Prioritization Delegation and
m m
Assignment 4th EditionLaCha
m m m
rity Test Bank
m m
,PrioritizationmDelegationmandmAssignmentm4thmEditionm TestmBank
Chapterm1.mPainmMULTIPLEmCHOICE
1.Amclientmtellsmthemnursemthatmshemrarelymexperiencesmpain,mbutmwhenmshemdoes,mshemseeksmm
edicalmattention.mThemnursemrealizesmthismclientmunderstandsmthatmpainmismimportantmbecausemit:
1. ismamprotectivemsystem.
2. includesmthemautomaticmwithdrawalmreflex.
3. createsmsensitivitymtompain.
4. helpsmwithmhealin
g.mANS:m1
Painmismamprotectivemsystemmthatmincludesmprotectionmfrommunsafembehaviorsmbymusemofmreflexes,mme
mory,mandmavoidance.mEvenmthoughmthemautomaticmwithdrawalmreflexmismampartmofmthempainmresponse,
mitmdoesmnotmexplainmwhympainmismimportant.mPainmdoesmnotmcreatemsensitivitymtompain.mPainmdoesmnotm
helpmwithmhealing.
PTS:m1mDIF:mAnalyzemREF:mDefinitionsmandmImplicationsmofmPain
2.Amclientmcomplainsmthatmthembedmsheetsmtouchingmhismskinmaremextremelympainful.mThemnursemrealize
smthismclientmismexperiencing:
1. allodynia.
2. modulation.
3. kinesthesia.
4. proprioception.
ANS:m1
m
Allodyniamormhyperalgesiamismamstatemwheremamslightmormnonpainfulmstimulusmisminterpretedmasmverymp
ainful.mKinesthesiamismthemawarenessmofmmovement.mProprioceptionmismthemawarenessmofmbodympositio
n.
Modulationmismanminfluencingmfactorminmthemperceptionmofmp
ain.mPTS:m1mDIF:mAnalyzemREF:mPeripheralmNervousmSystem
3.Amclientmismcomplainingmofmseveremabdomenmpain.mThemnursemrealizesmthismclientmismexperiencingm
whichmtypemofmpain?
1. Neuralgia
,2. Pathological
3. Somatic
4. Visceral
ANS:m4
m
Visceralmpainmismpainmarisingmfrommthembodymorgansmormgastrointestinalmtract.mSomaticmpainmismpai
nmthatmoriginatesmfrommthembone,mjoints,mmuscles,mskin,mormconnectivempain.mNeuralgiamand
pathologicalmpainmarembothmtypesmofmpainmthatmresultmfromminjurymtomamnervemormmalfunctionmofmthemne
uronalmtransmissionmprocessmormduemtomimpairedmregulation.
PTS:1DIF:AnalyzeREF:TypesmofmPain
4.Amclient,mdiagnosedmwithmacutemappendicitis,mismexperiencingmabdominalmpain.mThembestmwaymformthem
nursemtomdescribemthismclientsmpainmwouldmbe:
1. chronic.
2. neuropathic.
3. referred.
4. acute.
ANS:m4
m
Acutempainmonsetmismsuddenmandmofmshortmduration.mChronicmpainmismamsuddenmormslowmonsetmofmmil
dmtomseverempainmthatmlastsmlongermthanm6mmonths.mReferredmpainmismthemresultmofmthemtransfermofmvi
sceralmpainmsensationsmtomambodymsurfacematmamdistancemfrommthemactualmorigin.mNeuropathicmpainmism
paroxysmalmpainmthatmoccursmalongmthembranchesmofmamnerve.
PTS:1DIF:ApplyREF:TypesmofmPain
5.Amclientmismobservedmholdingmampillowmovermthemabdominalmregionmwithmbothmkneesmflexedminmamsid
e-
lyingmposition.mVitalmsignsmassessmentmrevealsmanmelevatedmbloodmpressuremandmheartmrate.mWhichmofm
themfollowingmshouldmthemnursemsaymtomthismclient?
1. CanmImgetmyoumanything?
2. Wouldmyoumlikemsomethingmformpain?
3. Youmlookmcomfortable.
4. Yourmbloodmpressuremismu
p.mANS:m2
, Sympatheticmresponsesmtompainmincludemelevatedmbloodmpressuremandmheartmrate.mAndmsincemthemclientm
ismhuggingmampillowmovermthemabdominalmregionmwithmbothmkneesmflexedminmamside-
lyingmposition,mthembestmthingmformthemnursemtomsaymtomthismclientmismWouldmyoumlikemsomethingmformpain
?mThemothermresponsesmaremincorrectmbecausemtheymdomnotmacknowledgemthatmthemclientmismexperiencin
gmpain.
