Chapter 11 - Pain Assessment Flashcards
When evaluating a patients pain, the nurse knows that an example of acute pain would be:
a. Arthritic pain.
b. Fibromyalgia.
c. Kidney stones.
d. Low back pain.
c
Which statement indicates that the nurse understands the pain experienced by an older adult?
a. Older adults must learn to tolerate pain.
b. Pain is a normal process of aging and is to be expected.
c. Pain indicates a pathologic condition or an injury and is not a normal process of aging.
d. Older individuals perceive pain to a lesser degree than do younger individuals.
c
A 4-year-old boy is brought to the emergency department by his mother. She says he points to his stomach and says, It hurts so bad. Which pain assessment tool would be the best choice when assessing this childs pain?
a. Descriptor Scale
b. Numeric rating scale
c. Brief Pain Inventory
d. Faces Pain ScaleRevised (FPS-R)
d
A patient states that the pain medication is not working and rates his postoperative pain at a 10 on a 1-to-10 scale. Which of these assessment findings indicates an acute pain response to poorly controlled pain?
a. Confusion
b. Hyperventilation
c. Increased blood pressure and pulse
d. Depression
c
A 60-year-old woman has developed reflexive sympathetic dystrophy after arthroscopic repair of her shoulder. A key feature of this condition is that the:
a. Affected extremity will eventually regain its function.
b. Pain is felt at one site but originates from another location.
c. Patients pain will be associated with nausea, pallor, and diaphoresis.
d. Slightest touch, such as a sleeve brushing against her arm, causes severe and intense pain.
d
The nurse is assessing a patients pain. The nurse knows that the most reliable indicator of pain would be the:
a. Pts v/s
b. physical examination
c. results of a CT/CAT scan
d. subjective report
d
A patient has had arthritic pain in her hips for several years since a hip fracture. She is able to move around in her room and has not offered any complaints so far this morning. However, when asked, she states that her pain is bad this morning and rates it at an 8 on a 1-to-10 scale. What does the nurse suspect? The patient:
a. Is addicted to her pain medications and cannot obtain pain relief.
b. Does not want to trouble the nursing staff with her complaints.
c. Is not in pain but rates it high to receive pain medication.
d. Has experienced chronic pain for years and has adapted to it.
d
The nurse is reviewing the principles of pain. Which type of pain is due to an abnormal processing of the pain impulse through the peripheral or central nervous system?
a. Visceral
b. Referred
c. Cutaneous
d. Neuropathic
d
When assessing the quality of a patients pain, the nurse should ask which question?
a.When did the pain start?
b. Is the pain a stabbing pain?
c. Is it a sharp pain or dull pain?
d. What does your pain feel like?
d
When assessing a patients pain, the nurse knows that an example of visceral pain would be:
a. Hip fracture.
b. Cholecystitis.
c. Second-degree burns.
d. Pain after a leg amputation.
b
The nurse is reviewing the principles of nociception. During which phase of nociception does the conscious awareness of a painful sensation occur?
a. Perception
b. Modulation
c. Transduction
d. Transmission
a
When assessing the intensity of a patients pain, which question by the nurse is appropriate?
a. What makes your pain better or worse?
b. How much pain do you have now?
c. How does pain limit your activities?
d. What does your pain feel like?
b
A patient is complaining of severe knee pain after twisting it during a basketball game and is requesting pain medication. Which action by the nurse is appropriate?
a. Completing the physical examination first and then giving the pain medication
b. Telling the patient that the pain medication must wait until after the x-ray images are completed
c. Evaluating the full range of motion of the knee and then medicating for pain
d. Administering pain medication and then proceeding with the assessment
d
The nurse knows that which statement is true regarding the pain experienced by infants?
a. Pain in infants can only be assessed by physiologic changes, such as an increased heart rate.
b. The FPS-R can be used to assess pain in infants.
c. A procedure that induces pain in adults will also induce pain in the infant.
d. Infants feel pain less than do adults.
c
A patient has been admitted to the hospital with vertebral fractures related to osteoporosis. She is in extreme pain. This type of pain would be classified as:
a. Referred.
b. Cutaneous.
c. Visceral.
d. Deep somatic.
d
