TEST BANK FOR PRIORITIZATION DELEGATION AND ASS
j j j j j jj
IGNMENT 4TH EDITION LACHARITY NURSING
j j j j
Prioritization Delegation and Assignment 4th Edition LaCharity Test Bank
j j j j j j j j
Chapterj1.jPainjMULT
IPLEjCHOICE
1.Ajclientjtellsjthejnursejthatjshejrarelyjexperiencesjpain,jbutjwhenjshejdoes,jshejseeksjmedicaljattention.j
Thejnursejrealizesjthisjclientjunderstandsjthatjpainjisjimportantjbecausejit:
1. isjajprotectivejsystem.
2. includesjthejautomaticjwithdrawaljreflex.
3. createsjsensitivityjtojpain.
4. helpsjwithjhealing.
ANS:j1
Painjisjajprotectivejsystemjthatjincludesjprotectionjfromjunsafejbehaviorsjbyjusejofjreflexes,jmemory
,jandjavoidance.jEvenjthoughjthejautomaticjwithdrawaljreflexjisjajpartjofjthejpainjresponse,jitjdoesjno
tjexplainjwhyjpainjisjimportant.jPainjdoesjnotjcreatejsensitivityjtojpain.jPainjdoesjnotjhelpjwithjhealin
g.
PTS:j1jDIF:jAnalyzejREF:jDefinitionsjandjImplicationsjofjPain
2.Ajclientjcomplainsjthatjthejbedjsheetsjtouchingjhisjskinjarejextremelyjpainful.jThejnursejrealizesjthi
sjclientjisjexperiencing:
1. allodynia.
2. modulation.
3. kinesthesia.
4. proprioception.
ANS:j1
Allodyniajorjhyperalgesiajisjajstatejwherejajslightjorjnonpainfuljstimulusjisjinterpretedjasjveryjpainful
.jKinesthesiajisjthejawarenessjofjmovement.jProprioceptionjisjthejawarenessjofjbodyjposition.jModu
lationjisjanjinfluencingjfactorjinjthejperceptionjofjpain.
PTS:j1jDIF:jAnalyzejREF:jPeripheraljNervousjSystem
3.Ajclientjisjcomplainingjofjseverejabdomenjpain.jThejnursejrealizesjthisjclientjisjexperiencingjwhichjtyp
ejofjpain?
1. Neuralgia
2. Pathological
3. Somatic
4. Visceral
ANS:j4
Visceraljpainjisjpainjarisingjfromjthejbodyjorgansjorjgastrointestinaljtract.jSomaticjpainjisjpainjthatjor
iginatesjfromjthejbone,jjoints,jmuscles,jskin,jorjconnectivejpain.jNeuralgiajand
,pathologicaljpainjarejbothjtypesjofjpainjthatjresultjfromjinjuryjtojajnervejorjmalfunctionjofjthejneuronaljtra
nsmissionjprocessjorjduejtojimpairedjregulation.
PTS:1DIF:AnalyzeREF:TypesjofjPain
4.Ajclient,jdiagnosedjwithjacutejappendicitis,jisjexperiencingjabdominaljpain.jThejbestjwayjforjthejn
ursejtojdescribejthisjclientsjpainjwouldjbe:
1. chronic.
2. neuropathic.
3. referred.
4. acute.
ANS:j4
Acutejpainjonsetjisjsuddenjandjofjshortjduration.jChronicjpainjisjajsuddenjorjslowjonsetjofjmildjtojsev
erejpainjthatjlastsjlongerjthanj6jmonths.jReferredjpainjisjthejresultjofjthejtransferjofjvisceraljpainjsens
ationsjtojajbodyjsurfacejatjajdistancejfromjthejactualjorigin.jNeuropathicjpainjisjparoxysmaljpainjthatj
occursjalongjthejbranchesjofjaj nerve.
PTS:1DIF:ApplyREF:TypesjofjPain
5.Ajclientjisjobservedjholdingjajpillowjoverjthejabdominaljregionjwithjbothjkneesjflexedjinjajside-
lyingjposition.jVitaljsignsjassessmentjrevealsjanjelevatedjbloodjpressurejandjheartjrate.jWhichjofj
thejfollowingjshouldjthejnursejsayjtojthisjclient?
