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Chapter 10: Pain Assessment: The Fifth Vital Sign
Chapter 10: Pain Assessment: The Fifth Vital Sign
Jarvis: Physical Examination & Health Assessment, 7th Edition
MULTIPLE CHOICE
1. When evaluating a patient’s pain, the nurse knows that an example of acute
pain would be:
a. Arthritic pain.
b. Fibromyalgia.
c. Kidney stones.
d. Low back pain.
ANS: C
,Acute pain is short-term and dissipates after an injury heals, such as with
kidney stones. The other conditions are examples of chronic pain during which
the pain continues for 6 months or longer and does not stop when the injury
heals.
DIF: Cognitive Level: Understanding (Comprehension) REF: p. 164
MSC: Client Needs: Physiologic Integrity: Basic Care and Comfort
2. Which statement indicates that the nurse understands the pain experienced by
an older adult?
a. “Older adults must learn to tolerate pain.”
b. “Pain is a normal process of aging and is to be expected.”
c. “Pain indicates a pathologic condition or an injury and is not a normal
process of aging.”
d. “Older individuals perceive pain to a lesser degree than do younger
individuals.”
ANS: C
Pain indicates a pathologic condition or an injury and should never be
considered something that an older adult should expect or tolerate. Pain is not a
, normal process of aging, and no evidence suggests that pain perception is
reduced with aging.
DIF: Cognitive Level: Applying (Application) REF: p. 165
MSC: Client Needs: Physiologic Integrity: Basic Care and Comfort
3. A 4-year-old boy is brought to the emergency department by his mother. She
says he points to his stomach and says, “It hurts so bad.” Which pain
assessment tool would be the best choice when assessing this child’s pain?
a. Descriptor Scale
b. Numeric rating scale
c. Brief Pain Inventory
d. Faces Pain Scale—Revised (FPS-R)
ANS: D
Rating scales can be introduced at the age of 4 or 5 years. The FPS-R is
designed for use by children and asks the child to choose a face that shows
“how much hurt (or pain) you have now.” Young children should not be asked
to rate pain by using numbers.
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Chapter 10: Pain Assessment: The Fifth Vital Sign
Chapter 10: Pain Assessment: The Fifth Vital Sign
Jarvis: Physical Examination & Health Assessment, 7th Edition
MULTIPLE CHOICE
1. When evaluating a patient’s pain, the nurse knows that an example of acute
pain would be:
a. Arthritic pain.
b. Fibromyalgia.
c. Kidney stones.
d. Low back pain.
ANS: C
,Acute pain is short-term and dissipates after an injury heals, such as with
kidney stones. The other conditions are examples of chronic pain during which
the pain continues for 6 months or longer and does not stop when the injury
heals.
DIF: Cognitive Level: Understanding (Comprehension) REF: p. 164
MSC: Client Needs: Physiologic Integrity: Basic Care and Comfort
2. Which statement indicates that the nurse understands the pain experienced by
an older adult?
a. “Older adults must learn to tolerate pain.”
b. “Pain is a normal process of aging and is to be expected.”
c. “Pain indicates a pathologic condition or an injury and is not a normal
process of aging.”
d. “Older individuals perceive pain to a lesser degree than do younger
individuals.”
ANS: C
Pain indicates a pathologic condition or an injury and should never be
considered something that an older adult should expect or tolerate. Pain is not a
, normal process of aging, and no evidence suggests that pain perception is
reduced with aging.
DIF: Cognitive Level: Applying (Application) REF: p. 165
MSC: Client Needs: Physiologic Integrity: Basic Care and Comfort
3. A 4-year-old boy is brought to the emergency department by his mother. She
says he points to his stomach and says, “It hurts so bad.” Which pain
assessment tool would be the best choice when assessing this child’s pain?
a. Descriptor Scale
b. Numeric rating scale
c. Brief Pain Inventory
d. Faces Pain Scale—Revised (FPS-R)
ANS: D
Rating scales can be introduced at the age of 4 or 5 years. The FPS-R is
designed for use by children and asks the child to choose a face that shows
“how much hurt (or pain) you have now.” Young children should not be asked
to rate pain by using numbers.
