Chapter 44 (4)

Question 1

Different areas of the brain are involved in specific aspects of pain. The reticular and limbic systems in the brain influence the:

Answer 1

Motivational aspects of pain

Question 2

Patients need to be questioned about all pain sites because:

Answer 2

Patients tend to report the most severe or important in their perception.

Question 3

The chemicals that promote the spread of pain locally include:

Answer 3

Neurokinin A

Question 4

Narcotics are exogenous opiates. They act by:

Answer 4

Attaching to receptors in the afferent neuron to inhibit the release of substance P

Question 5

Age is a factor in different responses to pain. Which of the following age-related statements about pain is NOT true?

Answer 5

Preterm and newborn infants do not yet have functional pain pathways.

Question 6

Which of the following statements is true about acute pain?

Answer 6

Referred pain is present in a distant site for the pain source and is based on activation of the same spinal segment as the actual pain site.

Question 7

One of the main drug classes used to treat acute pain is NSAIDs. They are used because:

Answer 7

Inflammation is a common cause of acute pain

Question 8

Opiates are used mainly to treat moderate to severe pain. Which of the following is NOT true about these drugs?

Answer 8

Opiates stimulate only mu receptors for the control of pain

Question 9

If interventions to resolve the cause of pain (e.g., rest, ice, compression, and elevation) are insufficient, pain medications are given based on the severity of pain. Drugs are given in which order of use?

Answer 9

Non-opiate, increased dose of non-opiate, opiate

Question 10

The goal of treatment of acute pain is:

Answer 10

Reduction or elimination of pain with minimum adverse reactions

Question 11

Which of the following statements is true about age and pain?

Answer 11

Acetaminophen is especially useful in both children and adults because it has no effect on platelets and has fewer adverse effects than NSAIDs.

Question 12

Pain assessment to determine adequacy of pain management is important for all patients. This assessment is done to:

Answer 12

All of the above

Question 13

Pathological similarities and differences between acute pain and chronic pain include:

Answer 13

Chronic pain has a predominance of C-neuron stimulation.

Question 14

A treatment plan for management of chronic pain should include:

Answer 14

All of the above

Question 15

Chronic pain is a complex problem. Some specific strategies to deal with it include:

Answer 15

Scheduling return visits on a regular basis rather than waiting for poor pain control to drive the need for an appointment

Question 16

Chemical dependency assessment is integral to the initial assessment of chronic pain. Which of the following raises a “red flag” about potential chemical dependency?

Answer 16

Multiple times when prescriptions are lost with requests to refill

Question 17

The Pain Management Contract is appropriate for:

Answer 17

Patients with chronic pain who will require long-term use of opiates