CHAPTER 18: PAIN MANAGEMENT

CHAPTER 18: PAIN MANAGEMENT

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. When it comes to pain management in infants and children, the majority of health care professionals are still under the impression that infants and children:

a.	need one-half the pain medication that adults need
b.	need about the same amount of pain medication as adults, adjusted for their body weight
c.	do not have pain or suffer less pain than adults
d.	have a lot more pain than adults

 

 

ANS:  C

 

	Feedback
A	Incorrect: Pediatric clients have not been identified as needing one-half of the pain medication required by adults.
B	Incorrect: The concept of needing about the same amount of pain medication as adults adjusted for their body weight has not been identified.
C	Correct: Many health care professionals are under the impression that pediatric clients do not experience pain or are less sensitive to pain than adults.
D	Incorrect: It is not suggested that pediatric clients have more pain than adults.

 

 

PTS:   1                    REF:   p. 582 – Pain Management

OBJ:   Cognitive Level: Comprehension

 

2. Which of the following statements best describes acute pain?

a.	discomfort lasting 3 to 5 days and due to a specific cause such as surgery or injury
b.	discomfort that comes on suddenly and lasts less than 8 hours
c.	a sharp hurting in a specific location that comes and goes suddenly
d.	any hurting that is not considered long-lasting by the individual experiencing it

 

 

ANS:  A

 

	Feedback
A	Correct: Acute pain is characterized as generally lasting 3 to 5 days and is attributed to a specific cause such as surgery or an injury.
B	Incorrect: Acute pain is not characterized by coming on suddenly and lasting less than 8 hours.
C	Incorrect: Acute pain is not defined as a sharp hurting in a specific location
D	Incorrect: Acute pain is not defined as any hurting that is not perceived as being long lasting.

 

 

PTS:   1                    REF:   p. 582 – Pain Management

OBJ:   Cognitive Level: Comprehension

 

3. A mother tells the nurse that her child has experienced pain lasting for long periods of time with the pain coming and going. The nurse would describe this pain in her assessment as which of the following kinds of pain?

a.	acute pain	c.	strange pain
b.	moderate pain	d.	chronic pain

 

 

ANS:  D

 

	Feedback
A	Incorrect: Acute pain is described as pain lasting 3 to 5 days.
B	Incorrect: Moderate pain does not define intermittent pain that lasts for extended periods of time.
C	Incorrect: Strange is not a defining characteristic of pain.
D	Correct: Chronic pain is described as pain that lasts for long periods of time or comes and goes often over an extended period of time.

 

 

PTS:   1                    REF:   p. 582 – Pain Management

OBJ:   Cognitive Level: Comprehension

 

4. Nociceptors are best described as nerve receptors specific to which of the following?

a.	inflammation	c.	pressure
b.	pain	d.	sprain

 

 

ANS:  B

 

	Feedback
A	Incorrect: Nociceptors are not associated with inflammation.
B	Correct: Nociceptors are free nerve endings with specific pain receptors found in the tissues throughout the body.
C	Incorrect: Nociceptors are not associated with pressure.
D	Incorrect: Nociceptors are not associated with a sprain.

 

 

PTS:   1                    REF:   p. 582 – Pain Management

OBJ:   Cognitive Level: Comprehension

 

5. Which of the following factors has the most influence on how long pain lasts and how intense it is?

a.	the person’s past experience with pain
b.	how much pain medication the person takes at one time
c.	the release of chemical mediators such as substance P
d.	the person’s history of pain medication use and tolerance to medications

 

 

ANS:  C

 

	Feedback
A	Incorrect: The person’s past experience with pain may affect how long pain lasts and how intense it is, but it is not the factor with most influence.
B	Incorrect: How much pain medication the person takes at one time has not been identified as a factor that influences how long pain lasts and how intense it is.
C	Correct: Substance P, a neuropeptide, sensitizes the nerve endings and increases the rate of firing. Thus, substance P is influential on how long pain lasts and the intensity of the pain experience.
D	Incorrect: The person’s history of pain medication use and tolerance to medications has not been identified as a factor that influences how long pain lasts and how intense it is.

 

 

PTS:   1                    REF:   p. 582 – Pain Management

OBJ:   Cognitive Level: Comprehension