Deck 3: Pain and Its Managament

Question 1

Chronic pain is defined as:

A) Showing an increase in blood pressure and heart rate.
B) Starting as acute pain but continuing beyond the normal expected time for resolution.
C) A warning sign of a disturbance in physiology.
D) Both B and C

Answer 1

B

Question 2

The therapy that reduces inflammation and pain when enzymes and prostaglandins are blocked is:

A) Prescription NSAIDs.
B) Steroids.
C) Epidural steroid injections.
D) Muscle relaxants.

Answer 2

A

Question 3

Opioids are:

A) Analgesics.
B) Not generally used for pain.
C) Best taken via injection.
D) Nonaddictive.

Answer 3

A

Question 4

Pain therapy may include which of the following methods?

A) Medications and surgery
B) Biofeedback and autohypnosis
C) Humor, laughter, and play
D) All of the above

Question 5

Which of the following statements about pain is true?

A) Pain affects each of us during our lifetime.
B) The effects of pain may be positive as well as negative.
C) Pain is the sensation of hurting or of strong discomfort in some part of the body.
D) All of the above

Question 6

According to the Agency for Health Care Policy and Research, the three major barriers to effective pain management are:

A) Client, family, and health-care professional.
B) Client, health-care professional, and medical insurance coverage.
C) Client, health-care professional, and health-care system.
D) Client, health-care professional, and pain medications.

Question 7

Therapy that is a very potent anti-inflammatory drug, reduces pain, but has a side effect of suppressing the body's immune function is:

A) Prescription NSAIDs.
B) Steroids.
C) Epidural steroid injections.
D) Muscle relaxants.

Question 8

The group of medications not normally used or prescribed for pain are called:

A) Opioids.
B) Nonopioids.
C) Adjuvant analgesics.
D) Analgesics.

Question 9

Which of the following include the tools useful in assessing pain?

A) Place, amount, interactions, and neutralizers
B) Site and depth of pain
C) Modulators and transmitters
D) Neurotransmitters and neuromodulators

Question 10

In pain therapy, TENS refers to:

A) Transcutaneous electrical nerve stimulation.
B) Transmission of electrodes nerve stimulation.
C) Transfer of electricity for nerve stimulation.
D) Transverse element for nerve stimulation.

Question 11

PCA:

A) Stands for pain-controlled device.
B) Allows a client to administer his or her own pain medication.
C) Is ordered by a provider, yet the provider cannot control the amount of medication a client using a PCA takes.
D) Is easy for any client to use.

Question 12

The fifth vital sign should be:

A) Cardiac monitoring.
B) Pain assessment.
C) Drug abuse and medication assessment.
D) Client and family history.

Question 13

Acute pain:

A) Cannot be attributed to a specific cause.
B) Has been experienced over a period of 6 months or more.
C) Is recent in onset.
D) Serves no useful purpose.

Question 14

Cancer-related pain may result:

A) From the treatment of cancer.
B) From extenuating circumstances of cancer.
C) Directly from the cancer.
D) A and C only

Question 15

Which of the following statements is true about the use of a placebo?

A) Fifty percent or more of clients who use a placebo report good pain relief.
B) A placebo has a specific physical or chemical property for pain.
C) The client believes the placebo to be effective in pain management.
D) A placebo is effective in the treatment of cancer pain.

Question 16

Pain is:

A) Not a common complaint of persons seeking medical attention.
B) A warning that something is wrong in normal body function.
C) Is felt more by males than females.
D) Is better understood by the provider than the client.

Question 17

Name the therapy that alleviates pain that radiates from the lower back into the leg.

A) Prescription NSAIDs
B) Steroids
C) Epidural steroid injections
D) Muscle relaxants

Question 18

How we experience pain is based on the following variables:

A) Sex and age
B) Cultural background
C) Anxiety and depression
D) All of the above

Question 19

Surgeries to treat pain include:

A) Neurotomy.
B) Cordectomy.
C) Hypophysectomy.
D) All of the above

Question 20

Pain that is sometimes referred to as tissue pain is:

A) Neuropathic.
B) Breakthrough.
C) Nociceptive.
D) Both A and C

Question 21

When discussing pain, education is a key element for health-care professionals, clients, and their families.

Question 22

Research indicates that health-care professionals and family members tend to overmedicate clients for pain.

Question 23

A TENS unit can be used only for those clients who have acute pain.

Question 24

Acupuncture, using long thin needles, is a technique to treat certain painful conditions and produce regional anesthesia.

Question 25

Placebos are a powerful example of the mind-body connection.

Question 26

Clients in pain are quite often aggravated by humor.

Question 27

Reiki is a Korean technique that promotes stress reduction and healing.

Question 28

Most clients experience pain in the same way.

Question 29

Endorphins and enkephalins are the body's natural pain killers.

Question 30

Yoga is a system of beliefs and practices, the goal of which is to teach mind and body unity.

Question 31

A recent study has found that many clients can reduce their pain by up to 50% by listening to music for a half hour every day.

