Chapter 29

Question 0

When clients are aware that healthcare providers are actively engaged in pain management, the clients experience:

1. Less acute pain
2. A decrease in chronic pain
3. Less anxiety
4. No change in pain levels

Answer 0

Less anxiety

Question 1

To increase the awareness of pain treatment among health care professionals, the American pain society coined the phrase:

1. Pain: assess daily
2. Pain: obtain relief
3. Pain: optimum pain relief
4. Pain: the fifth vital sign

Answer 1

“Pain: the fifth vital sign

Question 2

Acute Paine is defined as:

1. Pain associated with chronic illness
2. Pain associated with an injury or illness
3. Pain associated with a nerve injury
4. Pain associated with malignant pain

Answer 2

Pain associated with an injury or illness

Question 3

Nociceptor pain responds well to which type of drug therapy?

1. Analgesic drugs
2. Non-analgesic drugs
3. Anti depressant meds
4. Serotonin receptor blockers

Answer 3

Analgesic drugs

Question 4

Somatic pain is a type of Nociceptor pain that usually experienced in:

1. Cancer or rumors
2. The nerves
3. Internal organs
4. Muscles or joints

Answer 4

Muscle or joints

Question 5

Clients and healthcare providers beliefs can often interfere with successful pain management . A commonly held myth is:

1. Clients cannot sleep when experiencing pain
2. Clients will not become addicted to their medication
3. Clients must look and act like they are in pain
4. Vital signs are unreliable indicators of pain

Answer 5

3. Clients must look and act like they are in pain

Question 6

Pain transduction begins when which of the following occurs?

1. Pain travels on the Nociceptor to the spinal cord
2. Local tissue injury causes release of chemical mediators of inflammation
3. The pain impulse reaches the brain, to respond with a variety of actions
4. The pain impulse reaches the spinal cord to pass messages to neurons

Answer 6

. Local tissue injury causes release of chemical mediators of inflammation

Question 7

Gate control therapy proposed a mechanism to explain which of the following?

1. Pain transduction
2. Pain transmission
3. Pain perception
4. Pain modulation

Answer 7

Pain transmission

Question 8

Pain perception is best defined as:

1. The conscious experience of pain that occurs in the brain
2. The unconscious experience of pain that occurs in the brain
3. The pain score rating from the client before drug therapy
4. Based on the client’s culture

Answer 8

The conscious experience of pain that occurs in the brain

Question 9

One of the benefits of using non-pharmacological interventions in the Role of pain management is:

1. It allows for pain medication to be given on an as-needed basis only
2. Clients cannot attain adequate pain relief without using meds
3. It allows for lower doses and fewer drug-related adverse effects of pain meds
4. They do not require any additional training of the healthcare team

Answer 9

It allows for lower doses and fewer drug-related adverse effects of pain meds

Question 10

The client is experiencing pain after orthopedic surgery, and is being treated with opioid analgesic medication. The client complains to the nurse that the surgical joint is still uncomfortable, despite around the clock meds. The best response from the nurse is:

1. Let’s try a cold pack on the area to help control the pain.
2. I will call your provider to increase your dose of meds
3. You just had your medication, just deal with it.
4. I wonder if you’re starting to get addicted to your meds

Answer 10

Let’s try a cold pack on the area to help control the pain.

Question 11

The client is being treated for cancer tells the nurse that she is still having trouble getting to the toilet without experiencing significant pain. The nurse understands that when assessing and treating chronic pain:

1. The goal is to completely eliminate all pain fin chronic pain patients
2. The goal is to prevent the client from becoming addicted to the meds
3. The goal is to allow the patient to perform activities of daily living
4. The goal is for the nurse to assess if the treatment is successful

Answer 11

The goal is to allow the patient to perform activities of daily living

Question 12

An objective method for the nurse to assess the client’s pain level is to:

1. Use a pain rating scale such as the numerical rating scale
2. Ask the client to describe the pain sensation
3. Observe whether the client appears to be in pain or comfortable
4. Assess pain only when the client complains of pain

Answer 12

Use a pain rating scale such as the numerical rating scale

Question 13

The client is experiencing mild pain secondary to a minor ankle sprain. The drug class of choice for the client's pain is:
1. Opioid analgesics
2 non-opioid analgesics
3. Adjuvant analgesics
4. Patient controlled analgesics

Answer 13

non-opioid analgesics

Question 14

The client is being treated for severe pain with opoid analgesics. The pain has neuropathic qualities. The nurse knows which type of analgesics should be used to aid the client’s pain management?

1. Par enteral opioids
2. Non opoid analgesics
3. Adjuvant analgesics
4. Patient controlled analgesics

Answer 14

Adjuvant analgesics

Question 15

The client asks the nurse why he is receiving combination therapy of opoid and non-opoid drugs to manage his pain. The nurse explains the benefit of combination therapy is:

1. To prevent the client from becoming addicted to opoid drugs
2. To eliminate the need for follow up laboratory monitoring
3. Standard therapy for all pain management clients
4. To relieve pain synergistically, and to decrease risk of side effects

Answer 15

To relieve pain synergistically, and to decrease risk of side effects

Question 16

The mechansism of action that differentiates the opoid agonists from the opoid agonist antagonist is:
1 opoid agonists activate two receptors, the opoid agonist antagonist only occupy one receptor

Answer 16

1. opoid agonists activate two receptors, the opoid agonist antagonist only occupy one receptor