Chapter 34 Comfort and Pain Management

Chapter 34  Comfort and Pain Management

Complete Chapter Questions And Answers
 

Sample Questions

1.
A cyclist reports to the nurse that he is experiencing pain in the tendons and ligaments of his left leg, and the pain is worse with ambulation. The nurse will document this type of pain as which of the following?
A)
Somatic pain
B)
Cutaneous pain
C)
Visceral pain
D)
Phantom pain
Ans:
A

Feedback:

Somatic pain is diffuse or scattered pain, and it originates in tendons, ligaments, bones, blood vessels, and nerves. Cutaneous pain usually involves the skin or subcutaneous tissues. Visceral pain is poorly localized and originates in body organs. Phantom pain occurs in an amputated leg for which receptors and nerves are clearly absent, but the pain is a real experience for the client.

2.
Which statement accurately describes pain experienced by the older adult?
A)
Boredom and depression may affect an older person’s perception of pain.
B)
Residents in long-term care facilities have a minimal level of pain.
C)
The older client has decreased sensitivity to pain.
D)
A heightened pain tolerance occurs in the older adult.
Ans:
A

Feedback:

Boredom, loneliness, and depression may affect an older person’s perception and report of pain. One myth held by many to be true is that older clients have a decreased sensitivity to pain and therefore a heightened pain tolerance. Numerous older adult clients residing in long-term care facilities have significant pain that negatively affects their quality of life.

3.
Pet therapy is commonly used in long-term facilities for distraction. If a client is experiencing pain and the pain is temporarily decreased while petting a visiting dog or cat, this is an example of which type of distraction technique?
A)
Tactile kinesthetic distraction
B)
Visual distraction
C)
Auditory distraction
D)
Project distraction
Ans:
A

Feedback:

Examples of tactile kinesthetic distraction include holding or stroking a loved one, pet, or toy; rocking; and slow rhythmic breathing. Project distraction includes playing a challenging game or performing meaningful work. Visual distraction can be accomplished through reading or watching television. Auditory distraction may occur when one listens to music.

4.
Of the following individuals, who can best determine the experience of pain?
A)
The person who has the pain
B)
The person’s immediate family
C)
The nurse caring for the client
D)
The physician diagnosing the cause
Ans:
A

Feedback:

According to McCaffery, an expert on pain, “Pain is whatever the experiencing person says it is, existing whenever he (or she) says it does.” The only one who can be a real authority on whether and how a person experiences pain is that individual.

5.
A client who has breast cancer is said to be in remission. What does this term signify?
A)
The client is experiencing symptoms of the disease.
B)
The client has end-stage cancer.
C)
The client is experiencing unremitting pain.
D)
The disease is present but the client is not experiencing symptoms.
Ans:
D

Feedback:

Commonly, people with chronic pain experience periods of remission (when the disease is present but the person does not experience symptoms) or exacerbation (the symptoms reappear).