Chapter 15: Pain Management for Children

Chapter 15: Pain Management for Children

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

1. The nurse is aware when assessing a child for pain that:

a.	neonates do not feel pain.
b.	pain is an individualized experience.
c.	children do not remember pain.
d.	a child must cry to express pain.

 

 

ANS:   B

 

	Feedback
A	This is a myth. Neonates do express a total-body response to pain with a cry that is intense, high pitched, and harsh sounding.
B	The manner and intensity of how a child expresses pain is dependent on the individual child’s experiences.
C	This is a myth. Children of all ages have been reported to have sleeping and eating disruptions after painful experiences.
D	Not all children will cry to express pain.

 

 

DIF:    Cognitive Level: Comprehension      REF:    Text Reference: pg 396

OBJ:    Nursing Process Step: Assessment    MSC:   NCLEX: Physiological Integrity

 

2. When pain is assessed in an infant, it would be inappropriate to assess for which of the following?

a.	Facial expressions of pain
b.	Localization of pain
c.	Crying
d.	Thrashing of extremities

 

 

ANS:   B

 

	Feedback
A	Frowning, grimacing, and facial flinching in an infant may indicate pain.
B	Infants cannot localize pain to any great extent.
C	Infants often exhibit high-pitched, tense, harsh crying to express pain.
D	Infants may exhibit thrashing extremities in response to a painful stimulus.

 

 

DIF:    Cognitive Level: Comprehension      REF:    Text Reference: pg 399

OBJ:    Nursing Process Step: Assessment    MSC:   NCLEX: Physiological Integrity

 

3. The nurse is aware that physiologic changes associated with pain in the neonate include which of the following?

a.	Increased blood pressure and decreased arterial saturation
b.	Decreased blood pressure and increased arterial saturation
c.	Increased urine output and increased heart rate
d.	Decreased urine output and increased blood pressure

 

 

ANS:   A

 

	Feedback
A	Increased blood pressure and heart rate and decreased arterial saturation are physiologic responses to pain in the neonate.
B	An increase in blood pressure and a decrease in arterial saturation are documented when the neonate is feeling pain.
C	Although an increase in heart rate is associated with pain, urine output changes have not been associated with pain.
D	An increase in blood pressure occurs with pain, but urine output changes have not been associated with pain.

 

 

DIF:    Cognitive Level: Comprehension      REF:    Text Reference: pg 399

OBJ:    Nursing Process Step: Assessment    MSC:   NCLEX: Physiological Integrity

 

4. Which of the following is a myth that may interfere with the treatment of pain in infants and children?

a.	Infants may have sleep difficulties after a painful event.
b.	Children and infants are more susceptible to respiratory depression from narcotics.
c.	Pain in children is multidimensional and subjective.
d.	A child’s cognitive level does not influence the pain experience.

 

 

ANS:   B

 

	Feedback
A	It is true that infants may have sleep difficulties after a painful event. This is not a myth.
B	No data are available to support the belief that infants and children are at higher risk of respiratory depression when given narcotic analgesics. This is a myth.
C	This is a true statement, not a myth.
D	The child’s cognitive level, along with emotional factors and past experiences, does influence the perception of pain in children. This is not a myth.

 

 

DIF:    Cognitive Level: Comprehension      REF:    Text Reference: pg 398

OBJ:    Nursing Process Step: Evaluation      MSC:   NCLEX: Physiological Integrity