Chapter 07 Care of Patients with Pain

Chapter 07  Care of Patients with Pain

Complete Chapter Questions And Answers
 

Sample Questions

MULTIPLE CHOICE

1. In order to provide the optimum nursing care, it is important for the nurse to know that the standard of pain and pain control is best determined by which person?
a.
Physician
b.
Nurse
c.
Patient’s family
d.
Patient

ANS: D
Only the patient knows when pain occurs and what remedy relieves it.

DIF: Cognitive Level: Knowledge REF: 126 OBJ: 1 (theory)
TOP: Pain Theory KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Basic Care and Comfort

2. The nurse clarifies the basics of the gate theory of pain control as:
a.
pain is perceived as opening a “gate” to pain symptoms.
b.
the “gate” can be closed to pain by the use of nonpainful stimuli.
c.
the “gate” swings back and forth, first allowing pain, then blocking it.
d.
the patient can be trained to close the “gate” to pain.

ANS: B
The sensorineural “gate” can be closed by applying a number of nonpharmacologic stimuli so that the pain is not perceived.

DIF: Cognitive Level: Comprehension REF: 124-125 OBJ: 2 (theory)
TOP: Gate Theory KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Basic Care and Comfort

3. When giving care to a 30-year-old Hispanic male, the nurse is aware that the young man will most likely:
a.
be stoic about pain.
b.
prefer a pill to an injection.
c.
ignore somatic interventions such as heat and massage.
d.
confess to pain, but refuse pain medication.

ANS: A
Hispanic males are frequently stoic regarding pain. They prefer injections to pills but may elect to use prayer, heat, or herbal remedies for pain relief.

DIF: Cognitive Level: Application REF: 131 | Cultural Considerations
OBJ: 4 (theory) TOP: Cultural Considerations
KEY: Nursing Process Step: Planning
MSC: NCLEX: Physiological Integrity: Basic Care and Comfort

4. The nurse is caring for a patient who is having constant nociceptor pain. The nurse can best address the patient’s pain during the perception phase of pain with which intervention?
a.
Administer nonsteroidal anti-inflammatory drugs (NSAIDs) for moderate pain.
b.
Ask the physician if an opioid could be ordered to treat the patient’s pain when severe.
c.
Engage the patient in conversation regarding his family, hobbies, and plans following discharge from the facility.
d.
Determine if the patient typically takes a neurotransmitter uptake blocker medication for pain control.

ANS: C
Nonpharmacologic interventions such as distraction and guided imagery are effective for pain relief during the perception phase. NSAIDs are most effective during the transduction phase of pain, opioids are most effective during the transmission phase, and drugs that block neurotransmitter uptake work best during the modulation phase.

DIF: Cognitive Level: Application REF: 125-126 OBJ: 3 (theory)
TOP: Pain Perception KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Basic Care and Comfort

5. The patient is experiencing phantom pain following the amputation of her foot. Which type of pain is most associated with phantom pain?
a.
Nociceptive
b.
Mild
c.
Uncontrollable
d.
Neuropathic

ANS: D
Neuropathic pain is associated with a dysfunction of the nervous system that involves an abnormality in the processing of sensations such as phantom pain. Nociceptive pain is associated with pain stimuli from either somatic (body tissue) or visceral (organs) structures. Mild and uncontrollable refer to severity rather than classifications of pain.

DIF: Cognitive Level: Comprehension REF: 125| Table 7-1, 126
OBJ: 1 (theory) TOP: Neuropathic Pain
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Basic Care and Comfort

6. The nurse explains that the pain threshold and pain tolerance are different in that the pain threshold is the point at which:
a.
pain is perceived.
b.
the person responds to pain.
c.
pharmacologic intervention is required.
d.
signs such as grimacing or groaning are observed.

ANS: A
The pain threshold is the point at which the pain is perceived.

DIF: Cognitive Level: Comprehension REF: 127 OBJ: 1 (theory)
TOP: Pain Threshold KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Basic Care and Comfort