NURSING HEALTH ASSESSMENT 3rd Edition By Dillon
NURSING HEALTH ASSESSMENT 3rd Edition By Dillon
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Chapter 20: Assessing Pain
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. Your patient has had an exploratory laparotomy and bowel resection. She is complaining of severe incisional pain. What is the most accurate means of assessing your patient’s pain?
| 1) | Assess her incision. |
| 2) | Assess her vital signs. |
| 3) | Assess for abdominal tenderness. |
| 4) | Ask the patient about her pain. |
____ 2. Which question would best assess the quality of a patient’s pain?
| 1) | “Can you tell me what the pain feels like?” |
| 2) | “Is the pain continuous?” |
| 3) | “Does anything make the pain better?” |
| 4) | “Is the pain stabbing?” |
____ 3. Which question is best for assessing the severity of pain?
| 1) | “Does the pain really hurt?” |
| 2) | “Does anything make the pain worse?” |
| 3) | “On a scale of 0 to 10 with 0 being no pain, what would you rate your pain?” |
| 4) | “How long have you had the pain?” |
____ 4. The nurse is assessing an infant for pain. Which integumentary assessment finding indicates that the infant may be experiencing pain?
| 1) | Palmar sweating |
| 2) | Increased heart rate |
| 3) | Rapid respirations |
| 4) | Increased muscle tone |
____ 5. Which is an infant behavior that is associated with pain?
| 1) | Loss of appetite |
| 2) | Increased muscle tone |
| 3) | Increased blood glucose |
| 4) | Dilated pupils |
Answer Section
MULTIPLE CHOICE
Chapter number and title: 20, Assessing Pain
Chapter learning objective: N/A
Chapter page reference: 517
Integrated Processes: Nursing Process: Assessment
Client Need: Physiological Integrity: Basic Care and Comfort
Cognitive level: Application [Applying]
Concept: Comfort
Difficulty: Moderate
| Feedback | |
| 1 | Although assessing the patient’s incision may be appropriate, this is not the most accurate means of assessing pain. |
| 2 | Although assessing the patient’s vital signs may be appropriate, this is not the most accurate means of assessing pain. |
| 3 | Although assessing for abdominal tenderness may be appropriate, this is not the most accurate means of assessing pain. |
| 4 | Asking the patient about the pain is the most accurate means of assessing pain because pain is subjective. |
PTS: 1 CON: Comfort
Chapter number and title: 20, Assessing Pain
Chapter learning objective: N/A
Chapter page reference: 517
Integrated Processes: Nursing Process: Assessment
Client Need: Physiological Integrity: Basic Care and Comfort
Cognitive level: Application [Applying]
Concept: Comfort
Difficulty: Moderate
| Feedback | |
| 1 | Quality of pain is best assessed by asking the patient what the pain feels like. |
| 2 | Asking the patient whether the pain is continuous focuses on timing of pain but is also a leading question. |
| 3 | Asking the patient whether anything makes the pain better focuses on identifying palliative factors. |
| 4 | Asking the patient whether the pain is stabbing focuses on the quality of the pain and is leading the patient. |
PTS: 1 CON: Comfort
Chapter number and title: 20, Assessing Pain
Chapter learning objective: N/A
Chapter page reference: 518
Integrated Processes: Nursing Process: Assessment
Client Need: Physiological Integrity: Basic Care and Comfort
Cognitive level: Application [Applying]
Concept: Comfort
Difficulty: Moderate
| Feedback | |
| 1 | Asking the patient if the pain really hurts is a closed question. |
| 2 | Asking the patient if anything makes the pain worse focuses on provocative factors.. |
| 3 | Using pain scales is best for assessing severity of pain. |
| 4 | Asking the patient how long he or she has had the pain focuses on timing. |
PTS: 1 CON: Comfort
Chapter number and title: 20, Assessing Pain
Chapter learning objective: N/A
Chapter page reference: 512
Integrated Processes: Nursing Process: Assessment
Client Need: Physiological Integrity: Basic Care and Comfort
Cognitive level: Analysis [Analyzing]
Concept: Comfort
Difficulty: Moderate
| Feedback | |
| 1 | Palmar sweating is an integumentary manifestation of pain in the infant. |
| 2 | Although an increased heart rate is indicative of pain, this is not an integumentary manifestation of pain. |
| 3 | Although rapid respirations are indicative of pain, this is not an integumentary manifestation of pain. |
| 4 | Although increased muscle tone is indicative of pain, this is not an integumentary manifestation of pain. |
PTS: 1 CON: Comfort
Chapter number and title: 20, Assessing Pain
Chapter learning objective: N/A
Chapter page reference: 512
Integrated Processes: Nursing Process: Assessment
Client Need: Physiological Integrity: Basic Care and Comfort
Cognitive level: Analysis [Analyzing]
Concept: Comfort
Difficulty: Moderate
| Feedback | |
| 1 | A loss of appetite or poor feeding is an infant behavior that is associated with pain. |
| 2 | While increased muscle tone is a manifestation for pain in the infant this is not an infant behavior. |
| 3 | While increased blood glucose is a manifestation for pain in the infant this is not an infant behavior. |
| 4 | While dilated pupils is a manifestation for pain in the infant this is not an infant behavior. |
PTS: 1 CON: Comfort
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