therapy. Psychosomatic pain is that which has a
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psychological origin. The client is diagnosed with terminal cancer. Acute pain has a sudden onset
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and resolves within 6 months.
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PTS:1DIF:AnalyzeREF:Breakthrough Pain r
9.A client recovering from surgery tells the nurse that she is nauseated and is experiencing an increase
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in pain. Which of the following does this clients symptoms suggest to the nurse?
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1 The client is becoming dependent upon the pain medication.
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.
2 The clients pain threshold is lower when experiencing nausea.
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.
3 The client is experiencing withdrawal symptoms from pain medication.
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.
r r r r r r
ASSIGNMENT 5TH EDITION LACHARITY NURSING
r r r r r
Prioritization Delegation and Assignment 4th Edition LaCharity Test Bank
r r r r r r r r
Chapter 1. Pain
r r
,MULTIPLE CHOICE
r r
1.A client tells the nurse that she rarely experiences pain, but when she does, she seeks medical
r r r r r r r r r r r r r r r r
attention. The nurse realizes this client understands that pain is important because it:
r r r r r r r r r r r r r
1. is a protective system.
r r r
2. includes the automatic withdrawal reflex. r r r r
3. creates sensitivity to pain. r r r
4. helps with healing. r r
ANS: 1 r
Pain is a protective system that includes protection from unsafe behaviors by use of reflexes,
r r r r r r r r r r r r r r
memory, and avoidance. Even though the automatic withdrawal reflex is a part of the pain
r r r r r r r r r r r r r r r
response, it does not explain why pain is important. Pain does not create sensitivity to pain. Pain
r r r r r r r r r r r r r r r r r
does not help with healing.
r r r r r
PTS: 1 DIF: Analyze REF: Definitions and Implications of Pain
r r r r r r r r r
2.A client complains that the bed sheets touching his skin are extremely painful. The nurse realizes
r r r r r r r r r r r r r r r
this client is experiencing:
r r r r
1. allodynia.
2. modulation.
3. kinesthesia.
4. proprioception.
ANS: 1 r
Allodynia or hyperalgesia is a state where a slight or nonpainful stimulus is interpreted as very
r r r r r r r r r r r r r r r
painful. Kinesthesia is the awareness of movement. Proprioception is the awareness of body
r r r r r r r r r r r r r
position. Modulation is an influencing factor in the perception of pain.
r r r r r r r r r r r
PTS: 1 DIF: Analyze REF: Peripheral Nervous System
r r r r r r r
3.A client is complaining of severe abdomen pain. The nurse realizes this client is experiencing which
r r r r r r r r r r r r r r r
type of pain?
r r r
1. Neuralgia
2. Pathological
3. Somatic
4. Visceral
ANS: 4 r
Visceral pain is pain arising from the body organs or gastrointestinal tract. Somatic pain is pain that
r r r r r r r r r r r r r r r r
originates from the bone, joints, muscles, skin, or connective pain. Neuralgia and
r r r r r r r r r r r r
,pathological pain are both types of pain that result from injury to a nerve or malfunction of the neuronal
r r r r r r r r r r r r r r r r r r
transmission process or due to impaired regulation.
r r r r r r r
PTS:1DIF:AnalyzeREF:Types of Pain r r
4.A client, diagnosed with acute appendicitis, is experiencing abdominal pain. The best way for the
r r r r r r r r r r r r r r
nurse to describe this clients pain would be:
r r r r r r r r
1. chronic.
2. neuropathic.
3. referred.
4. acute.
