MULTIPLEy2CHOICE
1.Ay2clienty2tellsy2they2nursey2thaty2shey2rarelyy2experiencesy2pain,y2buty2wheny2shey2does,y2shey2see
ksy2medicaly2attention.y2They2nursey2realizesy2thisy2clienty2understandsy2thaty2painy2isy2importanty
2becausey2it:
1. isy2ay2protectivey2system.
2. includesy2they2automaticy2withdrawaly2reflex.
3. createsy2sensitivityy2toy2pain.
4. helpsy2withy2healing.
SOLUTION:y 2 1
Painy2isy2ay2protectivey2systemy2thaty2includesy2protectiony2fromy2unsafey2behaviorsy2byy2usey2of
y2reflexes,y2memory,y2andy2avoidance.y2Eveny2thoughy2they2automaticy2withdrawaly2reflexy2isy2ay
2party2ofy2they2painy2response,y2ity2doesy2noty2explainy2whyy2painy2isy2important.y2Painy2doesy2noty
2createy2sensitivityy2toy2pain.y2Painy2doesy2noty2helpy2withy2healing.
PTS:y21y2DIF:y2Analyzey2REFERENCE:y2Definitionsy2andy2Implicationsy2ofy2Pain
2.Ay2clienty2complainsy2thaty2they2bedy2sheetsy2touchingy2hisy2skiny2arey2extremelyy2painful.
y2They2nursey2realizesy2thisy2clienty2isy2experiencing:
1. allodynia.
2. modulation.
3. kinesthesia.
4. proprioception.
SOLUTION:y 2 1
,Allodyniay2ory2hyperalgesiay2isy2ay2statey2wherey2ay2slighty2ory2nonpainfuly2stimulusy2isy2interpreted
y2asy2veryy2painful.y2Kinesthesiay2isy2they2awarenessy2ofy2movement.y2Proprioceptiony2isy2they2a
warenessy2ofy2bodyy2position.y2Modulationy2isy2any2influencingy2factory2iny2they2perceptiony2ofy2
pain.
PTS:y21y2DIF:y2Analyzey2REFERENCE:y2Peripheraly2Nervousy2System
3.Ay2clienty2isy2complainingy2ofy2severey2abdomeny2pain.y2They2nursey2realizesy2thisy2clienty2isy2ex
periencingy2whichy2typey2ofy2pain?
1. Neuralgia
2. Pathological
3. Somatic
4. Visceral
SOLUTION:y 2 4
Visceraly2painy2isy2painy2arisingy2fromy2they2bodyy2organsy2ory2gastrointestinaly2tract.y2Somaticy2
painy2isy2painy2thaty2originatesy2fromy2they2bone,y2joints,y2muscles,y2skin,y2ory2connectivey2pai
n.y2Neuralgiay2and
,pathologicaly2painy2arey2bothy2typesy2ofy2painy2thaty2resulty2fromy2injuryy2toy2ay2nervey2ory2malfunc
tiony2ofy2they2neuronaly2transmissiony2processy2ory2duey2toy2impairedy2regulation.
PTS:1DIF:AnalyzeREFERENCE:Typesy2 ofy2Pain
4.Ay2client,y2diagnosedy2withy2acutey2appendicitis,y2isy2experiencingy2abdominaly2pain.y2They2be
sty2wayy2fory2they2nursey2toy2describey2thisy2clientsy2painy2wouldy2be:
1. chronic.
2. neuropathic.
3. referred.
4. acute.
SOLUTION:y 2 4
Acutey2painy2onsety2isy2suddeny2andy2ofy2shorty2duration.y2Chronicy2painy2isy2ay2suddeny2ory2slo
wy2onsety2ofy2mildy2toy2severey2painy2thaty2lastsy2longery2thany26y2months.y2Referredy2painy2isy
2they2resulty2ofy2they2transfery2ofy2visceraly2painy2sensationsy2toy2ay2bodyy2surfacey2aty2ay2distan
cey2fromy2they2actualy2origin.y2Neuropathicy2painy2isy2paroxysmaly2painy2thaty2occursy2alongy2t
hey2branchesy2ofy2ay 2 nerve.
