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