Chapter 52 ...pain Management: Acute And Chronic

Question 1

Different areas of the brain are involved in specific aspects of pain. The reticular and limbic system 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 playing locally include

Answer 3

Neurokinin A

Question 4

Narcotics are exogenous opiates. They act bye

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 distance site for the pain source and is based on activation of the same spinal segment as the acute pain site

Question 7

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

Answer 7

Information 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

I’ll be at stimulate only mu receptors for the control of pain

Question 9

If interventions to resolve the cause of pain such as 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 affects than NSAIDS.

Question 12

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

Answer 12

Answer: all of the above

Determine if the diagnosis of source of pain is correct

Determine if the current regime is adequate or different combinations of drugs and drug therapy is required

Determine if the patient is willing and able to be an active participant in his or her pain management

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

The treatment plan for management of chronic pain should include:

Answer 14

Answer: all of the above

Negotiation with the patient to set personal goals for pain management

Discussion of ways to improve sleep and stress

And exercise program to improve function and fitness

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 request 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