, Prioritization Delegation and Assignment4th Edition LaCharity Test Bank
e e l# l# l# l# l#
Chapterl#1.l#Painl#MULT
l#IPLECHOICE
1.A l#client l#tells l#the nurse l#that l#she l#rarelyexperiencespain, l#but l#when l#she l#does, l#she l#seeks l#medical
e
l#attent l#ion. l#The l#nurse l#realizes l#this l#client understands l#that l#pain l#is l#important l#because l#it:
e
1. isa l#protective l#system.
2. includes the l#automatic l#withdrawal l#reflex.
e
3. creates l#sensitivity l#to pain. e
4. helps with l#healing.
e
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#memor l#y, l#and l#avoidance. l#Even though l#the l#automatic l#withdrawal l#reflex l#is l#a l#part l#of l#the pain
e e
l#response, l#it l#does l#not l#explain l#why l#pain l#is l#important. l#Pain does l#not create l#sensitivity l#to l#pain.
e e
l#Pain does l#not l#help with l#he l#aling.
e e
PTS:l#1 l#DIF: l#Analyze l#REF: l#Definitionsl#and l#Implicationsl#of l#Pain
2.A l#client l#complainsthat l#the l#bed sheets l#touching l#his l#skin l#are l#extremely l#painful. l#The l#nurse
e
l#realizes l#t l#his 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 where l#a l#slight l#or l#nonpainful l#stimulus l#is l#interpreted l#asvery
e
l#painf l#ul. l#Kinesthesia l#is the awareness of l#movement. l#Proprioception l#is l#the awareness of l#body
e e e e e
l#position. l#M l#odulation is l#an influencing factor l#in l#the l#perception l#of l#pain.
e e e
PTS: l#1 l#DIF: l#Analyze l#REF: l#Peripheral l#Nervous l#System
3. A l#client l#is complainingof l#severe l#abdomen l#pain. l#The l#nurse l#realizes this l#client l#is l#experiencing
e e
l#whic l#h l#type l#of l#pain?
1. Neuralgia
2. Pathological
3. Somatic
4. Visceral
ANS:l#4
Viscerall#painl#ispainl#arisingl#froml#thel#bodyl#organsl#orl#gastrointestinall#tract.l#Somaticl#pain isl#painl#that e
l#originates l#from l#the l#bone, l#joints, l#muscles, l#skin, l#or l#connective l#pain. l#Neuralgia and e
,pathological l#pain l#are l#both l#types l#of l#pain that result l#from l#injury l#to l#a l#nerve l#or l#malfunction l#ofthe
e e
l#neuro l#nal l#transmission l#process l#or l#due l#to impaired l#regulation. e
PTS:1DIF:AnalyzeREF:Types l#of l#Pain
4. Aclient, l#diagnosed l#withacute l#appendicitis, l#isl#experiencingabdominal l#pain.l#The l#best l#wayl#for
l#the l#nurse l#to describe l#this l#clients l#pain would l#be:
e e
1. chronic.
2. neuropathic.
3. referred.
4. acute.
ANS:l#4
Acute pain l#onset l#is l#sudden l#and l#of l#short duration. l#Chronic l#pain l#is l#a l#sudden l#orslow l#onset l#of
e e
l#mild l#to l#se l#vere l#pain l#that lasts longer l#than l#6 l#months. l#Referred l#pain l#is l#the l#result of l#the l#transfer
e e e
l#of l#visceral l#pain l#se l#nsations l#to l#a l#body l#surface l#at l#a l#distance from the l#actual l#origin. l#Neuropathic
e e
l#pain l#is l#paroxysmal l#pain t l#hat l#occurs l#along l#the l#branches of l#a l # nerve.
e e
PTS:1DIF:ApplyREF:Types of l#Pain e
5. Al#clientl#isobservedl#holdingl#al#pillowl#overl#thel#abdominall#regionl#withl#bothl#knees flexedl#in a l#sid e e
l#e-
lying position.l#Vitall#signsl#assessmentl#revealsl#anl#elevatedl#bloodl#pressurel#andl#heartl#rate. l#Whichl#o
e
l#f l#the following l#should the l#nurse l#say l#to l#this l#client?
