Chapter 09 Skills in Clinical Nursing 8th Edition by Audrey J. Berman- Shirlee Snyder

Chapter 09 Skills in Clinical Nursing 8th Edition by Audrey J. Berman- Shirlee Snyder

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE.  Choose the one alternative that best completes the statement or answers the question.

• The client with a sprained ankle is complaining of pain in the injured The nurse would 1) classify this pain most specifically as:

1. A) Visceral B) Somatic pain.
2. C) Physiologic D) Neuropathic pain.

Answer: B

Explanation: A)       Somatic pain originates in the skin, muscles, bone, or connective tissue, and would best describe this client’s pain. Somatic pain is a subclassification of physiological pain, so it would be less specific to call it physiological as opposed to somatic. Visceral pain tends to be poorly located, resulting from activation of pain receptors in the organs and/or hollow viscera. Neuropathic pain results from damaged or

malfunctioning nerves.

Cognitive Level: Knowledge

Client Need: Physiological Integrity

Nursing Process: Assessment

1. Somatic pain originates in the skin, muscles, bone, or connective tissue, and would best describe this client’s Somatic pain is a subclassification of physiological pain, so it would be less specific to call it physiological as opposed to somatic. Visceral pain tends to be poorly located, resulting from activation of pain receptors in the organs and/or hollow viscera. Neuropathic pain results from damaged or

malfunctioning nerves.

Cognitive Level: Knowledge

Client Need: Physiological Integrity

Nursing Process: Assessment

1. Somatic pain originates in the skin, muscles, bone, or connective tissue, and would best describe this client’s Somatic pain is a subclassification of physiological pain, so it would be less specific to call it physiological as opposed to somatic. Visceral pain tends to be poorly located, resulting from activation of pain receptors in the organs and/or hollow viscera. Neuropathic pain results from damaged or

malfunctioning nerves.

Cognitive Level: Knowledge

Client Need: Physiological Integrity

Nursing Process: Assessment

1. Somatic pain originates in the skin, muscles, bone, or connective tissue, and would best describe this client’s Somatic pain is a subclassification of physiological pain, so it would be less specific to call it physiological as opposed to somatic. Visceral pain tends to be poorly located, resulting from activation of pain receptors in the organs and/or hollow viscera. Neuropathic pain results from damaged or

malfunctioning nerves.

Cognitive Level: Knowledge

Client Need: Physiological Integrity

Nursing Process: Assessment

Objective: Learning Outcome 9-1: Define the key terms used in the skills of pain management.

 

• The nurse documents the maximum amount of pain the client can tolerate as: 2)

1. A) Pain B) Hyperalgesia. C) Pain tolerance.             D) Allodynia.

Answer: C

Explanation: A)      Pain tolerance is the maximum amount of pain a client can tolerate. Pain threshold is the lowest amount of stimuli needed for a person to label a sensation as pain. Hyperalgesia, or hyperpathia, denotes a heightened response to painful stimuli. Allodynia is pain produced by nonpainful stimuli, such as the touch of

wind to the area.

Cognitive Level: Knowledge

Client Need: Physiological Integrity

Nursing Process: Implementation

1. Pain tolerance is the maximum amount of pain a client can Pain threshold is the lowest amount of stimuli needed for a person to label a sensation as pain. Hyperalgesia, or hyperpathia, denotes a heightened response to painful stimuli. Allodynia is pain produced by nonpainful stimuli, such as the touch of

wind to the area.

Cognitive Level: Knowledge

Client Need: Physiological Integrity

Nursing Process: Implementation

1. Pain tolerance is the maximum amount of pain a client can Pain threshold is the lowest amount of stimuli needed for a person to label a sensation as pain. Hyperalgesia, or hyperpathia, denotes a heightened response to painful stimuli. Allodynia is pain produced by nonpainful stimuli, such as the touch of

wind to the area.

Cognitive Level: Knowledge

Client Need: Physiological Integrity

Nursing Process: Implementation

1. Pain tolerance is the maximum amount of pain a client can Pain threshold is the lowest amount of stimuli needed for a person to label a sensation as pain. Hyperalgesia, or hyperpathia, denotes a heightened response to painful stimuli. Allodynia is pain produced by nonpainful stimuli, such as the touch of

wind to the area.

Cognitive Level: Knowledge

Client Need: Physiological Integrity

Nursing Process: Implementation

Objective: Learning Outcome 9-1: Define the key terms used in the skills of pain management.

 

• The nurse is using nonpharmacological methods to manage a client’s pain, and applies a unit that 3) applies low-voltage electrical stimulation directly over the pain areas specifically known as:

1. A) TENS B) Nerve block.
2. C) Functional D) Cutaneous stimulation.

Answer: A

Explanation: A)      The unit described is a TENS unit, or transcutaneous electrical nerve stimulator, which is a form of cutaneous stimulation. However, TENS would be the specific name of this treatment, while cutaneous stimulation would be a more general term. Nerve block is a pharmacological treatment injecting an analgesic or steroid into the site of pain. Functional restoration is a form of social therapy.

Cognitive Level: Application

Client Need: Physiological Integrity

Nursing Process: Implementation

1. The unit described is a TENS unit, or transcutaneous electrical nerve stimulator, which is a form of cutaneous However, TENS would be the specific name of this treatment, while cutaneous stimulation would be a more general term. Nerve block is a pharmacological treatment injecting an analgesic or steroid into the site of pain. Functional restoration is a form of social therapy.

Cognitive Level: Application

Client Need: Physiological Integrity

Nursing Process: Implementation

1. The unit described is a TENS unit, or transcutaneous electrical nerve stimulator, which is a form of cutaneous However, TENS would be the specific name of this treatment, while cutaneous stimulation would be a more general term. Nerve block is a pharmacological treatment injecting an analgesic or steroid into the site of pain. Functional restoration is a form of social therapy.

Cognitive Level: Application

Client Need: Physiological Integrity

Nursing Process: Implementation

1. The unit described is a TENS unit, or transcutaneous electrical nerve stimulator, which is a form of cutaneous However, TENS would be the specific name of this treatment, while cutaneous stimulation would be a more general term. Nerve block is a pharmacological treatment injecting an analgesic or steroid into the site of pain. Functional restoration is a form of social therapy.

Cognitive Level: Application

Client Need: Physiological Integrity

Nursing Process: Implementation

Objective: Learning Outcome 9-1: Define the key terms used in the skills of pain management.

 

• The client has pain in the lower back that radiates down the leg as the result of a herniated disk 4) compressing the sciatic nerve that began four months This pain would be described as:

1. A) Acute somatic B) Acute visceral pain.
2. C) Chronic neuropathic D) Acute neuropathic pain.

Answer: D

Explanation: A)      The pain is considered acute because it has lasted less than six months, which is the NANDA-accepted definition of chronic pain. It is neuropathic pain because it is caused by damage to the sciatic nerve.

Cognitive Level: Application

Client Need: Physiological Integrity

Nursing Process: Assessment

1. The pain is considered acute because it has lasted less than six months, which is the NANDA-accepted definition of chronic It is neuropathic pain because it is caused by damage to the sciatic nerve.

Cognitive Level: Application

Client Need: Physiological Integrity

Nursing Process: Assessment

1. The pain is considered acute because it has lasted less than six months, which is the NANDA-accepted definition of chronic It is neuropathic pain because it is caused by damage to the sciatic nerve.

Cognitive Level: Application

Client Need: Physiological Integrity

Nursing Process: Assessment

1. The pain is considered acute because it has lasted less than six months, which is the NANDA-accepted definition of chronic It is neuropathic pain because it is caused by damage to the sciatic nerve.

Cognitive Level: Application

Client Need: Physiological Integrity

Nursing Process: Assessment

Objective: Learning Outcome 9-2: Describe the various types of pain.

• The nurse working on the labor and delivery unit has noticed how differently each client responds 5) to the pain associated with The nurse recognizes this is most likely due to: (Select all that

apply.)

1. Ethnic and cultural
2. Developmental
3. Past experience with
4. Physiological functioning of the
5. Meaning of

Answer: A, B, C, E

Explanation: A)      Clients with different ethnic and cultural values are socialized to respond to pain in different manners. The developmental stage determines the client’s ability to cope and report the pain. Past experience, including the effectiveness of the treatment plan in the past, with pain will have an impact on how the client deals with pain. Pain has different meaning to different clients, with some clients believing it is a punishment from a higher power or an opportunity to show how strong they are. Physiological functioning affects how pain is felt but does not

affect the pain experience.

Cognitive Level: Analysis

Client Need: Psychosocial Integrity

Nursing Process: Assessment

1. Clients with different ethnic and cultural values are socialized to respond to pain in different The developmental stage determines the client’s ability to cope and report the pain. Past experience, including the effectiveness of the treatment plan in the past, with pain will have an impact on how the client deals with pain. Pain has different meaning to different clients, with some clients believing it is a punishment from a higher power or an opportunity to show how strong they are. Physiological functioning affects how pain is felt but does not

affect the pain experience.

Cognitive Level: Analysis

Client Need: Psychosocial Integrity

Nursing Process: Assessment

1. Clients with different ethnic and cultural values are socialized to respond to pain in different The developmental stage determines the client’s ability to cope and report the pain. Past experience, including the effectiveness of the treatment plan in the past, with pain will have an impact on how the client deals with pain. Pain has different meaning to different clients, with some clients believing it is a punishment from a higher power or an opportunity to show how strong they are. Physiological functioning affects how pain is felt but does not

affect the pain experience.

Cognitive Level: Analysis

Client Need: Psychosocial Integrity

Nursing Process: Assessment

1. Clients with different ethnic and cultural values are socialized to respond to pain in different The developmental stage determines the client’s ability to cope and report the pain. Past experience, including the effectiveness of the treatment plan in the past, with pain will have an impact on how the client deals with pain. Pain has different meaning to different clients, with some clients believing it is a punishment from a higher power or an opportunity to show how strong they are. Physiological functioning affects how pain is felt but does not

affect the pain experience.

Cognitive Level: Analysis

Client Need: Psychosocial Integrity

Nursing Process: Assessment

1. Clients with different ethnic and cultural values are socialized to respond to pain in different The developmental stage determines the client’s ability to cope and report the pain. Past experience, including the effectiveness of the treatment plan in the past, with pain will have an impact on how the client deals with pain. Pain has different meaning to different clients, with some clients believing it is a punishment from a higher power or an opportunity to show how strong they are. Physiological functioning affects how pain is felt but does not

affect the pain experience.

Cognitive Level: Analysis

Client Need: Psychosocial Integrity

Nursing Process: Assessment

Objective: Learning Outcome 9-3: Describe factors that affect the pain experience.