What Is A Pain Management?
What do you know about pain management? Let's check it now by taking this quiz!
- 1.Barriers to adequate pain relief for patients with serious progressive illness are:
- A.
Fear of not being believed
- B.
Patient not willing to take medication because they might become addicted
- C.
Prejudice and bias in dealing with patients
- D.
All of the above
- 2.Dame Cicely Saunders defined the concept of _______________as "...the suffering that encompasses all of a person's physical, psychological, social, spiritual and practical struggles."
- A.
Total pain
- B.
The 0 to 10 scale
- C.
PAINAD
- D.
Pain is what the patient says it is
- 3.Name two populations of patients with serious progressive illness who are at risk for poor pain assessment and treatment.
- A.
Children and older adults
- B.
History of addictive disease and non-English speaking
- C.
Non-verbal and cognitively impaired
- D.
Different cultures and patients who deny pain
- E.
All of the above
- 4.Using the definitions below, choose the most appropriate to define the term "physical dependence".
- A.
"A state of adaptation that is manifested by a drug class specific withdrawal symdrome that can be produced by abrupt cessation, rapid dose reduction, decreasing blood level of the drug, and/or administration of an antagonist."
- B.
"A state of adaptation in which exposure to a drug induces changes that result in a diminution of one or more of the drug's effects over time."
- C.
"A primary, chronic, neurobiologic disease, with genetic, psycho-social and environmental factors influencing its development and manifestations. It is characterized by behaviors that include one or more of the following: impaired control over drug use, compulsive use, continued use despire harm and craving."
- 5.Direct stimulation of intact nociceptors with transmission along normal pain nerves describes which of the following:
- A.
Somatic pain
- B.
Neuropathic pain
- C.
Neither
- D.
Both
- 6.Disordered peripheral or central nerves associated with nerve compression, transection, infiltration, ischemia or metabolic injury describes which of the following?
- A.
Somatic pain
- B.
Neuropathic pain
- C.
Neither
- D.
Both
- 7.This type of pain is poorly localized, diffuse, vague, difficult to describe and may be colicky, cramping, squeezing or "referred" to another area. It is often periodic and builds to peaks and is frequently associated with nausea and vomiting. This BEST describes which of the following?
- A.
Somatic pain
- B.
Neuropathic pain
- C.
Visceral pain
- D.
Bone pain
- 8.Pharmacologic tolerance develops to all of the following side effects of opioid analgesics EXCEPT:
- A.
Constipation
- B.
Nausea
- C.
Respiratory depression
- D.
Sedation
- 9.Severe pain may be relieved using a variety of routes of medication administration, including the oral route.
- A.
True
- B.
False
- 10.There is a ceiling on the analgesia of morphine. In other words, beyond a certain dosage of morphine, increases in dosage will NOT increase pain relief.
- A.
True
- B.
False
- 11.According to "Capital Hospice Algorithm for Management of Somatic/Visceral Pain--Non-opioid", when considering using NSAIDS for pain, it is necessary to assess the patient for all of the following EXCEPT:
- A.
History of a GI bleed
- B.
Oral steroid use
- C.
Allergy to codeine
- D.
Use of anticoagulation
- E.
Platelet status
- 12.Which of the following is true about the Capital Hospice procedure for documenting pain assessment in the patient with advanced dementia?
- A.
Patients with advanced dementia are not able to self-report pain, so leave the space blank
- B.
Patients with advanced dementia do not experience pain, so document "0"
- C.
Patients with advanced dementa are not able to self-report pain, so do not attempt a pain assessment and document "unable to quantify"
- D.
Use the PAINAD scale
- E.
Ask the family or the caregivers to rate the patient's pain intensity from 0-10
- 13.Which of the following medications could be problematic for a patient with disturbances of cardiac conduction?
- A.
Methadone
- B.
Duragesic patch
- C.
Amitriptyline (Elavil)
- D.
A and C
- E.
All of the above
- 14.Choose 4 components of a comprehensive physical pain assessment
- A.
Environment, social situation, spiritual needs, nausea
- B.
Environment, relieving factors, intensity, manner of expressing pain
- C.
Social situation, spiritual needs, location, quality
- D.
Location, intensity, quality, pattern of pain
- 15.Dexamethasone (Decadron) is useful for painful plexopathies.
- A.
True
- B.
False
- 16.Dexamethasone (Decadron) is useful for pain associated with stretching of the liver capsule.
- A.
True
- B.
False
- 17.Dexamethasone (Decadron) is not effective for treating bone pain.
- A.
True
- B.
False
- 18.Rapid IV dosing of dexamethasone (Decadron) can result in uncomfortable perineal burning.
- A.
True
- B.
False
- 19.Dexamethasone (Decadron) can be admnistered once daily due to its long half-life.
- A.
True
- B.
False
- 20.All of the following statements about pain are true EXCEPT:
- A.
Physical pain is always the most important contributor to suffering
- B.
Total pain refers to the physical, psychologic, spiritual and social pain experienced by dying patients
- C.
The distress associated with spiritual pain exacerbates physical symptoms
- D.
Uncontrolled physical symptoms interfere with a patient's ability to interact with loved ones
Questions: 25 | Attempts: 2348 | Last updated: Jun 8, 2015
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