e e
1. Canl#I l#get l#you l#anything?
2. Would you l#like something l#for l#pain?
e e
3. You l#look l#comfortable.
4. Your l#blood pressure l#is l#up.
e
ANS:l#2
Sympathetic l#responsesl#tol#painl#includel#elevatedl#bloodl#pressurel#and heart rate.l#Andl#sincel#thel#clientl#is e e
l#hugging a pillow l#over l#the l#abdominal l#region l#with both l#knees l#flexed l#in l#a l#side-
e e e
lying position, l#the l#best l#thing l#for l#the l#nurse l#to l#sayl#to l#this client l#is l#Would l#you l#like l#something l#for
e e
l#pain? l#Thel#otherl#responses arel#incorrectl#becausel#theydol#notl#acknowledgel#thatl#thel#client
e
l#is experiencing pai l#n.
e e
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#experiencingchronic l#pain l#asks l#the l#nursewhy l#she l#is l#not l#prescribed l#Demerol
l#like she recei l#ved when l#she l#had l#a total l#knee replacement. l#Which of l#the l#following l#should
e e e e e e
l#the nurse l#respond to l#this
e l # client?
e e
1. Youl#dont l#need l#somethingthat l#strong.
2. That medication l#does not l#exist l#anymore.
e e
3. Thatmedicationl#does notl#last l#very l#long.
e
4. It l#can l#cause l#you l#have l#high blood l#pressure. e e
, ANS:l#3
Meperidinel#isl#nol#longerl#al#majorl#drugl#forl#acutel#orl#chronic painl#duel#tol#itsl#shortl#analgesicl#durationl#ofl#2
e
l#tol#3l#hoursl#andl#thel#potential l#for l#accumulative l#toxicl#effects ofl#its metabolite, l#normeperidine. l#The
e e
l#best l#response l#for l#the l#nurse l#to l#make l#to l#the l#client l#would l#be l#that l#medication l#does l#not l#last very
e
l#long. l#The l#ot l#her l#responses l#are l#inaccurate.
PTS:1DIF:ApplyREF:Opioid l # Analgesics
7. Al#clientl#is informedl#thatl#al#tricyclicl#antidepressantl#medicationl#isl#goingl#tol#helpl#controll#his chronicl#p
e e
l#ain. l#The l#nurse l#would l#expect the l#physician l#to l#prescribe:
e
1. Amitriptyline.
2. Baclofen.
3. Gabapentin.
4. Diazepam.
ANS:l#1
Amitriptylinel#isl#anl#antidepressant. l#Gabapentinisl#anl#anticonvulsant. l#Baclofenisl#al#muscle l#relaxant.
l#Diazepam is l#a l#benzodiazepine.
e
PTS: l#1l#DIF: l#Analyze l#REF: l#Adjuvant l#Medications
8. Aclient l # receivingaround-the-
clockl#medication forterminall#cancerl#experiencesl#additionall#painl#whenl#performingl#activities ofl#dail
e e
l#y l#living. l#The l#nurse realizes l#this l#client l#is l#experiencing:
e
1. breakthrough l#pain.
2. intractable l#pain.
3. psychosomatic l#pain.
4. acutel#pain.
ANS:l#1
Breakthrough l#pain l#is l#commonly l#seen l#in l#the l#advanced l#stages l#of l#cancer. l#It l#is l#spontaneous,
l#unpredicta l#ble, l#and l#can l#be l#initiated l#by l#certain l#activities l#such l#as l#during l#activities l#of l#daily
l#living. l#Intractable l#pain l#is resistant l#to l#some l#or l#all l#forms l#of l#therapy. l#Psychosomatic l#pain l#is
e
l#that l#which l#has a l#psychological l#orig l#in. l#The l#client l#is l#diagnosed l#with l#terminal l#cancer. l#Acute
e
l#pain has a l#sudden l#onset l#and l#resolves within l#6 l#months.
e e e
PTS:1DIF:AnalyzeREF:Breakthrough l # Pain
9. Aclientl#recoveringl#froml#surgeryl#tellsl#thel#nursel#that she isl#nauseatedl#andl#isl#experiencingl#anl#increas
e e
l#e l#in l#pain. l#Which l#of l#the l#following l#does l#this clients l#symptoms suggest l#to l#the l#nurse?
e e
1 Theclientl#isl#becomingl#dependentl#upon thel#painl#medication.
e
.
2 The l#clients l#pain thresholdislower l#whenl#experiencing l#nausea.
e
.
