, Prioritization Delegation and Assignment 4th Edition LaCharity Test Bank
N N N N N N N N
Chapter N1. NPain
NMULTIPLE
NCHOICE
1.A Nclient Ntells Nthe Nnurse Nthat Nshe Nrarely Nexperiences Npain, Nbut Nwhen Nshe Ndoes, Nshe Nseeks
Nmedical Nattention. NThe Nnurse Nrealizes Nthis Nclient Nunderstands Nthat Npain Nis Nimportant
Nbecause Nit:
1. is Na Nprotective Nsystem.
2. includes Nthe Nautomatic Nwithdrawal Nreflex.
3. creates Nsensitivity Nto Npain.
4. helps Nwith Nhealing.
ANS: N1
Pain Nis Na Nprotective Nsystem Nthat Nincludes Nprotection Nfrom Nunsafe Nbehaviors Nby Nuse Nof
Nreflexes, Nmemory, Nand Navoidance. NEven Nthough Nthe Nautomatic Nwithdrawal Nreflex Nis Na
Npart Nof Nthe Npain Nresponse, Nit Ndoes Nnot Nexplain Nwhy Npain Nis Nimportant. NPain Ndoes Nnot
Ncreate Nsensitivity Nto Npain. NPain Ndoes Nnot Nhelp Nwith Nhealing.
PTS: N1 NDIF: NAnalyze NREF: NDefinitions Nand NImplications Nof NPain
2.A Nclient Ncomplains Nthat Nthe Nbed Nsheets Ntouching Nhis Nskin Nare Nextremely Npainful. NThe
Nnurse Nrealizes Nthis Nclient Nis Nexperiencing:
1. allodynia.
2. modulation.
3. kinesthesia.
4. proprioception.
ANS: N1
Allodynia Nor Nhyperalgesia Nis Na Nstate Nwhere Na Nslight Nor Nnonpainful Nstimulus Nis Ninterpreted
Nas Nvery Npainful. NKinesthesia Nis Nthe Nawareness Nof Nmovement. NProprioception Nis Nthe
Nawareness Nof Nbody Nposition. NModulation Nis Nan Ninfluencing Nfactor Nin Nthe Nperception Nof
Npain.
PTS: N1 NDIF: NAnalyze NREF: NPeripheral NNervous NSystem
3.A Nclient Nis Ncomplaining Nof Nsevere Nabdomen Npain. NThe Nnurse Nrealizes Nthis Nclient Nis
Nexperiencing Nwhich Ntype Nof Npain?
1. Neuralgia
2. Pathological
3. Somatic
4. Visceral
ANS: N4
Visceral Npain Nis Npain Narising Nfrom Nthe Nbody Norgans Nor Ngastrointestinal Ntract. NSomatic Npain
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,Nis Npain Nthat Noriginates Nfrom Nthe Nbone, Njoints, Nmuscles, Nskin, Nor Nconnective Npain.
NNeuralgia Nand
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, pathological Npain Nare Nboth Ntypes Nof Npain Nthat Nresult Nfrom Ninjury Nto Na Nnerve Nor
Nmalfunction Nof Nthe Nneuronal Ntransmission Nprocess Nor Ndue Nto Nimpaired Nregulation.
PTS:1DIF:AnalyzeREF:Types Nof NPain
4.A Nclient, Ndiagnosed Nwith Nacute Nappendicitis, Nis Nexperiencing Nabdominal Npain. NThe Nbest
Nway Nfor Nthe Nnurse Nto Ndescribe Nthis Nclients Npain Nwould Nbe:
1. chronic.
2. neuropathic.
3. referred.
4. acute.
ANS: N4
Acute Npain Nonset Nis Nsudden Nand Nof Nshort Nduration. NChronic Npain Nis Na Nsudden Nor Nslow
Nonset Nof Nmild Nto Nsevere Npain Nthat Nlasts Nlonger Nthan N6 Nmonths. NReferred Npain Nis Nthe
Nresult Nof Nthe Ntransfer Nof Nvisceral Npain Nsensations Nto Na Nbody Nsurface Nat Na Ndistance Nfrom
Nthe Nactual Norigin. NNeuropathic Npain Nis Nparoxysmal Npain Nthat Noccurs Nalong Nthe Nbranches
Nof Na N nerve.
PTS:1DIF:ApplyREF:Types Nof NPain
5.A Nclient Nis Nobserved Nholding Na Npillow Nover Nthe Nabdominal Nregion Nwith Nboth Nknees
Nflexed Nin Na Nside-lying Nposition. NVital Nsigns Nassessment Nreveals Nan Nelevated Nblood
Npressure Nand Nheart Nrate. NWhich Nof Nthe Nfollowing Nshould Nthe Nnurse Nsay Nto Nthis Nclient?
1. Can NI Nget Nyou Nanything?
2. Would Nyou Nlike Nsomething Nfor Npain?
3. You Nlook Ncomfortable.
4. Your Nblood Npressure Nis Nup.
ANS: N2
Sympathetic Nresponses Nto Npain Ninclude Nelevated Nblood Npressure Nand Nheart Nrate. NAnd Nsince
Nthe Nclient Nis Nhugging Na Npillow Nover Nthe Nabdominal Nregion Nwith Nboth Nknees Nflexed Nin Na
Nside-lying Nposition, Nthe Nbest Nthing Nfor Nthe Nnurse Nto Nsay Nto Nthis Nclient Nis NWould Nyou Nlike
Nsomething Nfor Npain? NThe Nother Nresponses Nare Nincorrect Nbecause Nthey Ndo Nnot Nacknowledge
Nthat Nthe Nclient Nis Nexperiencing Npain.
PTS: N1 NDIF: NApply NREF: NAssessing Nthe NClinical NManifestations Nof NPain
6.A Nclient Nexperiencing Nchronic Npain Nasks Nthe Nnurse Nwhy Nshe Nis Nnot Nprescribed NDemerol
Nlike Nshe Nreceived Nwhen Nshe Nhad Na Ntotal Nknee Nreplacement. NWhich Nof Nthe Nfollowing
Nshould Nthe Nnurse Nrespond Nto Nthis Nclient?
1. You Ndont Nneed Nsomething Nthat Nstrong.
2. That Nmedication Ndoes Nnot Nexist Nanymore.
3. That Nmedication Ndoes Nnot Nlast Nvery N long.
4. It Ncan Ncause Nyou Nhave Nhigh Nblood N pressure.
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