Chapter 16 - Pain Management, Comfort, Rest And Sleep

79 Questions | Total Attempts: 930

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Pain Management Quizzes & Trivia

From Foundations of Nursing (6th edition) by Christensen and Kockrow, pages 394-415. For any question, email [email protected] Com


Questions and Answers
  • 1. 
    Singultus
    • A. 

      Dyspnea

    • B. 

      Hiccups

    • C. 

      Flatus

    • D. 

      Thirst

  • 2. 
    What does it mean to give comfort to a patient? Select all that apply:
    • A. 

      Give strength and hope

    • B. 

      To cheer

    • C. 

      To ease the grief, pain or trouble of another

    • D. 

      To provide all pain medication as the patient requests

  • 3. 
    The Nature of Pain. Select all that apply:
    • A. 

      It is a complex, abstract, personal subjective experience

    • B. 

      An unpleasant sensation caused by noxious stimulation of the sensory nerve endings

    • C. 

      A cardinal symptom of inflammation

    • D. 

      Pain is whatever the person says it is, existing whatever he says it does

    • E. 

      Both the person in pain and the health care professional are experts about the pain

  • 4. 
    Behavioral characteristics of Patients in Pain. Select all that apply:
    • A. 

      Self protective and has a narrow focus; withdraws from social contacts and impairs thought processes

    • B. 

      Demonstrates distraction behavior: moaning, rocking, crying, pacing, restlessness or seeking out other people

    • C. 

      Presents facial mask of pain; eyes that are dull, teeth clenched

    • D. 

      Alterations in muscle tone, diaphoresis, changes in blood pressure and pulse

    • E. 

      Displays perky, manic obsessive mood swings

  • 5. 
    Definition of pain according to the American Pain society:
    • A. 

      An unpleasant tactile and sentimental experience associated with the entrance of pathogens that causes a disrupted homeostasis

    • B. 

      An unpleasant sensory and emotional experience associated with actual or potential tissue damage, or described in terms of such damage

    • C. 

      An unpleasant epidermal experience characterized by blisters and purulence which disrupts the balance of electrolytes.

    • D. 

      A chaotic humoral experience that creates physiological disturbances and disorders

  • 6. 
    Pain is determined by tissue damage alone
    • A. 

      True

    • B. 

      False

  • 7. 
    Suggests that pain impulses are regulated and blocked by mechanisms located along the CNS. The proposed location of this theory is in the dorsal horn of the spinal cord. Pain and other sensations of the skin and muscles travel the same pathways through the large nerves in the spinal cord.   
    • A. 

      Gate theory

    • B. 

      Open impulse theory

    • C. 

      Window Theory

    • D. 

      Shutter theory

  • 8. 
    Morphine-like substances composed of amino acids found in the pituitary gland and other areas of the CNS. 
    • A. 

      Adrenaline

    • B. 

      Endorphins

    • C. 

      Epinephrine

    • D. 

      Corticosteroid

  • 9. 
    How does the "gate theory" explain the prevention or elimination of pain?
    • A. 

      The stimuli for pain is shut off when chemical elements stimulate the gates that trigger pain receptors

    • B. 

      When gates are closed, pain impulses are blocked. Sensory impulses such as back rub, heat of a warm compress, cold ice applications, will close the gates to painful stimuli because they are distracting the brain from interpreting a painful stimuli

    • C. 

      The gate theory explains that pain is reduced because the compensatory mechanisms of the CNS emulates analgesia

    • D. 

      The "gate theory" proposes that for every painful sensation, there is a defense mechanism the shuts off further transmission of pain

  • 10. 
    How do endorphins work to eliminate pain?
    • A. 

      Endorphins are chemical substances directly responsible for shutting down the gates that simulate pain

    • B. 

      Endorphins block sensory sites for pain

    • C. 

      Endorphins are elements that take away sensation, therefore they take away pain

    • D. 

      Stress and pain activate endorphins. Analgesia results when certain endorphins attach to opioid receptor sites in the brain and prevent the release of neurotransmitters, thereby inhibiting the transmission of pain impulses

  • 11. 
    The following are Joint Commission Standards about pain. Select all that are true: 
    • A. 

      Patients have the right to an appropriate assessment.

    • B. 

      Patients will be treated for pain or referred for treatment

    • C. 

      Patients do not need to be involved in making care decisions

    • D. 

