Chapter 10 Pain

Question 1

1. Pain is best described as
   a. A creation of a person’s imagination
   b. An unpleasant, subjective experience
   c. A maladaptive response to a stimulus
   d. A neurological event resulting from activation of nociceptors

Answer 1

B

Question 2

2. Which of the following inhibiting neurotransmitters is known for its involvement in pain modulation?
   a. Dopamine
   b. Acetylcholine
   c. Prostaglandin
   d. Norepinephrine

Answer 2

D

Question 3

3. Which of the following words is most likely to be used to describe neuropathic pain? (Select all that apply)
   a. Dull
   b. Mild
   c. Aching
   d. Burning
   e. Sickening
   f. Electric

Answer 3

D F

Question 4

4. Which of the following is true of unrelieved pain?
   a. It is to be expected after major surgery.
   b. It is to be expected in a person with cancer.
   c. It is dangerous and can lead to many physical and psychological complications.
   d. It is an annoying sensation, but it is not as important as other physical care needs.

Answer 4

C

Question 5

5. Which of the following is a critical step in the pain assessment process?
   a. Assessment of critical sensory components
   b. Teaching the client about pain therapies
   c. Conducting a comprehensive pain assessment
   d. Provision of appropriate treatment and evaluation of its effect

Answer 5

C

Question 6

6. Which of the following is an example of distraction to provide painrelief?
   a. TENS
   b. Music
   c. Exercise
   d. Biofeedback

Answer 6

B

Question 7

7. Which of the following are appropriate nonopioid analgesics for mild pain? (Select all that apply)
   a. Oxycodone
   b. Ibuprofen
   c. Lorazepam
   d. Acetaminophen
   e. Acetaminophen with codeine

Answer 7

B D

Question 8

8. Which of the following is an important nursing responsibility related to pain?
   a. Encourage the client to stay in bed.
   b. Help the client appear not to be in pain.
   c. Believe what the client says about the pain.
   d. Assume responsibility for eliminating the client’s pain.

Answer 8

C

Question 9

9. A nurse is administering a prescribed dose of an intravenous opioid titrated for a person with severe pain related to a terminal illness. Which of the following actions is reflective of this practice?
   a. Euthanasia
   b. Assisted suicide
   c. Enabling the client’s addiction
   d. Palliative pain management

Answer 9

D

Question 10

10. A nurse believes that clients with the same type of tissue injury should have the same amount of pain. Which of the following statements best
    describes this belief?
    a. It will contribute to appropriate pain management.
    b. It is an accurate statement about pain mechanisms and an expected goal of pain therapy.
    c. The nurse’s belief will have no effect on the type of care provided to people in pain.
    d. It is a common misconception about pain and a major contributor to ineffective pain management.

Answer 10

d