TEST BANK FOR PRIORITIZATION DELEGATION AND
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Prioritization Delegation and Assignment 4th Edition LaCharity Test Bank
ss ss ss ss ss ss ss ss
Chapter s s 1. s s Pain
, MULTIPLE ssCHOICE
1.A ssclient sstells ssthe ssnurse ssthat ssshe ssrarely ssexperiences sspain, ssbut sswhen ssshe ssdoes, ssshe ssseeks
ssmedical ssattention. ssThe ssnurse s s realizes s s this ssclient ssunderstands ssthat sspain ssis ssimportant ssbecause
ssit:
1. is ssa ss protective s s system.
2. includes ssthe ssautomatic sswithdrawal s s reflex.
3. creates sssensitivity ssto s s pain.
4. helps sswith s s healing.
ANS: ss1
Pain ssis ssa ssprotective sssystem ssthat ssincludes ssprotection ssfrom ssunsafe ssbehaviors ssby ssuse ssof
ssreflexes, ssmemory, ssand ssavoidance. ssEven ssthough ssthe ssautomatic sswithdrawal ssreflex ssis ssa sspart
ssof ssthe sspain ssresponse, ssit ssdoes ssnot ssexplain sswhy sspain ssis ssimportant. ssPain ssdoes ssnot sscreate
sssensitivity ssto sspain. ssPain ssdoes ssnot sshelp sswith sshealing.
PTS: ss1 ssDIF: ssAnalyze ss REF: ss Definitions ssand ssImplications ssof ssPain
2.A ssclient sscomplains ssthat ssthe ssbed sssheets sstouching sshis ssskin ssare ssextremely sspainful. ssThe
ssnurse ssrealizes ssthis ssclient ssis ssexperiencing:
1. allodynia.
2. modulation.
3. kinesthesia.
4. proprioception.
ANS: ss1
Allodynia ssor sshyperalgesia ssis ssa ssstate sswhere ssa ssslight ssor ssnonpainful ssstimulus ssis ssinterpreted
ssas ssvery sspainful. ssKinesthesia ssis ssthe ssawareness ssof ssmovement. ssProprioception ssis ssthe
ssawareness ssof ssbody ssposition. ssModulation ssis ssan ssinfluencing ssfactor ssin ssthe ssperception ssof
sspain.
PTS: ss1 ssDIF: ssAnalyze ss REF: ssPeripheral ssNervous ssSystem
3.A ssclient ssis sscomplaining ssof sssevere ssabdomen sspain. ssThe ssnurse ssrealizes ssthis ssclient ssis
ssexperiencing sswhich sstype ssof sspain?
1. Neuralgia
2. Pathological
3. Somatic
4. Visceral
ANS: ss4
Visceral sspain ssis sspain ssarising ssfrom ssthe ssbody ssorgans ssor ssgastrointestinal sstract. ssSomatic sspain
ssis sspain ssthat ssoriginates ssfrom ssthe ssbone, ssjoints, ssmuscles, s s skin, ssor ssconnective sspain.
ssNeuralgia ssand
,pathological sspain ssare ssboth sstypes ssof sspain ssthat ssresult ssfrom ssinjury ssto ssa ssnerve ssor ssmalfunction ssof
ssthe ssneuronal sstransmission ssprocess ssor ssdue ssto ssimpaired ssregulation.
PTS:1DIF:AnalyzeREF:Types s s of ssPain
4.A ssclient, ssdiagnosed sswith ssacute ssappendicitis, ssis ssexperiencing ssabdominal sspain. ssThe ssbest
ssway ssfor ssthe ssnurse ssto ssdescribe ssthis ssclients sspain sswould ssbe:
1. chronic.
2. neuropathic.
3. referred.
4. acute.
ANS: ss4
Acute sspain s s onset ssis sssudden s s and s s of ssshort s s duration. s s Chronic sspain s s is ssa sssudden s s or ssslow
ssonset s s of ssmild s s to s s severe s s pain s s that s s lasts s s longer s s than s s 6 s s months. s s Referred s s pain s s is
s s the s s result s s of s s the s s transfer ssof ssvisceral sspain sssensations ssto ssa ssbody sssurface ssat ssa ssdistance
ssfrom ssthe ssactual ssorigin. ssNeuropathic s s pain s s is ssparoxysmal s s pain s s that s s occurs ssalong s s the
s s branches s s of ssa s s nerve.
PTS:1DIF:ApplyREF:Types ssof ssPain
5.A ssclient ssis ssobserved ssholding ssa sspillow ssover ssthe ssabdominal ssregion sswith ssboth ssknees
ssflexed ssin ssa ssside-lying ssposition. ssVital sssigns ssassessment ssreveals ssan sselevated ssblood
sspressure ssand ssheart ssrate. ssWhich ssof ssthe ssfollowing ssshould ssthe ssnurse sssay ssto ssthis ssclient?
1. Can ssI ssget s s you s s anything?
2. Would ss you s s like s s something ssfor s s pain?
3. You s s look s s comfortable.
4. Your ssblood s s pressure ss is s s up.
ANS: ss2
Sympathetic ssresponses ssto sspain ssinclude sselevated ssblood sspressure ssand ssheart ssrate. ssAnd
sssince ssthe ssclient ssis sshugging ssa sspillow ssover ssthe ssabdominal ssregion sswith ssboth ssknees ssflexed
ssin ssa ssside-lying s s position, ssthe ssbest ssthing ssfor ssthe ssnurse ssto sssay ssto ssthis ssclient ssis ssWould
ssyou sslike sssomething ssfor s s pain? ssThe ssother ssresponses ssare ssincorrect ssbecause ssthey ssdo ssnot
ssacknowledge ssthat ssthe ssclient ssis ssexperiencing sspain.
PTS: ss 1 ss DIF: ssApply ssREF: s s Assessing ssthe ss Clinical ssManifestations ssof ssPain
6.A ssclient ssexperiencing sschronic sspain ssasks ssthe ssnurse sswhy ssshe ssis ssnot ssprescribed ssDemerol
sslike ssshe ssreceived sswhen ssshe sshad ssa sstotal ssknee ssreplacement. ssWhich ssof ssthe ssfollowing
ssshould ssthe ssnurse ssrespond ssto ssthis ssclient?
1. You ss dont s s need ss something ssthat s s strong.
2. That ssmedication ssdoes ss not ssexist s s anymore.
3. That ssmedication ssdoes ssnot sslast s s very s s long.
4. It ss can sscause ss you ss have s s high s s blood s s pressure.
, ANS: ss3
Meperidine ssis ssno sslonger ssa ssmajor ssdrug ssfor ssacute ssor sschronic sspain ssdue ssto ssits ssshort
ssanalgesic ssduration ssof ss2 ssto ss3 sshours ssand ssthe sspotential ssfor ssaccumulative sstoxic sseffects ssof
ssits ssmetabolite, s s normeperidine. ssThe ssbest ssresponse ssfor ssthe ssnurse ssto ssmake ssto ssthe ssclient
sswould ssbe ssthat ssmedication ssdoes ssnot sslast ssvery sslong. ssThe ssother ssresponses ssare ssinaccurate.
PTS:1DIF:ApplyREF:Opioid s s s s Analgesics
7.A ssclient ssis ssinformed ssthat ssa sstricyclic ssantidepressant ssmedication ssis ssgoing ssto sshelp sscontrol
sshis sschronic sspain. ssThe ssnurse sswould ssexpect ssthe ssphysician ssto ssprescribe:
1. Amitriptyline.
2. Baclofen.
3. Gabapentin.
4. Diazepam.
ANS: ss1
Amitriptyline ssis ssan ssantidepressant. ssGabapentin ssis ssan ssanticonvulsant. ssBaclofen ssis ssa ssmuscle
ssrelaxant. ssDiazepam ssis ssa ssbenzodiazepine.
