for
Prioritization, Delegation and Assignment 5th
Edition by Linda A.LaCharity,Candice K. Kumagai
& Shirley Hosler.
,Prioritization, Delegation and Assignment 5th Edition
Chapter 1 - 22
CHAPTER1. Pain
MULTIPLE CHOICE
1.A patient tells the Medical caregiver that she rarely experiences pain, but when she does, she seeks
medical attention. The Medical caregiver realizes this patient understands that pain is important
because it:
1. is a protective system.
2. includes the automatic withdrawal reflex.
3. creates sensitivity to pain.
4. helps with healing.
ANSWER: 1
Pain is a protective system that includes protection from unsafe behaviors by use of reflexes, memory,
and avoidance. Even though the automatic withdrawal reflex is a part of the pain response, it does not
explain why pain is important. Pain does not create sensitivity to pain. Pain does not help with healing.
PTS: 1 REF: Definitions and Implications of Pain
2.A patient complains that the bed sheets touching his skin are extremely painful. The Medical caregiver
realizes this patient is experiencing:
1. allodynia.
2. modulation.
3. kinesthesia.
4. proprioception.
ANSWER: 1
Allodynia or hyperalgesia is a state where a slight or nonpainful stimulus is interpreted as very painful.
Kinesthesia is the awareness of movement. Proprioception is the awareness of body position.
Modulation is an influencing factor in the perception of pain.
PTS: 1 REF: Peripheral Nervous System
3.A patient is complaining of severe abdomen pain. The Medical caregiver realizes this patient is
experiencing WHICH type of pain?
1. Neuralgia
,2. Pathological
3. Somatic
4. Visceral
ANSWER: 4
Visceral pain is pain arising from the body organs or gastrointestinal tract. Somatic pain is pain that
originates from the bone, joints, muscles, skin, or connective pain. Neuralgia and
pathological pain are both types of pain that result from injury to a nerve or malfunction of the neuronal
transmission process or due to impaired regulation.
PTS: 1 DIF:AnalyzeREF: Types of Pain
4.A patient, diagnosed with acute appendicitis, is experiencing abdominal pain. The best way for the
Medical caregiver to describe this patients pain would be:
1. chronic.
2. neuropathic.
3. referred.
4. acute.
ANSWER: 4
Acute pain onset is sudden and of short duration. Chronic pain is a sudden or slow onset of mild to
severe pain that lasts longer than 6 months. Referred pain is the result of the transfer of visceral pain
sensations to a body surface at a distance from the actual origin. Neuropathic pain is paroxysmal pain
that occurs along the branches of a nerve.
PTS:1DIF:ApplyREF: Types of Pain
5. A patient is observed holding a pillow over the abdominal region with both knees flexed in a side-
lying position. Vital signs assessment reveals an elevated blood pressure and heart rate. WHICH of the
following should the Medical caregiver say to this patient?
1. Can I get you anything?
2. Would you like something for pain?
3. You look comfortable.
4. Your blood pressure is up.
ANSWER: 2
, Sympathetic responses to pain include elevated blood pressure and heart rate. And since the patient is
hugging a pillow over the abdominal region with both knees flexed in a side-lying position, the best thing
for the Medical caregiver to say to this patient is Would you like something for pain? The other
responses are incorrect because they do not acknowledge that the patient is experiencing pain.
PTS: 1 DIF: Apply REF: Assessing the Clinical Manifestations of Pain
6. A patient experiencing chronic pain asks the Medical caregiver why she is not prescribed Demerol like
she received when she had a total knee replacement. WHICH of the following should the Medical
caregiver respond to this patient?
1. You dont need something that strong.
2. That medication does not exist anymore.
3. That medication does not last very long.
4. It can cause you have high blood pressure.
ANSWER: 3
Meperidine is no longer a major drug for acute or chronic pain due to its short analgesic duration of 2 to
3 hours and the potential for accumulative toxic effects of its metabolite, normeperidine. The best
response for the Medical caregiver to make to the patient would be that medication does not last very
long. The other responses are inaccurate.
PTS:1DIF:ApplyREF: Opioid Analgesics
7. A patient is informed that a tricyclic antidepressant medication is going to help control his chronic
pain. The Medical caregiver would expect the physician to prescribe:
1. Amitriptyline.
2. Baclofen.
3. Gabapentin.
4. Diazepam.
ANSWER: 1
Amitriptyline is an antidepressant. Gabapentin is an anticonvulsant. Baclofen is a muscle relaxant.
Diazepam is a benzodiazepine.
PTS: 1 REF: Adjuvant Medications
8. A patient receiving around-the-clock medication for terminal cancer experiences additional pain
when performing activities of daily living. The Medical caregiver realizes this patient is experiencing:
Prioritization, Delegation and Assignment 5th
Edition by Linda A.LaCharity,Candice K. Kumagai
& Shirley Hosler.
