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