Chapter 35 Comfort And Sleep

Chapter 35  Comfort And Sleep

Complete Chapter Questions And Answers
 

Sample Questions

MULTIPLE CHOICE

1. The nurse is providing care to a client who is experiencing pain. Which statement is true about pain?
a.
The nurse is the best judge of a client’s pain.
b.
Clients with severe tissue damage will experience more pain than those with less damage.
c.
Most complaints of pain are psychological.
d.
Addiction is unlikely when analgesics are carefully administered and closely monitored.

ANS: D
There are common myths surrounding pain. One myth is that the nurse is the best judge of a client’s pain. The fact is, the client is the best judge of the severity of pain. Another myth is clients with severe tissue damage will experience more pain that those with less damage. The fact is that the perception of pain does not depend upon the degree of tissue damage. Another myth is that most complaints of pain are psychological. The fact is pain is a perception that is honestly reported by clients. Addiction is unlikely when analgesics are carefully administered and closely monitored is true about pain.

PTS: 1 DIF: Analysis REF: Common Myths About Pain

2. A client says that inserting an intravenous line causes pain. This type of well-localized pain is considered to be:
a.
cutaneous pain.
c.
visceral pain.
b.
somatic pain.
d.
referred pain.

ANS: A
Cutaneous pain is caused by the stimulation of the cutaneous nerve endings in the skin, and it results in a well-localized sensation. Somatic pain is not well-localized and originates in tendons, ligaments, and nerves. Visceral pain is discomfort in internal organs and is less localized. Referred pain is pain that originates in the internal organs but is felt at the spot where the organs were located during fetal development.

PTS: 1 DIF: Analysis REF: Types of Pain

3. As a recognition of the importance of pain management, the nurse should assess pain:
a.
when the client says she is having pain.
b.
according to physician’s orders.
c.
every time she assess the client’s vital signs.
d.
once per shift.

ANS: C
The Joint Commission has made the assessment and management of pain a priority and therefore the assessment of pain is to occur every time vital signs are assessed. Pain assessment is now considered the fifth vital sign. Pain should be assessed when the client says she is having pain; however, the frequency is increased in that pain is assessed with vital signs.

PTS: 1 DIF: Application REF: Pain

4. A client comes into the emergency department with a fractured ankle. The nurse realizes the client will be experiencing which type of pain?
a.
Acute pain
c.
Chronic pain
b.
Recurrent acute pain
d.
Chronic acute pain

ANS: A
Acute pain has a sudden onset, short duration, and mild-to-severe intensity with a steady decrease in intensity over a period of days to weeks. An example of acute pain is a fracture. Recurrent acute pain is identified by repetitive painful episodes that may recur over a prolonged period or through a client’s lifetime. Chronic pain occurs almost daily and lasts for at least 6 months with intensity ranging from mild to severe. Chronic acute pain occurs almost daily over a long period, can last for months or years, and has a high probability of ending.

PTS: 1 DIF: Analysis REF: Nature of Pain

5. The nurse medicating a client diagnosed with a neuropathy, realizes that the client is likely to have pain relief with which type of medication?
a.
Morphine
c.
NSAID
b.
Codeine
d.
Anticonvulsant

ANS: D
Anticonvulsants are known to significantly decrease or relieve neuropathic pain. Neuropathic pain is resistant to opioids such as morphine and codeine. Neuropathic pain is rarely relieved by NSAIDS.

PTS: 1 DIF: Analysis
REF: Table 35-2 Differences Between Nociceptive Pain and Neuropathic Pain