Deck 55: Client Comfort and Pain Management

Question 1

Which definition of pain is the foundation for the planning of nursing care for the client in pain?

A) Pain is whatever the experiencing person says it is, existing whenever he says it does.
B) Client's self-report is the single best indicator of pain.
C) A feeling of distress, suffering, or agony, caused by stimulation of specialized nerve endings.
D) Its purpose is chiefly protective; it acts as a warning that tissues are being damaged and induces the sufferer to remove or withdraw from the source.

Answer 1

Pain is whatever the experiencing person says it is, existing whenever he says it does.

Question 2

A nurse is caring for a client with a myocardial infarction. Which factor is the typical trigger for the chest pain experienced by the client?

A) Decreased blood supply to the heart muscle
B) Atherosclerotic plaques on the coronary artery
C) Irregular heart rhythm
D) Enlargement of the heart muscle

Answer 2

Decreased blood supply to the heart muscle

Question 3

Which conditions are possible physical causes of pain? Select all that apply.

A) Trauma
B) Surgical incision
C) Tumor growth
D) Fatigue
E) Fear

Answer 3

Trauma

Question 4

What characteristics are factors considered in the diagnosis of chronic pain? Select all that apply.

A) Sensation is usually intermittent
B) Likely results from some sort of malignancy
C) Discomfort continues for 6 months or longer
D) Pain that originates in one body part, but is perceived in another part of the body
E) Pain that interfering with an individual's normal functioning

Question 5

A client with a fractured leg is in pain. The nurse understands that the client is experiencing which kind of pain?

A) Intractable pain
B) Neuropathic pain
C) Chronic pain
D) Nociceptive pain

Question 6

What statement by a client is reflective of the existence of referred pain?

A) "This pain has lasted for 3 months."
B) "The pain started for no apparent reason."
C) "The pain shots down my left leg."
D) "It can't be my heart, the pain is in my left arm."

Question 7

What characteristics should the nurse include in the documentation of pain in the electronic medical record? Select all that apply.

A) Level of pain
B) Description of pain
C) Action taken to relieve pain
D) Vital signs when pain is evaluated
E) Response to pain medication

Question 8

What statements accurately describe the guidelines included in The Joint Commission accreditation standards to improve the management of pain? Select all that apply.

A) Clients have the right to appropriate assessment and management of pain.
B) On-going pain assessment should include the nature and intensity of pain.
C) Pain management interventions must be evaluated for effectiveness.
D) Staff must be oriented and competent in assessment and management of pain.
E) The evaluation of pain should be implemented according to the nurse's judgment

Question 9

When caring for a 1-year-old child with a wound, the nurse observes the child crying and kicking the legs. According the FLACC Nonverbal Pain Scale, the nurse should give which score for the child's action represented by his leg movement?

A) 0
B) 1
C) 2
D) 3

Question 10

A nurse is assessing a client for pain. The client does not speak English and has difficulty expressing himself. What method would be best for the nurse to use to rate the intensity of pain?

A) FLACC scale
B) Wong-Baker Faces Pain Scale
C) McGill-Melzack Pain Questionnaire
D) Numerical scale 0 to 10

Question 11

A nurse is assessing a client for pain. Which scales require the client to describe the nature and intensity of the pain to the nurse? Select all that apply.

A) FLACC scale
B) Wong-Baker Faces Pain Scale
C) McGill-Melzack Pain Questionnaire
D) Numerical scale 0 to 10
E) Pain Distress scale

Question 12

The nurse is attempting to get a complete description of a client's pain. Which description by the client describes the character of the client's pain?

A) Aching and burning
B) Occasional and intermittent
C) Severe and excruciating
D) Nausea and vomiting

Question 13

A client diagnosed with a terminal illness is experiencing a phase of depression and decreased self-esteem. Which intervention should the nurse include in the client's care plan to help the client express feelings?

A) Suggest going for walks.
B) Suggest participation in a support group.
C) Recommend activities that the client has expressed an interest in.
D) Suggest the client talk with the primary care provider about coping strategies.

Question 14

How do individuals with chronic pain typically report the character of their pain? Select all that apply.

A) Sharp
B) Burning
C) Tingling sensations
D) Shooting pain
E) Cramping

Question 15

What are symptoms of depression that the nurse needs to assess in a client with chronic pain? Select all that apply.

A) Manic behavior
B) Extreme fatigue
C) Disturbed sleeping pattern
D) Lack of interest in surroundings
E) Sexual impotence

Question 16

What chemicals and foods decrease the endorphin production? Select all that apply.

A) Caffeine
B) Nicotine
C) Grapefruit juice
D) Alcohol
E) Sugar

Question 17

Which statement describes one's pain threshold?

A) Lowest intensity of a stimulus that causes the subject to recognize pain
B) Highest intensity of a stimulus that causes the subject to recognize pain
C) Point at which a person can endure the pain
D) Point at which a person can no longer endure the pain

Question 18

What statement descripts one's pain tolerance?

A) Lowest intensity of a stimulus that causes the subject to recognize pain
B) Highest intensity of a stimulus that causes the subject to recognize pain
C) Point at which a person can endure the pain
D) Point at which a person can no longer endure the pain

Question 19

Which classification of pain medication would be appropriate for the nurse to administer
To the client reporting mild to moderate pain?

A) Nonopioid-nonsteroidal anti-inflammatory drugs
B) Opioids/narcotic analgesics
C) Anticonvulsants
D) Antidepressants

Question 20

What treatment is considered for chronic back pain that has not responded to other treatments?

A) Psychotherapy
B) Cutting the nerves that transmit the pain
C) Intensive physical therapy
D) Analgesic pain patch

Question 21

A nurse is caring for a client reporting acute pain. Which nursing intervention requires an order from the physician?

A) Providing a heat application
B) Changing the client's position
C) Providing a back rub
D) Massaging the client's hands

Question 22

A nurse is caring for a client whose cast has just been taken off after the treatment of his fractured hand. Which instruction should the nurse provide the client when performing exercises after the cast has been taken off?

A) Maintain the same level of activity daily.
B) Exercise past the point of pain for 10 minutes.
C) Alter exercises as you see might be necessary to increase your activity.
D) Monitor body cues of discomfort during exercise.

Question 23

How does the guided imagery technique help in pain management?

A) Relieves pain by relaxing taut muscles
B) Provides distraction and diversion from the pain
C) Enables visualization of destruction of the origin of pain
D) Causes vasodilation at the area of pain

Question 24

In which way does deep relaxation help in pain management?

A) Relieves pain by relaxing taut muscles
B) Provides distraction and diversion from the pain
C) Enables visualization of destruction of the origin of pain
D) Causes vasodilation at the area of pain