3 Theclient l#isexperiencingwithdrawal l#symptoms l#from l#pain l#medication.
.
e e l# l# l# l# l#
Chapterl#1.l#Painl#MULT
l#IPLECHOICE
1.A l#client l#tells l#the nurse l#that l#she l#rarelyexperiencespain, l#but l#when l#she l#does, l#she l#seeks l#medical
e
l#attent l#ion. l#The l#nurse l#realizes l#this l#client understands l#that l#pain l#is l#important l#because l#it:
e
1. isa l#protective l#system.
2. includes the l#automatic l#withdrawal l#reflex.
e
3. creates l#sensitivity l#to pain. e
4. helps with l#healing.
e
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#memor l#y, l#and l#avoidance. l#Even though l#the l#automatic l#withdrawal l#reflex l#is l#a l#part l#of l#the pain
e e
l#response, l#it l#does l#not l#explain l#why l#pain l#is l#important. l#Pain does l#not create l#sensitivity l#to l#pain.
e e
l#Pain does l#not l#help with l#he l#aling.
e e
PTS:l#1 l#DIF: l#Analyze l#REF: l#Definitionsl#and l#Implicationsl#of l#Pain
2.A l#client l#complainsthat l#the l#bed sheets l#touching l#his l#skin l#are l#extremely l#painful. l#The l#nurse
e
l#realizes l#t l#his 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 where l#a l#slight l#or l#nonpainful l#stimulus l#is l#interpreted l#asvery
e
l#painf l#ul. l#Kinesthesia l#is the awareness of l#movement. l#Proprioception l#is l#the awareness of l#body
e e e e e
l#position. l#M l#odulation is l#an influencing factor l#in l#the l#perception l#of l#pain.
e e e
PTS: l#1 l#DIF: l#Analyze l#REF: l#Peripheral l#Nervous l#System
3. A l#client l#is complainingof l#severe l#abdomen l#pain. l#The l#nurse l#realizes this l#client l#is l#experiencing
e e
l#whic l#h l#type l#of l#pain?
1. Neuralgia
2. Pathological
3. Somatic
4. Visceral
ANS:l#4
Viscerall#painl#ispainl#arisingl#froml#thel#bodyl#organsl#orl#gastrointestinall#tract.l#Somaticl#pain isl#painl#that e
l#originates l#from l#the l#bone, l#joints, l#muscles, l#skin, l#or l#connective l#pain. l#Neuralgia and e
,pathological l#pain l#are l#both l#types l#of l#pain that result l#from l#injury l#to l#a l#nerve l#or l#malfunction l#ofthe
e e
l#neuro l#nal l#transmission l#process l#or l#due l#to impaired l#regulation. e
PTS:1DIF:AnalyzeREF:Types l#of l#Pain
4. Aclient, l#diagnosed l#withacute l#appendicitis, l#isl#experiencingabdominal l#pain.l#The l#best l#wayl#for
l#the l#nurse l#to describe l#this l#clients l#pain would l#be:
e e
1. chronic.
2. neuropathic.
3. referred.
4. acute.
ANS:l#4
Acute pain l#onset l#is l#sudden l#and l#of l#short duration. l#Chronic l#pain l#is l#a l#sudden l#orslow l#onset l#of
e e
l#mild l#to l#se l#vere l#pain l#that lasts longer l#than l#6 l#months. l#Referred l#pain l#is l#the l#result of l#the l#transfer
e e e
l#of l#visceral l#pain l#se l#nsations l#to l#a l#body l#surface l#at l#a l#distance from the l#actual l#origin. l#Neuropathic
e e
l#pain l#is l#paroxysmal l#pain t l#hat l#occurs l#along l#the l#branches of l#a l # nerve.
e e
PTS:1DIF:ApplyREF:Types of l#Pain e
5. Al#clientl#isobservedl#holdingl#al#pillowl#overl#thel#abdominall#regionl#withl#bothl#knees flexedl#in a l#sid e e
l#e-
lying position.l#Vitall#signsl#assessmentl#revealsl#anl#elevatedl#bloodl#pressurel#andl#heartl#rate. l#Whichl#o
e
l#f l#the following l#should the l#nurse l#say l#to l#this l#client?