      Discharge planning and teaching will include continuing care based on the patient's needs at the time of discharge, including the need for pain management

    • E. 

      Patients will be taught that pain management is part of treatment

  • 12. 
    Which of the following does NOT form part of the essential message about pain assessment
    • A. 

      Ask patients about their pain, then respect and accept what they say.

    • B. 

      Intervene to relieve their pain and ask them again about their pain.

    • C. 

      Pain assessment is a linear task of assessment, intervention, and reassessment

    • D. 

      Without assessment of the patient's pain, none of the pain relief measurement will be useful

  • 13. 
    Physical effects of unrelieved pain. Select all that apply:
    • A. 

      Increased oxygen demand

    • B. 

      Respiratory dysfunction,

    • C. 

      Decreased GI motility, Anxiety, Depression, Irritability

    • D. 

      Confusion, depressed immune response

    • E. 

      Irrational exuberance

  • 14. 
    The following are physical nonpharmacological interventions for pain. Select all that apply: 
    • A. 

      Progressive muscle relaxation

    • B. 

      Biofeedback

    • C. 

      Transcutaneous electric nerve stimulation

    • D. 

      Heat or cold application

    • E. 

      Massage

  • 15. 
    The following are psychological and cognitive interventions for pain. Which one of them is not?
    • A. 

      TENS

    • B. 

      Music

    • C. 

      Biofeedback

    • D. 

      Imagery

    • E. 

      Education

  • 16. 
    A pocket sized, battery-operated device that provides a continuous, mild electric current to the skin via electrodes that re attached to a stimulator by flexible wires. Typically used for patients suffering post-operative or chronic pain.
    • A. 

      PCA

    • B. 

      WMA

    • C. 

      TENS

    • D. 

      SKG

  • 17. 
    Reasons why pain is oftentimes pharmacologically undertreated . Select all that apply:
    • A. 

      Misunderstanding or insufficient knowledge of pharmacologic principles

    • B. 

      The after taste is unbearable

    • C. 

      Anxiety over administering too large a dose of an opioid analgesic

    • D. 

      The cost is not affordable

    • E. 

      Concerns about addiction

  • 18. 
    Most widely available and frequently used non-opioid analgesic group for mild to moderate pain
    • A. 

      Acetaminophen (Tylenol)

    • B. 

      Anesthetics

    • C. 

      Anticonvulsives

    • D. 

      Nonsteroidal anti-inflammatory drugs

  • 19. 
    Examples of over the counter NSAID's. Select all that apply
    • A. 

      Aspirin

    • B. 

      Ibuprofen ( Advil, Motrin, Nuprin)

    • C. 

      Bacitricin

    • D. 

      Naproxen sodium (Aleve)

  • 20. 
    Maximum recommended dosage of acetaminophen
    • A. 

      4000 mg (4 g) in 24 hours

    • B. 

      2000 mg (2 g) in 24 hours

    • C. 

      3000 mg (3 g) in 12 hours

    • D. 

      1000 mg (1 g) in 1 hours

  • 21. 
    It blocks the pain impulses in the CNS and reduces inflammation 
    • A. 

      Penicillin

    • B. 

      Aspirin

    • C. 

      Bengay

    • D. 

      Salonpas

  • 22. 
    A group of analgesics that can pose the risk of gastrointestinal (GI) bleeding
    • A. 

      Mono-Amine Oxidase Inhibitors

    • B. 

      NSAIDs

    • C. 

      ACE Inhibitors

    • D. 

      Beta Blockers

  • 23. 
    Examples of Opioid. Select all that apply
    • A. 

      Hydromorphone (Dilaudid)

    • B. 

      Meperidine (Demerol)

    • C. 

      Morphine

    • D. 

      Viagra

    • E. 

      Fentanyl (Actiq, Duragesic)

  • 24. 
    Formerly called narcotics, they decrease the perception of pain by binding to pain receptor sites in the CNS. They are considered the cornerstone or gold standards for managing moderate to severe acute pain.  
    • A. 

      Proton Pump Inhibitors

    • B. 

      Nonsteroidal anti-inflammatory drugs

    • C. 

      Opioid analgesics

    • D. 

      Monoamine oxidase inhibitors

  • 25. 
    The standard agent for opioid therapy, although it could compromise renal function
    • A. 

      Morphine

    • B. 

      Benzodiazepine

    • C. 

      Sedatives

    • D. 

      Benadryl

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