,Prioritization, Delegation and Assignment 5th Edition
Chapter 1 - 22
CHAPTER1. Pain
MULTIPLE CHOICE
1.A patient tells the Medical caregiver that she rarely experiences pain, but when she does, she seeks
medical attention. The Medical caregiver realizes this patient understands that pain is important
because it:
1. is a protective system.
2. includes the automatic withdrawal reflex.
3. creates sensitivity to pain.
4. helps with healing.
ANSWER: 1
Pain is a protective system that includes protection from unsafe behaviors by use of reflexes, memory,
and avoidance. Even though the automatic withdrawal reflex is a part of the pain response, it does not
explain why pain is important. Pain does not create sensitivity to pain. Pain does not help with healing.
PTS: 1 REF: Definitions and Implications of Pain
2.A patient complains that the bed sheets touching his skin are extremely painful. The Medical caregiver
realizes this patient is experiencing:
1. allodynia.
2. modulation.
3. kinesthesia.
4. proprioception.
ANSWER: 1
Allodynia or hyperalgesia is a state where a slight or nonpainful stimulus is interpreted as very painful.
Kinesthesia is the awareness of movement. Proprioception is the awareness of body position.
Modulation is an influencing factor in the perception of pain.
PTS: 1 REF: Peripheral Nervous System
3.A patient is complaining of severe abdomen pain. The Medical caregiver realizes this patient is
experiencing WHICH type of pain?
1. Neuralgia
,2. Pathological
3. Somatic
4. Visceral
ANSWER: 4
Visceral pain is pain arising from the body organs or gastrointestinal tract. Somatic pain is pain that
originates from the bone, joints, muscles, skin, or connective pain. Neuralgia and
pathological pain are both types of pain that result from injury to a nerve or malfunction of the neuronal
transmission process or due to impaired regulation.
PTS: 1 DIF:AnalyzeREF: Types of Pain
4.A patient, diagnosed with acute appendicitis, is experiencing abdominal pain. The best way for the
Medical caregiver to describe this patients pain would be:
1. chronic.
2. neuropathic.
3. referred.
4. acute.
ANSWER: 4
Acute pain onset is sudden and of short duration. Chronic pain is a sudden or slow onset of mild to
severe pain that lasts longer than 6 months. Referred pain is the result of the transfer of visceral pain
sensations to a body surface at a distance from the actual origin. Neuropathic pain is paroxysmal pain
that occurs along the branches of a nerve.
PTS:1DIF:ApplyREF: Types of Pain
5. A patient is observed holding a pillow over the abdominal region with both knees flexed in a side-
lying position. Vital signs assessment reveals an elevated blood pressure and heart rate. WHICH of the
following should the Medical caregiver say to this patient?
1. Can I get you anything?
2. Would you like something for pain?
3. You look comfortable.
4. Your blood pressure is up.
ANSWER: 2
, Sympathetic responses to pain include elevated blood pressure and heart rate. And since the patient is
hugging a pillow over the abdominal region with both knees flexed in a side-lying position, the best thing
for the Medical caregiver to say to this patient is Would you like something for pain? The other
responses are incorrect because they do not acknowledge that the patient is experiencing pain.
PTS: 1 DIF: Apply REF: Assessing the Clinical Manifestations of Pain
6. A patient experiencing chronic pain asks the Medical caregiver why she is not prescribed Demerol like
she received when she had a total knee replacement. WHICH of the following should the Medical
caregiver respond to this patient?
1. You dont need something that strong.
2. That medication does not exist anymore.
3. That medication does not last very long.
4. It can cause you have high blood pressure.
ANSWER: 3
Meperidine is no longer a major drug for acute or chronic pain due to its short analgesic duration of 2 to
3 hours and the potential for accumulative toxic effects of its metabolite, normeperidine. The best
response for the Medical caregiver to make to the patient would be that medication does not last very
long. The other responses are inaccurate.
PTS:1DIF:ApplyREF: Opioid Analgesics
7. A patient is informed that a tricyclic antidepressant medication is going to help control his chronic
pain. The Medical caregiver would expect the physician to prescribe:
1. Amitriptyline.
2. Baclofen.
3. Gabapentin.
4. Diazepam.
ANSWER: 1
Amitriptyline is an antidepressant. Gabapentin is an anticonvulsant. Baclofen is a muscle relaxant.
Diazepam is a benzodiazepine.
PTS: 1 REF: Adjuvant Medications
8. A patient receiving around-the-clock medication for terminal cancer experiences additional pain
when performing activities of daily living. The Medical caregiver realizes this patient is experiencing:
