Chapter 10

Question 1

Pain signals are carried to the central nervous system by way of:

Answer 1

afferent fibers.

Question 2

Which of the following is the most reliable indicator for chronic pain?

Answer 2

Patient self-report

Question 3

Which of the following statements regarding cultural/racial differences in the treatment of pain is true?

Answer 3

White individuals receive more analgesic therapy than black or Hispanic individuals with similar symptoms.

Question 4

What occurs during transduction (the first phase of nociceptive pain)?

Answer 4

Pain signals move from the site of origin to the spinal cord

Question 5

What type of pain is short and self-limiting and dissipates after the injury heals?

Answer 5

Acute

Question 6

Neuropathic pain implies an abnormal:

Answer 6

processing of the pain message.

Question 7

What is the source of deep somatic pain?

Answer 7

Bones and joints

Question 8

Which of the following has been found to influence pain sensitivity in women?

Answer 8

Hormonal changes

Question 9

Specialized nerve endings that are designed to detect painful sensations are:

Answer 9

nociceptors.

Question 10

An older adult patient with dementia has a pain rating of 5 on the Pain Assessment in Advanced Dementia (PAINAD) scale. The nurse should:

Answer 10

administer prescribed pain medication.

Question 11

Acute pain

Answer 11

short term, self limiting, often predictable trajectory; stops after injury heals

Question 12

Allodynia

Answer 12

experience of pain after normally tactile or thermal stimulus

Question 13

Breakthrough pain

Answer 13

pain restarts or escalates before next scheduled analgesic dose

Question 14

Chronic (persistent) pain

Answer 14

pain continues for 6 months or longer after initial injury

Question 15

Incident pain

Answer 15

occurs predictably after specific movements

Question 16

Modulation

Answer 16

pain message inhibited during this last phase of nociception

Question 17

Neuropathic pain

Answer 17

abnormal processing of pain message; burning, shooting in nature

Question 18

Nociception

Answer 18

process whereby noxious stimuli are perceived as pain; central and peripheral nervous system intact

Question 19

Nociceptors

Answer 19

specialized nerve endings that detect painful stimuli

Question 20

Pain

Answer 20

an unpleasant sensory and emotional experience associated with actual or potential tissue damage, or described in terms of such damage. Pain is always subjective

Question 21

Perception

Answer 21

conscious awareness of painful sensation

Question 22

Referred pain

Answer 22

pain felt at a particular site but originates from another location

Question 23

Somatic pain

Answer 23

originating from muscle, bone, joints, tendons, or blood vessels

Question 24

Transduction

Answer 24

second phase of nociception whereby the pain impulse moves from the spinal cord to the brain

Question 25

Transmission

Answer 25

second phase of nociception whereby the pain impulse moves from the spinal cord to the brain

Question 26

Visceral pain

Answer 26

originating from internal organs such as the gallbladder or stomach

Question 27

At which phase does the individual become aware of a painful sensations

Answer 27

perception

Question 28

While taking a hx, the pt describes a burning, painful sensation that moves around the toes and bottoms of the feet. These symptoms suggest?

Answer 28

neuropathic pain

Question 29

During the physical exam, your pt is diaphoretic and pale and complains of dull pain in the LUQ of the abdomen. This is what type of pain?

Answer 29

visceral pain

Question 30

While caring for a preterm infant you are aware that

Answer 30

the preterm infant is more sensitive to painful stimuli

Question 31

The most reliable indicator of pain in the adult is:

Answer 31

The patients self report

Question 32

While examining the broken arm of a 4 yr old boy what is the appropriate assessment toll to evaluate his pain status

Answer 32

Wong-Baker scale

Question 33

Normal age related finding in the lower extremities of an 80 yr old woman would be

Answer 33

diminished strength bilaterally

Question 34

A pt presents with acute pain of the abdomen. After the initial exam, how would you proceed?

Answer 34

Give pain medications as ordered

Question 35

For older adult postoperative patients, poorly controlled acute pain places them at higher risk for:

Answer 35

Atelectasis
Increased myocardial oxygen demand
Impaired wound healing

Question 36

A 30 year old woman reports having persistent intense pain in her right arm related to trauma sustained from a car accident 5 months ago. She states that the slightest touch or clothing can exacerbate the pain. This report is suggestive of :

Answer 36

Complex regional pain I

Question 37

CRIES is an appropriate pain assessment tool for:

Answer 37

Preterm and term neonates

Question 38

Pain issues should be anticipated in a cognitively impaired older adult with a hx of

Answer 38

peripheral vascular disease

Question 39

Pain in the aging adult is considered to be

Answer 39

unrelated to the aging process

Question 40

Which is considered a common physiologic change that occurs with pain

Answer 40

tachycardia

Question 41

A pt is requesting pain medication and expresses a pain level of 9/10; however, the pt is up and smiling. How should you proceed?

Answer 41

Use therapeutic communication techniques to determine the patients current prescription drug use