PTS:1DIF:ApplyREFERENCE:Typesy2 ofy2Pain
5.Ay2clienty2isy2observedy2holdingy2ay2pillowy2overy2they2abdominaly2regiony2withy2bothy2kne
esy2flexedy2iny2ay2side-
lyingy2position.y2Vitaly2signsy2assessmenty2revealsy2any2elevatedy2bloody2pressurey2andy2he
arty2rate.y2Whichy2ofy2they2followingy2shouldy2they2nursey2sayy2toy2thisy2client?
1. Cany2Iy2gety2youy2anything?
2. Wouldy2youy2likey2somethingy2fory2pain?
3. Youy2looky2comfortable.
4. Youry2bloody2pressurey2isy2up.
SOLUTION:y 2 2
Sympatheticy2responsesy2toy2painy2includey2elevatedy2bloody2pressurey2andy2hearty2rate.y2Andy2
sincey2they2clienty2isy2huggingy2ay2pillowy2overy2they2abdominaly2regiony2withy2bothy2kneesy2fl
exedy2iny2ay2side-
lyingy2position,y2they2besty2thingy2fory2they2nursey2toy2sayy2toy2thisy2clienty2isy2Wouldy2youy2lik
ey2somethingy2fory2pain?y2They2othery2responsesy2arey2incorrecty2becausey2theyy2doy2noty2ackno
wledgey2thaty2they2clienty2isy2experiencingy2pain.
PTS:y21y2DIF:y2Applyy2REFERENCE:y2Assessingy2they2Clinicaly2Manifestationsy2ofy2Pain
6.Ay2clienty2experiencingy2chronicy2painy2asksy2they2nursey2whyy2shey2isy2noty2prescribedy2Deme
roly2likey2shey2receivedy2wheny2shey2hady2ay2totaly2kneey2replacement.y2Whichy2ofy2they2follo
wingy2shouldy2they2nursey2respondy2toy2thisy2client?
1. Youy2donty2needy2somethingy2thaty2strong.
2. Thaty2medicationy2doesy2noty2existy2anymore.
, 3. Thaty2medicationy2doesy2noty2lasty2veryy2long.
4. Ity2cany2causey2youy2havey2highy2bloody2 pressure.
1.Ay2clienty2tellsy2they2nursey2thaty2shey2rarelyy2experiencesy2pain,y2buty2wheny2shey2does,y2shey2see
ksy2medicaly2attention.y2They2nursey2realizesy2thisy2clienty2understandsy2thaty2painy2isy2importanty
2becausey2it:
1. isy2ay2protectivey2system.
2. includesy2they2automaticy2withdrawaly2reflex.
3. createsy2sensitivityy2toy2pain.
4. helpsy2withy2healing.
SOLUTION:y 2 1
Painy2isy2ay2protectivey2systemy2thaty2includesy2protectiony2fromy2unsafey2behaviorsy2byy2usey2of
y2reflexes,y2memory,y2andy2avoidance.y2Eveny2thoughy2they2automaticy2withdrawaly2reflexy2isy2ay
2party2ofy2they2painy2response,y2ity2doesy2noty2explainy2whyy2painy2isy2important.y2Painy2doesy2noty
2createy2sensitivityy2toy2pain.y2Painy2doesy2noty2helpy2withy2healing.
PTS:y21y2DIF:y2Analyzey2REFERENCE:y2Definitionsy2andy2Implicationsy2ofy2Pain
2.Ay2clienty2complainsy2thaty2they2bedy2sheetsy2touchingy2hisy2skiny2arey2extremelyy2painful.
y2They2nursey2realizesy2thisy2clienty2isy2experiencing:
1. allodynia.
2. modulation.
3. kinesthesia.
4. proprioception.
SOLUTION:y 2 1
,Allodyniay2ory2hyperalgesiay2isy2ay2statey2wherey2ay2slighty2ory2nonpainfuly2stimulusy2isy2interpreted
y2asy2veryy2painful.y2Kinesthesiay2isy2they2awarenessy2ofy2movement.y2Proprioceptiony2isy2they2a
warenessy2ofy2bodyy2position.y2Modulationy2isy2any2influencingy2factory2iny2they2perceptiony2ofy2
pain.
