Exam (elaborations)
Chapter 39 Pain Management for Children
- Course
- Nursing
- Institution
- University At Buffalo
Chapter 39 Pain Management for Children
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Chapter 39: Pain Management for ChildrenTest Bank
MULTIPLE CHOICE
1. When assessing a child for pain, the nurse is aware 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.
PTS: 1 DIF: Cognitive Level: Comprehension REF: p. 972
OBJ: Nursing Process: Assessment MSC: Client Needs: Physiologic Integrity
2. When pain is assessed in an infant, it is inappropriate to assess for
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.
PTS: 1 DIF: Cognitive Level: Comprehension REF: p. 972
OBJ: Nursing Process: Assessment MSC: Client Needs: Physiologic Integrity
3. The nurse knows that physiologic changes associated with pain in the neonate include
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.
PTS: 1 DIF: Cognitive Level: Comprehension REF: p. 973
OBJ: Nursing Process: Assessment MSC: Client Needs: Physiologic Integrity
4. What myth 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.
PTS: 1 DIF: Cognitive Level: Comprehension REF: p. 971 | Table 39-1
OBJ: Nursing Process: Evaluation MSC: Client Needs: Physiologic Integrity
5. The nurse caring for the child in pain knows that distraction
a. Can give total pain relief to the child
b. Is effective when the child is in severe pain
c. Is the best method for pain relief
d. Must be developmentally appropriate to refocus attention
ANS: D
Feedback
A Distraction can help control pain, but it is rarely able to provide total pain relief.
B Children in severe pain are not distractible.
C Children may use distraction to help control pain, but it is not the best method
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