PTS: ss1 ssDIF: ssAnalyze ss REF: ss Adjuvant ss Medications
8.A ssclient ssreceiving ssaround-the-clock ssmedication ssfor ssterminal sscancer ssexperiences ssadditional
sspain sswhen ssperforming ssactivities ssof ssdaily ssliving. ssThe ssnurse ssrealizes ssthis ssclient ssis
ssexperiencing:
1. breakthrough sspain.
2. intractable sspain.
3. psychosomatic sspain.
4. acute sspain.
ANS: ss1
Breakthrough sspain ssis sscommonly ssseen ssin ssthe ssadvanced ssstages ssof sscancer. ssIt ssis
ssspontaneous, ssunpredictable, ssand sscan ssbe ssinitiated ssby sscertain ssactivities sssuch ssas ssduring
ssactivities ssof ssdaily s s living. ssIntractable sspain ssis ssresistant ssto sssome ssor ssall ssforms ssof sstherapy.
ssPsychosomatic sspain ssis ssthat sswhich sshas ssa sspsychological ssorigin. ssThe ssclient ssis ssdiagnosed
sswith ssterminal sscancer. ssAcute sspain s s has ssa sssudden ssonset ssand ssresolves sswithin ss6 ssmonths.
PTS:1DIF:AnalyzeREF:Breakthrough Pain
9. A ssclient ssrecovering ssfrom sssurgery sstells ssthe ssnurse ssthat ssshe ssis ssnauseated ssand ssis
ssexperiencing ssan ssincrease s s in sspain. s s Which s s of ssthe s s following s s does ssthis s s clients
s s symptoms s s suggest s s to s s the s s nurse?
1 The ssclient s s is ssbecoming ssdependent ssupon ssthe sspain ss medication.
.
2 The ssclients sspain ssthreshold ssis sslower sswhen ssexperiencing ssnausea.
.
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Prioritization Delegation and Assignment 4th Edition LaCharity Test Bank
ss ss ss ss ss ss ss ss
Chapter s s 1. s s Pain
, MULTIPLE ssCHOICE
1.A ssclient sstells ssthe ssnurse ssthat ssshe ssrarely ssexperiences sspain, ssbut sswhen ssshe ssdoes, ssshe ssseeks
ssmedical ssattention. ssThe ssnurse s s realizes s s this ssclient ssunderstands ssthat sspain ssis ssimportant ssbecause
ssit:
1. is ssa ss protective s s system.
2. includes ssthe ssautomatic sswithdrawal s s reflex.
3. creates sssensitivity ssto s s pain.
4. helps sswith s s healing.
ANS: ss1
Pain ssis ssa ssprotective sssystem ssthat ssincludes ssprotection ssfrom ssunsafe ssbehaviors ssby ssuse ssof
ssreflexes, ssmemory, ssand ssavoidance. ssEven ssthough ssthe ssautomatic sswithdrawal ssreflex ssis ssa sspart
ssof ssthe sspain ssresponse, ssit ssdoes ssnot ssexplain sswhy sspain ssis ssimportant. ssPain ssdoes ssnot sscreate
sssensitivity ssto sspain. ssPain ssdoes ssnot sshelp sswith sshealing.
PTS: ss1 ssDIF: ssAnalyze ss REF: ss Definitions ssand ssImplications ssof ssPain
2.A ssclient sscomplains ssthat ssthe ssbed sssheets sstouching sshis ssskin ssare ssextremely sspainful. ssThe
ssnurse ssrealizes ssthis ssclient ssis ssexperiencing:
1. allodynia.
2. modulation.
3. kinesthesia.
4. proprioception.
