Medical Surgical Nursing Assessment and Management of Clinical Problems, 10th Edition by Sharon L. Lewis
Medical Surgical Nursing Assessment and Management of Clinical Problems, 10th Edition by Sharon L. Lewis
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Chapter 08: Pain
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
MULTIPLE CHOICE
| a. | “How long have you had this pain?” |
| b. | “How would you describe your pain?” |
| c. | “How often do you take pain medication?” |
| d. | “How much medication do you take for the pain?” |
ANS: B
Because pain is a multidimensional experience, asking a question that addresses the patient’s experience with the pain will elicit more information than the more specific information asked in the other three responses. All of these questions are appropriate, but the response beginning “How would you describe your pain?” is the best initial question.
DIF: Cognitive Level: Analysis (analyze) REF: 102
TOP: Nursing Process: Assessment MSC: NCLEX: Physiological Integrity
| a. | Somatic pain | c. | Neuropathic pain |
| b. | Referred pain | d. | Breakthrough pain |
ANS: D
Pain that occurs beyond the chronic pain already being treated by appropriate analgesics is termed breakthrough pain. Neuropathic pain is caused by damage to peripheral nerves or the central nervous system. Somatic pain is localized and arises from bone, joint, muscle, skin, or connective tissue. Referred pain is pain that is localized in uninjured tissue.
DIF: Cognitive Level: Apply (application) REF: 108
TOP: Nursing Process: Implementation MSC: NCLEX: Physiological Integrity
| a. | “The drug decreases pain impulses in the spinal cord.” |
| b. | “The drug decreases sensitivity of the brain to painful stimuli.” |
| c. | “The drug decreases production of pain-sensitizing chemicals.” |
| d. | “The drug decreases the modulating effect of descending nerves.” |
ANS: C
Nonsteroidal antiinflammatory drugs (NSAIDs) provide analgesic effects by decreasing the production of pain-sensitizing chemicals such as prostaglandins at the site of injury. Transmission of impulses through the spinal cord, brain sensitivity to pain, and the descending nerve pathways are not affected by NSAIDs.
DIF: Cognitive Level: Understand (comprehension) REF: 104
TOP: Nursing Process: Implementation MSC: NCLEX: Physiological Integrity
| a. | “I’m not anxious during the day.” |
| b. | “Every night I get 8 hours of sleep.” |
| c. | “I can accomplish activities without much discomfort.” |
| d. | “I feel less depressed since I’ve been taking the Tofranil.” |
ANS: C
Imipramine is being used in this patient to manage chronic pain and improve functional ability. Although the medication is also prescribed for patients with depression, insomnia, and anxiety, the evaluation for this patient is based on improved pain control and activity level.
DIF: Cognitive Level: Apply (application) REF: 116
TOP: Nursing Process: Evaluation MSC: NCLEX: Physiological Integrity
| a. | “The strategies work by affecting the perception of pain.” |
| b. | “These techniques block the pain pathways of the nerves.” |
| c. | “These strategies prevent transmission of stimuli from the back to the brain.” |
| d. | “The therapies slow the release of chemicals in the spinal cord that cause pain.” |
ANS: A
Cognitive therapies affect the perception of pain by the brain rather than affecting efferent or afferent pathways or influencing the release of chemical transmitters in the dorsal horn.
DIF: Cognitive Level: Apply (application) REF: 121
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Original price was: $30.00.$20.00Current price is: $20.00.
Original price was: $30.00.$20.00Current price is: $20.00.
Original price was: $30.00.$20.00Current price is: $20.00.
Original price was: $30.00.$20.00Current price is: $20.00.
Original price was: $30.00.$20.00Current price is: $20.00.