ANS: 4 r
Acute pain onset is sudden and of short duration. Chronic pain is a sudden or slow onset of mild to
r r r r r r r r r r r r r r r r r r r
severe pain that lasts longer than 6 months. Referred pain is the result of the transfer of visceral
r r r r r r r r r r r r r r r r r r
pain sensations to a body surface at a distance from the actual origin. Neuropathic pain is
r r r r r r r r r r r r r r r r
paroxysmal pain that occurs along the branches of a nerve.
r r r r r r r r r r
PTS:1DIF:ApplyREF:Types of Pain r r
5.A client is observed holding a pillow over the abdominal region with both knees flexed in a
r r r r r r r r r r r r r r r r
side-lying position. Vital signs assessment reveals an elevated blood pressure and heart rate.
r r r r r r r r r r r r r
Which of the following should the nurse say to this client?
r r r r r r r r r r r
1. Can I get you anything? r r r r
2. Would you like something for pain? r r r r r
3. You look comfortable. r r
4. Your blood pressure is up. r r r r
ANS: 2 r
Sympathetic responses to pain include elevated blood pressure and heart rate. And since the client
r r r r r r r r r r r r r r
is hugging a pillow over the abdominal region with both knees flexed in a side-lying position, the
r r r r r r r r r r r r r r r r r
best thing for the nurse to say to this client is Would you like something for pain? The other
r r r r r r r r r r r r r r r r r r r
responses are incorrect because they do not acknowledge that the client is experiencing pain.
r r r r r r r r r r r r r r
PTS: 1 DIF: Apply REF: Assessing the Clinical Manifestations of Pain
r r r r r r r r r r
6.A client experiencing chronic pain asks the nurse why she is not prescribed Demerol like she
r r r r r r r r r r r r r r r
received when she had a total knee replacement. Which of the following should the nurse respond
r r r r r r r r r r r r r r r r
to this client?
r r r
1. You dont need something that strong.r r r r r
2. That medication does not exist anymore.
r r r r r
3. That medication does not last very long.
r r r r r r
4. It can cause you have high blood pressure.
r r r r r r r
, ANS: 3 r
Meperidine is no longer a major drug for acute or chronic pain due to its short analgesic duration of
r r r r r r r r r r r r r r r r r r
2 to 3 hours and the potential for accumulative toxic effects of its metabolite, normeperidine. The
r r r r r r r r r r r r r r r r
best response for the nurse to make to the client would be that medication does not last very long.
r r r r r r r r r r r r r r r r r r r
The other responses are inaccurate.
r r r r r
PTS:1DIF:ApplyREF:Opioid Analgesics r
7.A client is informed that a tricyclic antidepressant medication is going to help control his chronic
r r r r r r r r r r r r r r r
pain. The nurse would expect the physician to prescribe:
r r r r r r r r r
1. Amitriptyline.
2. Baclofen.
3. Gabapentin.
4. Diazepam.
ANS: 1 r
Amitriptyline is an antidepressant. Gabapentin is an anticonvulsant. Baclofen is a muscle relaxant.
r r r r r r r r r r r r
Diazepam is a benzodiazepine.
r r r r
PTS: 1 DIF: Analyze REF: Adjuvant Medications
r r r r r r
8.A client receiving around-the-clock medication for terminal cancer experiences additional pain when
r r r r r r r r r r r
performing activities of daily living. The nurse realizes this client is experiencing:
r r r r r r r r r r r r
1. breakthrough pain. r
2. intractable pain. r
3. psychosomatic pain. r
4. acute pain. r
ANS: 1 r
Breakthrough pain is commonly seen in the advanced stages of cancer. It is spontaneous,
r r r r r r r r r r r r r
unpredictable, and can be initiated by certain activities such as during activities of daily living.
r r r r r r r r r r r r r r r
Intractable pain is resistant to some or all forms of therapy. Psychosomatic pain is that which has a
r r r r r r r r r r r r r r r r r r
psychological origin. The client is diagnosed with terminal cancer. Acute pain has a sudden onset
r r r r r r r r r r r r r r r
and resolves within 6 months.
r r r r r
PTS:1DIF:AnalyzeREF:Breakthrough Pain r
9.A client recovering from surgery tells the nurse that she is nauseated and is experiencing an increase
r r r r r r r r r r r r r r r r
in pain. Which of the following does this clients symptoms suggest to the nurse?
r r r r r r r r r r r r r r
1 The client is becoming dependent upon the pain medication.
r r r r r r r r
.
2 The clients pain threshold is lower when experiencing nausea.
r r r r r r r r
.
3 The client is experiencing withdrawal symptoms from pain medication.
r r r r r r r r
.