Question 32

Therapeutic touch replenishes a client's energy field.

Question 33

The treatment goal of chronic pain is to minimize pain and maximize a person's functioning.

Question 34

An intrathecal drug delivery system is a subcutaneous pump that delivers medicine to the joints of the body.

Question 35

Heart rate and blood pressure always increase with acute pain.

Question 36

Ultrasound and warm water therapy are forms of pain treatment used by physical therapists.

Question 37

Gate control is recognized as a major pain theory.

Question 38

A TENS unit is a subcutaneous pump that delivers medication to a client.

Question 39

Multidisciplinary pain clinics assess and manage physical restoration or rehabilitation and medical needs, and provide educational and psychological services.

Question 40

Relaxation therapy can be used to modify muscle tension that is believed to cause or exacerbate pain.

Question 41

Match the terms with their definitions.
a.Blood supply to the heart muscle is disrupted
b.Experienced by individuals with psychological disorders
c.Chronic pain recurs which earlier responded to pain management
d.Separate individuals from feeling pain
e.Comes from a nervous system lesion
f.Pain from cancer or cancer treatment
g.Comes from damage to tissue
h.Pain from damage to muscles, tendons, ligaments
i.Pain felt from an amputated body part
Opioids

Question 42

Match the terms with their definitions.
a.Blood supply to the heart muscle is disrupted
b.Experienced by individuals with psychological disorders
c.Chronic pain recurs which earlier responded to pain management
d.Separate individuals from feeling pain
e.Comes from a nervous system lesion
f.Pain from cancer or cancer treatment
g.Comes from damage to tissue
h.Pain from damage to muscles, tendons, ligaments
i.Pain felt from an amputated body part
Angina pain

Question 43

Match the terms with their definitions.
a.Blood supply to the heart muscle is disrupted
b.Experienced by individuals with psychological disorders
c.Chronic pain recurs which earlier responded to pain management
d.Separate individuals from feeling pain
e.Comes from a nervous system lesion
f.Pain from cancer or cancer treatment
g.Comes from damage to tissue
h.Pain from damage to muscles, tendons, ligaments
i.Pain felt from an amputated body part
Neuropathic pain

Question 44

Match the terms with their definitions.
a.Blood supply to the heart muscle is disrupted
b.Experienced by individuals with psychological disorders
c.Chronic pain recurs which earlier responded to pain management
d.Separate individuals from feeling pain
e.Comes from a nervous system lesion
f.Pain from cancer or cancer treatment
g.Comes from damage to tissue
h.Pain from damage to muscles, tendons, ligaments
i.Pain felt from an amputated body part
Phantom limb pain

Question 45

Match the terms with their definitions.
a.Blood supply to the heart muscle is disrupted
b.Experienced by individuals with psychological disorders
c.Chronic pain recurs which earlier responded to pain management
d.Separate individuals from feeling pain
e.Comes from a nervous system lesion
f.Pain from cancer or cancer treatment
g.Comes from damage to tissue
h.Pain from damage to muscles, tendons, ligaments
i.Pain felt from an amputated body part
Nociceptive pain

Question 46

Match the terms with their definitions.
a.Blood supply to the heart muscle is disrupted
b.Experienced by individuals with psychological disorders
c.Chronic pain recurs which earlier responded to pain management
d.Separate individuals from feeling pain
e.Comes from a nervous system lesion
f.Pain from cancer or cancer treatment
g.Comes from damage to tissue
h.Pain from damage to muscles, tendons, ligaments
i.Pain felt from an amputated body part
Somatic pain

Question 47

Match the terms with their definitions.
a.Blood supply to the heart muscle is disrupted
b.Experienced by individuals with psychological disorders
c.Chronic pain recurs which earlier responded to pain management
d.Separate individuals from feeling pain
e.Comes from a nervous system lesion
f.Pain from cancer or cancer treatment
g.Comes from damage to tissue
h.Pain from damage to muscles, tendons, ligaments
i.Pain felt from an amputated body part
Psychogenic pain

Question 48

Match the terms with their definitions.
a.Blood supply to the heart muscle is disrupted
b.Experienced by individuals with psychological disorders
c.Chronic pain recurs which earlier responded to pain management
d.Separate individuals from feeling pain
e.Comes from a nervous system lesion
f.Pain from cancer or cancer treatment
g.Comes from damage to tissue
h.Pain from damage to muscles, tendons, ligaments
i.Pain felt from an amputated body part
Breakthrough pain

Question 49

Match the terms with their definitions.
a.Blood supply to the heart muscle is disrupted
b.Experienced by individuals with psychological disorders
c.Chronic pain recurs which earlier responded to pain management
d.Separate individuals from feeling pain
e.Comes from a nervous system lesion
f.Pain from cancer or cancer treatment
g.Comes from damage to tissue
h.Pain from damage to muscles, tendons, ligaments
i.Pain felt from an amputated body part
Malignant pain