Chapter 16--Pain Management

Chapter 16–Pain Management

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE

1. A client tells the nurse that she rarely experiences pain, but when she does, she seeks medical attention. The nurse realizes this client understands that pain is important because it:

ANS:  1

Pain is a protective system that includes protection from unsafe behaviors by use of reflexes, memory, and avoidance. Even though the automatic withdrawal reflex is a part of the pain response, it does not explain why pain is important. Pain does not create sensitivity to pain. Pain does not help with healing.

PTS:   1                    DIF:    Analyze         REF:   Definitions and Implications of Pain

2. A client complains that the bed sheets touching his skin are extremely painful. The nurse realizes this client is experiencing:

ANS:  1

Allodynia or hyperalgesia is a state where a slight or nonpainful stimulus is interpreted as very painful. Kinesthesia is the awareness of movement. Proprioception is the awareness of body position. Modulation is an influencing factor in the perception of pain.

PTS:   1                    DIF:    Analyze         REF:   Peripheral Nervous System

3. A client is complaining of severe abdomen pain. The nurse realizes this client is experiencing which type of pain?

ANS:  4

Visceral pain is pain arising from the body organs or gastrointestinal tract. Somatic pain is pain that originates from the bone, joints, muscles, skin, or connective pain. Neuralgia and pathological pain are both types of pain that result from injury to a nerve or malfunction of the neuronal transmission process or due to impaired regulation.

PTS:   1                    DIF:    Analyze         REF:   Types of Pain

4. A client, diagnosed with acute appendicitis, is experiencing abdominal pain. The best way for the nurse to describe this client’s pain would be:

ANS:  4

Acute pain onset is sudden and of short duration. Chronic pain is a sudden or slow onset of mild to severe pain that lasts longer than 6 months. Referred pain is the result of the transfer of visceral pain sensations to a body surface at a distance from the actual origin. Neuropathic pain is paroxysmal pain that occurs along the branches of a nerve.

PTS:   1                    DIF:    Apply            REF:   Types of Pain

5. A client is observed holding a pillow over the abdominal region with both knees flexed in a side-lying position. Vital signs assessment reveals an elevated blood pressure and heart rate. Which of the following should the nurse say to this client?

ANS:  2

Sympathetic responses to pain include elevated blood pressure and heart rate. And since the client is hugging a pillow over the abdominal region with both knees flexed in a side-lying position, the best thing for the nurse to say to this client is “Would you like something for pain?” The other responses are incorrect because they do not acknowledge that the client is experiencing pain.

PTS:     1          DIF:     Apply  REF:    Assessing the Clinical Manifestations of Pain