ANS: ss1
Allodynia ssor sshyperalgesia ssis ssa ssstate sswhere ssa ssslight ssor ssnonpainful ssstimulus ssis ssinterpreted
ssas ssvery sspainful. ssKinesthesia ssis ssthe ssawareness ssof ssmovement. ssProprioception ssis ssthe
ssawareness ssof ssbody ssposition. ssModulation ssis ssan ssinfluencing ssfactor ssin ssthe ssperception ssof
sspain.
PTS: ss1 ssDIF: ssAnalyze ss REF: ssPeripheral ssNervous ssSystem
3.A ssclient ssis sscomplaining ssof sssevere ssabdomen sspain. ssThe ssnurse ssrealizes ssthis ssclient ssis
ssexperiencing sswhich sstype ssof sspain?
1. Neuralgia
2. Pathological
3. Somatic
4. Visceral
ANS: ss4
Visceral sspain ssis sspain ssarising ssfrom ssthe ssbody ssorgans ssor ssgastrointestinal sstract. ssSomatic sspain
ssis sspain ssthat ssoriginates ssfrom ssthe ssbone, ssjoints, ssmuscles, s s skin, ssor ssconnective sspain.
ssNeuralgia ssand
,pathological sspain ssare ssboth sstypes ssof sspain ssthat ssresult ssfrom ssinjury ssto ssa ssnerve ssor ssmalfunction ssof
ssthe ssneuronal sstransmission ssprocess ssor ssdue ssto ssimpaired ssregulation.
PTS:1DIF:AnalyzeREF:Types s s of ssPain
4.A ssclient, ssdiagnosed sswith ssacute ssappendicitis, ssis ssexperiencing ssabdominal sspain. ssThe ssbest
ssway ssfor ssthe ssnurse ssto ssdescribe ssthis ssclients sspain sswould ssbe:
1. chronic.
2. neuropathic.
3. referred.
4. acute.
ANS: ss4
Acute sspain s s onset ssis sssudden s s and s s of ssshort s s duration. s s Chronic sspain s s is ssa sssudden s s or ssslow
ssonset s s of ssmild s s to s s severe s s pain s s that s s lasts s s longer s s than s s 6 s s months. s s Referred s s pain s s is
s s the s s result s s of s s the s s transfer ssof ssvisceral sspain sssensations ssto ssa ssbody sssurface ssat ssa ssdistance
ssfrom ssthe ssactual ssorigin. ssNeuropathic s s pain s s is ssparoxysmal s s pain s s that s s occurs ssalong s s the
s s branches s s of ssa s s nerve.
PTS:1DIF:ApplyREF:Types ssof ssPain
5.A ssclient ssis ssobserved ssholding ssa sspillow ssover ssthe ssabdominal ssregion sswith ssboth ssknees
ssflexed ssin ssa ssside-lying ssposition. ssVital sssigns ssassessment ssreveals ssan sselevated ssblood
sspressure ssand ssheart ssrate. ssWhich ssof ssthe ssfollowing ssshould ssthe ssnurse sssay ssto ssthis ssclient?
1. Can ssI ssget s s you s s anything?
2. Would ss you s s like s s something ssfor s s pain?
3. You s s look s s comfortable.
4. Your ssblood s s pressure ss is s s up.
ANS: ss2
Sympathetic ssresponses ssto sspain ssinclude sselevated ssblood sspressure ssand ssheart ssrate. ssAnd
sssince ssthe ssclient ssis sshugging ssa sspillow ssover ssthe ssabdominal ssregion sswith ssboth ssknees ssflexed
ssin ssa ssside-lying s s position, ssthe ssbest ssthing ssfor ssthe ssnurse ssto sssay ssto ssthis ssclient ssis ssWould
ssyou sslike sssomething ssfor s s pain? ssThe ssother ssresponses ssare ssincorrect ssbecause ssthey ssdo ssnot
ssacknowledge ssthat ssthe ssclient ssis ssexperiencing sspain.
PTS: ss 1 ss DIF: ssApply ssREF: s s Assessing ssthe ss Clinical ssManifestations ssof ssPain
6.A ssclient ssexperiencing sschronic sspain ssasks ssthe ssnurse sswhy ssshe ssis ssnot ssprescribed ssDemerol
sslike ssshe ssreceived sswhen ssshe sshad ssa sstotal ssknee ssreplacement. ssWhich ssof ssthe ssfollowing
ssshould ssthe ssnurse ssrespond ssto ssthis ssclient?
1. You ss dont s s need ss something ssthat s s strong.
2. That ssmedication ssdoes ss not ssexist s s anymore.
3. That ssmedication ssdoes ssnot sslast s s very s s long.
4. It ss can sscause ss you ss have s s high s s blood s s pressure.
, ANS: ss3
Meperidine ssis ssno sslonger ssa ssmajor ssdrug ssfor ssacute ssor sschronic sspain ssdue ssto ssits ssshort
ssanalgesic ssduration ssof ss2 ssto ss3 sshours ssand ssthe sspotential ssfor ssaccumulative sstoxic sseffects ssof
ssits ssmetabolite, s s normeperidine. ssThe ssbest ssresponse ssfor ssthe ssnurse ssto ssmake ssto ssthe ssclient
sswould ssbe ssthat ssmedication ssdoes ssnot sslast ssvery sslong. ssThe ssother ssresponses ssare ssinaccurate.
PTS:1DIF:ApplyREF:Opioid s s s s Analgesics
7.A ssclient ssis ssinformed ssthat ssa sstricyclic ssantidepressant ssmedication ssis ssgoing ssto sshelp sscontrol
sshis sschronic sspain. ssThe ssnurse sswould ssexpect ssthe ssphysician ssto ssprescribe:
1. Amitriptyline.
2. Baclofen.
3. Gabapentin.
4. Diazepam.
ANS: ss1
Amitriptyline ssis ssan ssantidepressant. ssGabapentin ssis ssan ssanticonvulsant. ssBaclofen ssis ssa ssmuscle
ssrelaxant. ssDiazepam ssis ssa ssbenzodiazepine.
PTS: ss1 ssDIF: ssAnalyze ss REF: ss Adjuvant ss Medications
8.A ssclient ssreceiving ssaround-the-clock ssmedication ssfor ssterminal sscancer ssexperiences ssadditional
sspain sswhen ssperforming ssactivities ssof ssdaily ssliving. ssThe ssnurse ssrealizes ssthis ssclient ssis
ssexperiencing:
1. breakthrough sspain.
2. intractable sspain.
3. psychosomatic sspain.
4. acute sspain.
ANS: ss1
Breakthrough sspain ssis sscommonly ssseen ssin ssthe ssadvanced ssstages ssof sscancer. ssIt ssis
ssspontaneous, ssunpredictable, ssand sscan ssbe ssinitiated ssby sscertain ssactivities sssuch ssas ssduring
ssactivities ssof ssdaily s s living. ssIntractable sspain ssis ssresistant ssto sssome ssor ssall ssforms ssof sstherapy.
ssPsychosomatic sspain ssis ssthat sswhich sshas ssa sspsychological ssorigin. ssThe ssclient ssis ssdiagnosed
sswith ssterminal sscancer. ssAcute sspain s s has ssa sssudden ssonset ssand ssresolves sswithin ss6 ssmonths.
PTS:1DIF:AnalyzeREF:Breakthrough Pain
9. A ssclient ssrecovering ssfrom sssurgery sstells ssthe ssnurse ssthat ssshe ssis ssnauseated ssand ssis
ssexperiencing ssan ssincrease s s in sspain. s s Which s s of ssthe s s following s s does ssthis s s clients
s s symptoms s s suggest s s to s s the s s nurse?
1 The ssclient s s is ssbecoming ssdependent ssupon ssthe sspain ss medication.
.
2 The ssclients sspain ssthreshold ssis sslower sswhen ssexperiencing ssnausea.
.
