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Which of the following senses will NOT be used during your physical examinations?
A. Touch
B. Hearing
C. Smell
D. Taste
E. Sight - ANSWERS-D. Taste
True or False: Dementia impacts the ability to feel pain - ANSWERS-False: Dementia
does not impact the ability to feel pain, but it does impact the person's ability to
effectively use self-report instruments
How do we assess pain in patients with dementia (since their ability to self-report pain is
not as effective)? - ANSWERS-In patients with dementia we can assess body language
instead of verbal communication
clenched fist = pain
agitation = hunger
,crying = pain
True or False: There are no gender discrepancies with pain - ANSWERS-False:
Traditionally men have been raised to be more stoic about pain, and more affective or
emotional displays of pain and accepted for women
Women have greater pain sensitivity than men with multiple biopsychosocial
mechanisms contributing to differences in pain
Chronic pain is more prevalent in women than in men
True or False: hormonal changes have not effect on pain sensitivity in women -
ANSWERS-False: Hormonal changes have strong influences on pain sensitivity
Migraine pain is the same pre-puberty between the genders, but increases in women
post-puberty
True or False: language barriers have no affect on reporting, understanding, and
treating pain - ANSWERS-False: When clinicians speak a language or belong to a
culture different from their patient in pain, the risk increases for misunderstanding,
underreporting, and underrating pain
True or False: Pain-related disparities amongst racial groups no longer exist -
ANSWERS-False: Pain-related disparities continue to exist, with members of minority
groups receiving less quality pain care than other Nono-Hispanic whites
True or False: Poorly treated pain has no effect on the patient's life outside of their body
- ANSWERS-False: Poorly treated pain has devastating results for the patient, with
huge costs to society in losses of wages and productivity
True or False: A lacking of outward signs of pain indicates an absence of pain -
ANSWERS-False: Pain and the expression of pain are influenced by social, cultural,
emotional, and spiritual concerns. A lacking of outward signs of pain does not indicate
an absence of pain. (open-ended questions are very useful in screening)
,Opioid medications produced pain relief and euphoria, bout consequently produce
respiratory depression and constipation. Opioid medications work by attaching to the
___ receptors in the body. ___ receptors modulate the perception of pain in the body. -
ANSWERS-mu-opioid receptors
Mu receptors are also responsible for the physical dependence associated with
continued use of opioid pain medications. Physical dependence means... - ANSWERS-
Physical dependence means only that repeated dosing will lead to a predictable
physical reaction when the drug is withdrawn abruptly.
True or False: physical dependence = addiction - ANSWERS-False. Physical
dependence can cause addiction, but they are not the same thing
Is there an opioid crisis in present day U.S?
(The slides were made June 2019) - ANSWERS-Yes
Because of the opioid crisis going on in the U.S. today, should prescribers decrease
prescribing opioids period? - ANSWERS-Providers should not use opioid pain
medications as a first line for chronic pain. Refusing to prescribe appropriate medication
to those who are in pain will not end the epidemic. Opioid pain medications are
indispensable in treating certain types of pain. Ensuring adequate pain management
competencies and appropriate education on opioid prescribing is necessary for all
providers to stop the epidemic while assuring that patients receive appropriate
treatment.
What is the definition of pain? - ANSWERS-Pain is an unpleasant sensory and
emotional experience associated with actual or potential tissue damage, or described in
terms of such damage
True or False: The diagnosis of pain can be made purely on physical findings. -
ANSWERS-False: Pain occurs on the neurochemical level. Findings on physical
examination can lend support, they cannot be used for the diagnosis.
Pain is a subjective experience and as such the ___ is the most reliable indicator of
pain. - ANSWERS-Pain is a subjective experience and as such the person's report is
the most reliable indicator of pain.
, What are some questions you can ask when assessing if a patient is experiencing pain.
- ANSWERS-Do you have pain?
Where is your pain?
When did your pain start?
What does your pain feel like?
How much pain do you have now?
What makes your pain better or worse?
How does pain limit your function or activities?
How do you usually react when you are in pain?
What does this pain mean to you?
Why is it important to ask if a patient has pain in multiple ways? - ANSWERS-Some
people report pain only when it is severe
Is pain always localized? - ANSWERS-No, it may be localized or appear in multiple
sites
Why is it important to identify onset and duration of pain? - ANSWERS-Chronic pain
persists after the injury heals; it is pain that occurs for 6 months or longer
Why is it important to identify what your pain feels like? - ANSWERS-Identifies quality of
pain and helps differentiate between nociceptors and neuropathic pain mechanisms
Why is it important to identify how much pain the patient is in high now? - ANSWERS-
Identifies intensity (refer to various intensity scales)
Why is it important to identify what makes the patient's pain better or worse? -
ANSWERS-Identifies alleviating and aggravating factors. Evaluates effectiveness of
current treatment