PTS:m1mDIF:mApplymREF:mAssessingmthemClinicalmManifestationsmofmPain
6.AmclientmexperiencingmchronicmpainmasksmthemnursemwhymshemismnotmprescribedmDemerolmlikemshemrece
ivedmwhenmshemhadmamtotalmkneemreplacement.mWhichmofmthemfollowingmshouldmthemnursemrespondmtomt
hismclient?
1. Youmdontmneedmsomethingmthatmstrong.
2. Thatmmedicationmdoesmnotmexistmanymore.
3. Thatmmedicationmdoesmnotmlastmverymlong.
4. Itmcanmcausemyoumhavemhighmbloodmpressure.
ANS:m3
Meperidinemismnomlongermammajormdrugmformacutemormchronicmpainmduemtomitsmshortmanalgesicmdurationm
ofm2mtom3mhoursmandmthempotentialmformaccumulativemtoxicmeffectsmofmitsmmetabolite,mnormeperidine.mTh
embestmresponsemformthemnursemtommakemtomthemclientmwouldmbemthatmmedicationmdoesmnotmlastmverymlo
ng.mThemothermresponsesmareminaccurate.
PTS:1DIF:ApplyREF:OpioidmAnalgesics
7.Amclientmisminformedmthatmamtricyclicmantidepressantmmedicationmismgoingmtomhelpmcontrolmhismchronic
mpain.mThemnursemwouldmexpectmthemphysicianmtomprescribe:
1. Amitriptyline.
2. Baclofen.
3. Gabapentin.
4. Diazepam.
ANS:m1
m
Amitriptylinemismanmantidepressant.mGabapentinmismanmanticonvulsant.mBaclofenmismammusclemrelax
ant.mDiazepammismambenzodiazepine.
PTS:m1mDIF:mAnalyzemREF:mAdjuvantmMedications
8.Amclientmreceivingmaround-the-
clockmmedicationmformterminalmcancermexperiencesmadditionalmpainmwhenmperformingmactivitiesmofmdail
ymliving.mThemnursemrealizesmthismclientmismexperiencing:
m m
Assignment 4th EditionLaCha
m m m
rity Test Bank
m m
,PrioritizationmDelegationmandmAssignmentm4thmEditionm TestmBank
Chapterm1.mPainmMULTIPLEmCHOICE
1.Amclientmtellsmthemnursemthatmshemrarelymexperiencesmpain,mbutmwhenmshemdoes,mshemseeksmm
edicalmattention.mThemnursemrealizesmthismclientmunderstandsmthatmpainmismimportantmbecausemit:
1. ismamprotectivemsystem.
2. includesmthemautomaticmwithdrawalmreflex.
3. createsmsensitivitymtompain.
4. helpsmwithmhealin
g.mANS:m1
Painmismamprotectivemsystemmthatmincludesmprotectionmfrommunsafembehaviorsmbymusemofmreflexes,mme
mory,mandmavoidance.mEvenmthoughmthemautomaticmwithdrawalmreflexmismampartmofmthempainmresponse,
mitmdoesmnotmexplainmwhympainmismimportant.mPainmdoesmnotmcreatemsensitivitymtompain.mPainmdoesmnotm
helpmwithmhealing.
PTS:m1mDIF:mAnalyzemREF:mDefinitionsmandmImplicationsmofmPain
2.Amclientmcomplainsmthatmthembedmsheetsmtouchingmhismskinmaremextremelympainful.mThemnursemrealize
smthismclientmismexperiencing:
1. allodynia.
2. modulation.
3. kinesthesia.
4. proprioception.
ANS:m1
m
Allodyniamormhyperalgesiamismamstatemwheremamslightmormnonpainfulmstimulusmisminterpretedmasmverymp
ainful.mKinesthesiamismthemawarenessmofmmovement.mProprioceptionmismthemawarenessmofmbodympositio
n.
Modulationmismanminfluencingmfactorminmthemperceptionmofmp
ain.mPTS:m1mDIF:mAnalyzemREF:mPeripheralmNervousmSystem
3.Amclientmismcomplainingmofmseveremabdomenmpain.mThemnursemrealizesmthismclientmismexperiencingm
whichmtypemofmpain?
