Exam (elaborations)
Chapter 18 Pain Management, Comfort, Rest, and Sleep
- Course
- Nursing
- Institution
- Western Piedmont Community College
Chapter 18 Pain Management, Comfort, Rest, and Sleep
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Chapter 18: Pain Management, Comfort, Rest, and SleepMULTIPLE CHOICE
1. A patient reports to the nurse that he is experiencing a moderate amount of back pain rated 6
out of 10 on the pain scale. What should the nurse recognize about this assessment?
a. Pain is objective for the nurse.
b. Pain is easy to recognize.
c. Pain is subjective for the patient.
d. Pain is easily relieved if found early.
ANS: C
Pain is subjective. Pain is exactly what the patient says it is.
PTS: 1 DIF: Cognitive Level: Comprehension REF: Page 464
OBJ: 3 | 5 TOP: Pain KEY: Nursing Process Step: Assessment
MSC: NCLEX: Physiological Integrity
2. A patient has pain in the left arm secondary to coronary insufficiency. This is an example of
what type of pain?
a. Acute pain
b. Chronic pain c.
Referred pain d.
Subacute pain
ANS: C
An example of referred pain is coronary insufficiency manifested by pain in the left arm,
which is a distant location from the real source of discomfort.
PTS: 1 DIF: Cognitive Level: Comprehension REF: Page 465
OBJ: 1 | 2 TOP: Pain KEY: Nursing Process Step: Assessment
MSC: NCLEX: Physiological Integrity
3. The nurse reassures a patient that most acute pain is intense and of short duration. How long
does can acute pain usually last?
a. 1 week
b. Less than 6 months
c. At least 9 months
d. More than 1 year
ANS: B
Acute pain lasts less than 6 months.
PTS: 1 DIF: Cognitive Level: Comprehension REF: Page 465
OBJ: 1 TOP: Pain KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity
4. What is the defining term for continuous or intermittent pain that does not serve as a warning
of tissue damage?
a. Acute
, b. Unrelieved
c. Chronic
d. Subacute
ANS: C
Chronic pain can be continuous or intermittent and may not be indicative of tissue damage.
PTS: 1 DIF: Cognitive Level: Knowledge REF: Page 465
OBJ: 1 | 2 TOP: Pain KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity
5. The nurse is planning interventions for a patient experiencing pain. For what type of
synergistic relationship should the nurse assess?
a. Inflammatory process
b. Circulatory disorder
c. Food allergy
d. Fatigue
ANS: D
Fatigue, sleep disturbance, and depression act in a synergistic relationship.
PTS: 1 DIF: Cognitive Level: Comprehension REF: Page 465
OBJ: 2 | 7 TOP: Pain KEY: Nursing Process Step: Assessment
MSC: NCLEX: Physiological Integrity
6. The nurse is giving a backrub to a patient to relieve pain. What pain theory is the nurse using?
a. Synergism
b. Gate control
c. Distraction
d. Guided imagery
ANS: B
The pressure of a backrub will close the gate, according to the gate control theory of pain.
PTS: 1 DIF: Cognitive Level: Comprehension REF: Page 465
OBJ: 4 TOP: Pain KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity
7. A young athlete asks the nurse why he felt little pain when he broke his leg during a game.
What does the nurse describe as having an effect on this patient‘s perception of pain?
a.Hormones
b.Enzymes
c.Adrenaline
d.Endorphins
ANS: D
Endorphins found in the pituitary gland and other areas of the central nervous system create
the same effect as morphine, producing an analgesic effect.
PTS: 1 DIF: Cognitive Level: Comprehension REF: Page 465
OBJ: 1 | 2 TOP: Pain KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity
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