e e
1. Canl#I l#get l#you l#anything?
2. Would you l#like something l#for l#pain?
e e
3. You l#look l#comfortable.
4. Your l#blood pressure l#is l#up.
e
ANS:l#2
Sympathetic l#responsesl#tol#painl#includel#elevatedl#bloodl#pressurel#and heart rate.l#Andl#sincel#thel#clientl#is e e
l#hugging a pillow l#over l#the l#abdominal l#region l#with both l#knees l#flexed l#in l#a l#side-
e e e
lying position, l#the l#best l#thing l#for l#the l#nurse l#to l#sayl#to l#this client l#is l#Would l#you l#like l#something l#for
e e
l#pain? l#Thel#otherl#responses arel#incorrectl#becausel#theydol#notl#acknowledgel#thatl#thel#client
e
l#is experiencing pai l#n.
e e
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#experiencingchronic l#pain l#asks l#the l#nursewhy l#she l#is l#not l#prescribed l#Demerol
l#like she recei l#ved when l#she l#had l#a total l#knee replacement. l#Which of l#the l#following l#should
e e e e e e
l#the nurse l#respond to l#this
e l # client?
e e
1. Youl#dont l#need l#somethingthat l#strong.
2. That medication l#does not l#exist l#anymore.
e e
3. Thatmedicationl#does notl#last l#very l#long.
e
4. It l#can l#cause l#you l#have l#high blood l#pressure. e e
, ANS:l#3
Meperidinel#isl#nol#longerl#al#majorl#drugl#forl#acutel#orl#chronic painl#duel#tol#itsl#shortl#analgesicl#durationl#ofl#2
e
l#tol#3l#hoursl#andl#thel#potential l#for l#accumulative l#toxicl#effects ofl#its metabolite, l#normeperidine. l#The
e e
l#best l#response l#for l#the l#nurse l#to l#make l#to l#the l#client l#would l#be l#that l#medication l#does l#not l#last very
e
l#long. l#The l#ot l#her l#responses l#are l#inaccurate.
PTS:1DIF:ApplyREF:Opioid l # Analgesics
7. Al#clientl#is informedl#thatl#al#tricyclicl#antidepressantl#medicationl#isl#goingl#tol#helpl#controll#his chronicl#p
e e
l#ain. l#The l#nurse l#would l#expect the l#physician l#to l#prescribe:
e
1. Amitriptyline.
2. Baclofen.
3. Gabapentin.
4. Diazepam.
ANS:l#1
Amitriptylinel#isl#anl#antidepressant. l#Gabapentinisl#anl#anticonvulsant. l#Baclofenisl#al#muscle l#relaxant.
l#Diazepam is l#a l#benzodiazepine.
e
PTS: l#1l#DIF: l#Analyze l#REF: l#Adjuvant l#Medications
8. Aclient l # receivingaround-the-
clockl#medication forterminall#cancerl#experiencesl#additionall#painl#whenl#performingl#activities ofl#dail
e e
l#y l#living. l#The l#nurse realizes l#this l#client l#is l#experiencing:
e
1. breakthrough l#pain.
2. intractable l#pain.
3. psychosomatic l#pain.
4. acutel#pain.
ANS:l#1
Breakthrough l#pain l#is l#commonly l#seen l#in l#the l#advanced l#stages l#of l#cancer. l#It l#is l#spontaneous,
l#unpredicta l#ble, l#and l#can l#be l#initiated l#by l#certain l#activities l#such l#as l#during l#activities l#of l#daily
l#living. l#Intractable l#pain l#is resistant l#to l#some l#or l#all l#forms l#of l#therapy. l#Psychosomatic l#pain l#is
e
l#that l#which l#has a l#psychological l#orig l#in. l#The l#client l#is l#diagnosed l#with l#terminal l#cancer. l#Acute
e
l#pain has a l#sudden l#onset l#and l#resolves within l#6 l#months.
e e e
PTS:1DIF:AnalyzeREF:Breakthrough l # Pain
9. Aclientl#recoveringl#froml#surgeryl#tellsl#thel#nursel#that she isl#nauseatedl#andl#isl#experiencingl#anl#increas
e e
l#e l#in l#pain. l#Which l#of l#the l#following l#does l#this clients l#symptoms suggest l#to l#the l#nurse?
e e
1 Theclientl#isl#becomingl#dependentl#upon thel#painl#medication.
e
.
2 The l#clients l#pain thresholdislower l#whenl#experiencing l#nausea.
e
.
3 Theclient l#isexperiencingwithdrawal l#symptoms l#from l#pain l#medication.
.