PTS:y21y2DIF:y2Analyzey2REFERENCE:y2Peripheraly2Nervousy2System
3.Ay2clienty2isy2complainingy2ofy2severey2abdomeny2pain.y2They2nursey2realizesy2thisy2clienty2isy2ex
periencingy2whichy2typey2ofy2pain?
1. Neuralgia
2. Pathological
3. Somatic
4. Visceral
SOLUTION:y 2 4
Visceraly2painy2isy2painy2arisingy2fromy2they2bodyy2organsy2ory2gastrointestinaly2tract.y2Somaticy2
painy2isy2painy2thaty2originatesy2fromy2they2bone,y2joints,y2muscles,y2skin,y2ory2connectivey2pai
n.y2Neuralgiay2and
,pathologicaly2painy2arey2bothy2typesy2ofy2painy2thaty2resulty2fromy2injuryy2toy2ay2nervey2ory2malfunc
tiony2ofy2they2neuronaly2transmissiony2processy2ory2duey2toy2impairedy2regulation.
PTS:1DIF:AnalyzeREFERENCE:Typesy2 ofy2Pain
4.Ay2client,y2diagnosedy2withy2acutey2appendicitis,y2isy2experiencingy2abdominaly2pain.y2They2be
sty2wayy2fory2they2nursey2toy2describey2thisy2clientsy2painy2wouldy2be:
1. chronic.
2. neuropathic.
3. referred.
4. acute.
SOLUTION:y 2 4
Acutey2painy2onsety2isy2suddeny2andy2ofy2shorty2duration.y2Chronicy2painy2isy2ay2suddeny2ory2slo
wy2onsety2ofy2mildy2toy2severey2painy2thaty2lastsy2longery2thany26y2months.y2Referredy2painy2isy
2they2resulty2ofy2they2transfery2ofy2visceraly2painy2sensationsy2toy2ay2bodyy2surfacey2aty2ay2distan
cey2fromy2they2actualy2origin.y2Neuropathicy2painy2isy2paroxysmaly2painy2thaty2occursy2alongy2t
hey2branchesy2ofy2ay 2 nerve.
PTS:1DIF:ApplyREFERENCE:Typesy2 ofy2Pain
5.Ay2clienty2isy2observedy2holdingy2ay2pillowy2overy2they2abdominaly2regiony2withy2bothy2kne
esy2flexedy2iny2ay2side-
lyingy2position.y2Vitaly2signsy2assessmenty2revealsy2any2elevatedy2bloody2pressurey2andy2he
arty2rate.y2Whichy2ofy2they2followingy2shouldy2they2nursey2sayy2toy2thisy2client?
1. Cany2Iy2gety2youy2anything?
2. Wouldy2youy2likey2somethingy2fory2pain?
3. Youy2looky2comfortable.
4. Youry2bloody2pressurey2isy2up.
SOLUTION:y 2 2
Sympatheticy2responsesy2toy2painy2includey2elevatedy2bloody2pressurey2andy2hearty2rate.y2Andy2
sincey2they2clienty2isy2huggingy2ay2pillowy2overy2they2abdominaly2regiony2withy2bothy2kneesy2fl
exedy2iny2ay2side-
lyingy2position,y2they2besty2thingy2fory2they2nursey2toy2sayy2toy2thisy2clienty2isy2Wouldy2youy2lik
ey2somethingy2fory2pain?y2They2othery2responsesy2arey2incorrecty2becausey2theyy2doy2noty2ackno
wledgey2thaty2they2clienty2isy2experiencingy2pain.
PTS:y21y2DIF:y2Applyy2REFERENCE:y2Assessingy2they2Clinicaly2Manifestationsy2ofy2Pain
6.Ay2clienty2experiencingy2chronicy2painy2asksy2they2nursey2whyy2shey2isy2noty2prescribedy2Deme
roly2likey2shey2receivedy2wheny2shey2hady2ay2totaly2kneey2replacement.y2Whichy2ofy2they2follo
wingy2shouldy2they2nursey2respondy2toy2thisy2client?
1. Youy2donty2needy2somethingy2thaty2strong.
2. Thaty2medicationy2doesy2noty2existy2anymore.
, 3. Thaty2medicationy2doesy2noty2lasty2veryy2long.
4. Ity2cany2causey2youy2havey2highy2bloody2 pressure.