1. Neuralgia
,2. Pathological
3. Somatic
4. Visceral
ANS:m4
m
Visceralmpainmismpainmarisingmfrommthembodymorgansmormgastrointestinalmtract.mSomaticmpainmismpai
nmthatmoriginatesmfrommthembone,mjoints,mmuscles,mskin,mormconnectivempain.mNeuralgiamand
pathologicalmpainmarembothmtypesmofmpainmthatmresultmfromminjurymtomamnervemormmalfunctionmofmthemne
uronalmtransmissionmprocessmormduemtomimpairedmregulation.
PTS:1DIF:AnalyzeREF:TypesmofmPain
4.Amclient,mdiagnosedmwithmacutemappendicitis,mismexperiencingmabdominalmpain.mThembestmwaymformthem
nursemtomdescribemthismclientsmpainmwouldmbe:
1. chronic.
2. neuropathic.
3. referred.
4. acute.
ANS:m4
m
Acutempainmonsetmismsuddenmandmofmshortmduration.mChronicmpainmismamsuddenmormslowmonsetmofmmil
dmtomseverempainmthatmlastsmlongermthanm6mmonths.mReferredmpainmismthemresultmofmthemtransfermofmvi
sceralmpainmsensationsmtomambodymsurfacematmamdistancemfrommthemactualmorigin.mNeuropathicmpainmism
paroxysmalmpainmthatmoccursmalongmthembranchesmofmamnerve.
PTS:1DIF:ApplyREF:TypesmofmPain
5.Amclientmismobservedmholdingmampillowmovermthemabdominalmregionmwithmbothmkneesmflexedminmamsid
e-
lyingmposition.mVitalmsignsmassessmentmrevealsmanmelevatedmbloodmpressuremandmheartmrate.mWhichmofm
themfollowingmshouldmthemnursemsaymtomthismclient?
1. CanmImgetmyoumanything?
2. Wouldmyoumlikemsomethingmformpain?
3. Youmlookmcomfortable.
4. Yourmbloodmpressuremismu
p.mANS:m2
, Sympatheticmresponsesmtompainmincludemelevatedmbloodmpressuremandmheartmrate.mAndmsincemthemclientm
ismhuggingmampillowmovermthemabdominalmregionmwithmbothmkneesmflexedminmamside-
lyingmposition,mthembestmthingmformthemnursemtomsaymtomthismclientmismWouldmyoumlikemsomethingmformpain
?mThemothermresponsesmaremincorrectmbecausemtheymdomnotmacknowledgemthatmthemclientmismexperiencin
gmpain.
PTS:m1mDIF:mApplymREF:mAssessingmthemClinicalmManifestationsmofmPain
6.AmclientmexperiencingmchronicmpainmasksmthemnursemwhymshemismnotmprescribedmDemerolmlikemshemrece
ivedmwhenmshemhadmamtotalmkneemreplacement.mWhichmofmthemfollowingmshouldmthemnursemrespondmtomt
hismclient?
1. Youmdontmneedmsomethingmthatmstrong.
2. Thatmmedicationmdoesmnotmexistmanymore.
3. Thatmmedicationmdoesmnotmlastmverymlong.
4. Itmcanmcausemyoumhavemhighmbloodmpressure.
ANS:m3
Meperidinemismnomlongermammajormdrugmformacutemormchronicmpainmduemtomitsmshortmanalgesicmdurationm
ofm2mtom3mhoursmandmthempotentialmformaccumulativemtoxicmeffectsmofmitsmmetabolite,mnormeperidine.mTh
embestmresponsemformthemnursemtommakemtomthemclientmwouldmbemthatmmedicationmdoesmnotmlastmverymlo
ng.mThemothermresponsesmareminaccurate.
PTS:1DIF:ApplyREF:OpioidmAnalgesics
7.Amclientmisminformedmthatmamtricyclicmantidepressantmmedicationmismgoingmtomhelpmcontrolmhismchronic
mpain.mThemnursemwouldmexpectmthemphysicianmtomprescribe:
1. Amitriptyline.
2. Baclofen.
3. Gabapentin.
4. Diazepam.
ANS:m1
m
Amitriptylinemismanmantidepressant.mGabapentinmismanmanticonvulsant.mBaclofenmismammusclemrelax
ant.mDiazepammismambenzodiazepine.
PTS:m1mDIF:mAnalyzemREF:mAdjuvantmMedications
8.Amclientmreceivingmaround-the-
clockmmedicationmformterminalmcancermexperiencesmadditionalmpainmwhenmperformingmactivitiesmofmdail
ymliving.mThemnursemrealizesmthismclientmismexperiencing:
