PrioritizationhDelegationhandhAssignmenth4thhEditionhLaCharityhTesthBank(LATESThUPDATE)
th h
Prioritization Delegation and Assignment 4 Edi
h h h h
tionLaCharity Nursing Test Bank.
h h h h
Prioritization Delegation and Assignment
h h h h
Chapterh1.hPainhMULTIPLEhCHOICE
1.Ahclienthtellshthehnursehthathshehrarelyhexperienceshpain,hbuthwhenhshehdoes,hshehseekshmedicalhattenti
on.hThehnursehrealizeshthishclienthunderstandshthathpainhishimportanthbecausehit:
1. ishahprotectivehsystem.
2. includeshthehautomatichwithdrawalhreflex.
3. createshsensitivityhtohpain.
4. helpshwithhhealing.
ANS:h1
Painhishahprotectivehsystemhthathincludeshprotectionhfromhunsafehbehaviorshbyhusehofhreflexes,hme
mory,handhavoidance.hEvenhthoughhthehautomatichwithdrawalhreflexhishahparthofhthehpainhresponse,h
ithdoeshnothexplainhwhyhpainhishimportant.hPainhdoeshnothcreatehsensitivityhtohpain.hPainhdoeshnothhe
lphwithhhealing.
PTS:h1hDIF:hAnalyzehREF:hDefinitionshandhImplicationshofhPain
2.Ahclienthcomplainshthaththehbedhsheetshtouchinghhishskinharehextremelyhpainful.hThehnursehrealiz
eshthishclienthishexperiencing:
1. allodynia.
2. modulation.
3. kinesthesia.
4. proprioception.
ANS:h1
Allodyniahorhhyperalgesiahishahstatehwherehahslighthorhnonpainfulhstimulushishinterpretedhashveryhpai
nful.hKinesthesiahishthehawarenesshofhmovement.hProprioceptionhishthehawarenesshofhbodyhposition
.hModulationhishanhinfluencinghfactorhinhthehperceptionhofhpain.
PTS:h1hDIF:hAnalyzehREF:hPeripheralhNervoushSystem
3.Ahclienthishcomplaininghofhseverehabdomenhpain.hThehnursehrealizeshthishclienthishexperiencinghwhichh
typehofhpain?
1. NEURALGIA
2. PATHOLOGICAL
,PrioritizationhDelegationhandhAssignmenth4thhEditionhLaCharityhTesthBank(LATESThUPDATE)
3. SOMATIC
4 VISCERAL
.
ANS:h4
Visceralhpainhishpainharisinghfromhthehbodyhorganshorhgastrointestinalhtract.hSomatichpainhishpainhth
athoriginateshfromhthehbone,hjoints,hmuscles,hskin,horhconnectivehpain.hNeuralgiahand
,PrioritizationhDelegationhandhAssignmenth4thhEditionhLaCharityhTesthBank(LATESThUPDATE)
pathologicalhpainharehbothhtypeshofhpainhthathresulthfromhinjuryhtohahnervehorhmalfunctionhofhthehne
uronalhtransmissionhprocesshorhduehtohimpairedhregulation.
PTS:1DIF:AnalyzeREF:TypeshofhPain
4.Ahclient,hdiagnosedhwithhacutehappendicitis,hishexperiencinghabdominalhpain.hThehbesthwayhforhthe
hnursehtohdescribehthishclientshpainhwouldhbe:
1. chronic.
2. neuropathic.
3. referred.
4. acute.
ANS:h4
Acutehpainhonsethishsuddenhandhofhshorthduration.hChronichpainhishahsuddenhorhslowhonsethofhmildhto
hseverehpainhthathlastshlongerhthanh6hmonths.hReferredhpainhishthehresulthofhthehtransferhofhvisceralhp
ainhsensationshtohahbodyhsurfacehathahdistancehfromhthehactualhorigin.hNeuropathichpainhishparoxys
malhpainhthathoccurshalonghthehbrancheshofhahnerve.
PTS:1DIF:ApplyREF:TypeshofhPain
5.Ahclienthishobservedhholdinghahpillowhoverhthehabdominalhregionhwithhbothhkneeshflexedhinhahs
ide-
lyinghposition.hVitalhsignshassessmenthrevealshanhelevatedhbloodhpressurehandhhearthrate.hWhich
hofhthehfollowinghshouldhthehnursehsayhtohthishclient?
1. CanhIhgethyouhanything?
2. Wouldhyouhlikehsomethinghforhpain?
3. Youhlookhcomfortable.
4. Yourhbloodhpressurehishup.
ANS:h2
Sympathetich responseshtohpainhincludehelevatedhbloodhpressurehandhhearthrate.hAndh sincehthehclient
hishhugginghahpillowhoverhthehabdominalhregionhwithhbothhkneeshflexedhinhahside-
lyinghposition,hthehbesththinghforhthehnursehtohsayhtohthishclienthishWouldhyouhlikehsomethinghforhpain
?hThehotherhresponsesharehincorrecthbecausehtheyhdohnothacknowledgehthaththehclienthishexperiencin
ghpain.
PTS:h1hDIF:hApplyhREF:hAssessinghthehClinicalhManifestationshofhPain
6.AhclienthexperiencinghchronichpainhaskshthehnursehwhyhshehishnothprescribedhDemerolhlikehshehre
ceivedhwhenhshehhadhahtotalhkneehreplacement.hWhichhofhthehfollowinghshouldhthehnursehrespondh
tohthishclient?
1. Youhdonthneedhsomethinghthathstrong.
2. Thathmedicationhdoeshnothexisthanymore.
3. Thathmedicationhdoeshnothlasthveryhlong.
, PrioritizationhDelegationhandhAssignmenth4thhEditionhLaCharityhTesthBank(LATESThUPDATE)
4. Ithcanhcausehyouhhavehhighhbloodhpressure.
th h
Prioritization Delegation and Assignment 4 Edi
h h h h
tionLaCharity Nursing Test Bank.
h h h h
Prioritization Delegation and Assignment
h h h h
Chapterh1.hPainhMULTIPLEhCHOICE
1.Ahclienthtellshthehnursehthathshehrarelyhexperienceshpain,hbuthwhenhshehdoes,hshehseekshmedicalhattenti
on.hThehnursehrealizeshthishclienthunderstandshthathpainhishimportanthbecausehit:
1. ishahprotectivehsystem.
2. includeshthehautomatichwithdrawalhreflex.
3. createshsensitivityhtohpain.
4. helpshwithhhealing.
ANS:h1
Painhishahprotectivehsystemhthathincludeshprotectionhfromhunsafehbehaviorshbyhusehofhreflexes,hme
mory,handhavoidance.hEvenhthoughhthehautomatichwithdrawalhreflexhishahparthofhthehpainhresponse,h
ithdoeshnothexplainhwhyhpainhishimportant.hPainhdoeshnothcreatehsensitivityhtohpain.hPainhdoeshnothhe
lphwithhhealing.
PTS:h1hDIF:hAnalyzehREF:hDefinitionshandhImplicationshofhPain
2.Ahclienthcomplainshthaththehbedhsheetshtouchinghhishskinharehextremelyhpainful.hThehnursehrealiz
eshthishclienthishexperiencing:
1. allodynia.
2. modulation.
3. kinesthesia.
4. proprioception.
ANS:h1
Allodyniahorhhyperalgesiahishahstatehwherehahslighthorhnonpainfulhstimulushishinterpretedhashveryhpai
nful.hKinesthesiahishthehawarenesshofhmovement.hProprioceptionhishthehawarenesshofhbodyhposition
.hModulationhishanhinfluencinghfactorhinhthehperceptionhofhpain.
PTS:h1hDIF:hAnalyzehREF:hPeripheralhNervoushSystem
3.Ahclienthishcomplaininghofhseverehabdomenhpain.hThehnursehrealizeshthishclienthishexperiencinghwhichh
typehofhpain?
1. NEURALGIA
2. PATHOLOGICAL
,PrioritizationhDelegationhandhAssignmenth4thhEditionhLaCharityhTesthBank(LATESThUPDATE)
3. SOMATIC
4 VISCERAL
.
ANS:h4
Visceralhpainhishpainharisinghfromhthehbodyhorganshorhgastrointestinalhtract.hSomatichpainhishpainhth
athoriginateshfromhthehbone,hjoints,hmuscles,hskin,horhconnectivehpain.hNeuralgiahand
,PrioritizationhDelegationhandhAssignmenth4thhEditionhLaCharityhTesthBank(LATESThUPDATE)
pathologicalhpainharehbothhtypeshofhpainhthathresulthfromhinjuryhtohahnervehorhmalfunctionhofhthehne
uronalhtransmissionhprocesshorhduehtohimpairedhregulation.
PTS:1DIF:AnalyzeREF:TypeshofhPain
4.Ahclient,hdiagnosedhwithhacutehappendicitis,hishexperiencinghabdominalhpain.hThehbesthwayhforhthe
hnursehtohdescribehthishclientshpainhwouldhbe:
1. chronic.
2. neuropathic.
3. referred.
4. acute.
ANS:h4
Acutehpainhonsethishsuddenhandhofhshorthduration.hChronichpainhishahsuddenhorhslowhonsethofhmildhto
hseverehpainhthathlastshlongerhthanh6hmonths.hReferredhpainhishthehresulthofhthehtransferhofhvisceralhp
ainhsensationshtohahbodyhsurfacehathahdistancehfromhthehactualhorigin.hNeuropathichpainhishparoxys
malhpainhthathoccurshalonghthehbrancheshofhahnerve.
PTS:1DIF:ApplyREF:TypeshofhPain
5.Ahclienthishobservedhholdinghahpillowhoverhthehabdominalhregionhwithhbothhkneeshflexedhinhahs
ide-
lyinghposition.hVitalhsignshassessmenthrevealshanhelevatedhbloodhpressurehandhhearthrate.hWhich
hofhthehfollowinghshouldhthehnursehsayhtohthishclient?
1. CanhIhgethyouhanything?
2. Wouldhyouhlikehsomethinghforhpain?
3. Youhlookhcomfortable.
4. Yourhbloodhpressurehishup.
ANS:h2
Sympathetich responseshtohpainhincludehelevatedhbloodhpressurehandhhearthrate.hAndh sincehthehclient
hishhugginghahpillowhoverhthehabdominalhregionhwithhbothhkneeshflexedhinhahside-
lyinghposition,hthehbesththinghforhthehnursehtohsayhtohthishclienthishWouldhyouhlikehsomethinghforhpain
?hThehotherhresponsesharehincorrecthbecausehtheyhdohnothacknowledgehthaththehclienthishexperiencin
ghpain.
PTS:h1hDIF:hApplyhREF:hAssessinghthehClinicalhManifestationshofhPain
6.AhclienthexperiencinghchronichpainhaskshthehnursehwhyhshehishnothprescribedhDemerolhlikehshehre
ceivedhwhenhshehhadhahtotalhkneehreplacement.hWhichhofhthehfollowinghshouldhthehnursehrespondh
tohthishclient?
1. Youhdonthneedhsomethinghthathstrong.
2. Thathmedicationhdoeshnothexisthanymore.
3. Thathmedicationhdoeshnothlasthveryhlong.
, PrioritizationhDelegationhandhAssignmenth4thhEditionhLaCharityhTesthBank(LATESThUPDATE)
4. Ithcanhcausehyouhhavehhighhbloodhpressure.