1. CanjIjgetjyoujanything?
2. Wouldjyoujlikejsomethingjforjpain?
3. Youjlookjcomfortable.
4. Yourjbloodjpressurejisjup.
ANS:j2
Sympatheticjresponsesjtojpainjincludejelevatedjbloodjpressurejandjheartjrate.jAndjsincejthejclientjisjh
uggingjajpillowjoverjthejabdominaljregionjwithjbothjkneesjflexedjinjajside-
lyingjposition,jthejbestjthingjforjthejnursejtojsayjtojthisjclientjisjWouldjyoujlikejsomethingjforjpain?jTh
ejotherjresponsesjarejincorrectjbecausejtheyjdojnotjacknowledgejthatjthejclientjisjexperiencingjpain.
PTS:j1jDIF:jApplyjREF:jAssessingjthejClinicaljManifestationsjofjPain
6.AjclientjexperiencingjchronicjpainjasksjthejnursejwhyjshejisjnotjprescribedjDemeroljlikejshejreceiv
edjwhenjshejhadjajtotaljkneejreplacement.jWhichjofjthejfollowingjshouldjthejnursejrespondjtojthisjcli
ent?
1. Youjdontjneedjsomethingjthatjstrong.
2. Thatjmedicationjdoesjnotjexistjanymore.
3. Thatjmedicationjdoesjnotjlastjveryjlong.
4. Itjcanjcausejyoujhavejhighjbloodj pressure.
,ANS:j3
Meperidinejisjnojlongerjajmajorjdrugjforjacutejorjchronicjpainjduejtojitsjshortjanalgesicjdurationjofj2jt
oj3jhoursjandjthejpotentialjforjaccumulativejtoxicjeffectsjofjitsjmetabolite,jnormeperidine.jThejbestjr
esponsejforjthejnursejtojmakejtojthejclientjwouldjbejthatjmedicationjdoesjnotjlastjveryjlong.jThejotherj
responsesjarejinaccurate.
PTS:1DIF:ApplyREF:Opioidj Analgesics
7.Ajclientjisjinformedjthatjajtricyclicjantidepressantjmedicationjisjgoingjtojhelpjcontroljhisjchronicjpa
in.jThejnursejwouldjexpectjthejphysicianjtojprescribe:
1. Amitriptyline.
2. Baclofen.
3. Gabapentin.
4. Diazepam.
ANS:j1
Amitriptylinejisjanjantidepressant.jGabapentinjisjanjanticonvulsant.jBaclofenjisjajmusclejrelaxant.jD
iazepamjisjajbenzodiazepine.
PTS:j1jDIF:jAnalyzejREF:jAdjuvantjMedications
8.Ajclientjreceivingjaround-the-
clockjmedicationjforjterminaljcancerjexperiencesjadditionaljpainjwhenjperformingjactivitiesjofjdailyjlivi
ng.jThejnursejrealizesjthisjclientjisjexperiencing:
1. breakthroughjpain.
2. intractablejpain.
3. psychosomaticjpain.
4. acutejpain.
ANS:j1
Breakthroughjpainjisjcommonlyjseenjinjthejadvancedjstagesjofjcancer.jItjisjspontaneous,junpredicta
ble,jandjcanjbejinitiatedjbyjcertainjactivitiesjsuchjasjduringjactivitiesjofjdailyjliving.jIntractablejpainji
sjresistantjtojsomejorjalljformsjofjtherapy.jPsychosomaticjpainjisjthatjwhichjhasjajpsychologicaljorigi
n.jThejclientjisjdiagnosedjwithjterminaljcancer.jAcutejpainjhasjajsuddenjonsetjandjresolvesjwithinj6j
months.
PTS:1DIF:AnalyzeREF:Breakthroughj Pain
9.Ajclientjrecoveringjfromjsurgeryjtellsjthejnursejthatjshejisjnauseatedjandjisjexperiencingjanjincreasejinjp
ain.jWhichjofjthejfollowingjdoesjthisjclientsjsymptomsjsuggestjtojthejnurse?
1 Thejclientjisjbecomingjdependentjuponjthejpainjmedication.
.
2 Thejclientsjpainjthresholdjisjlowerjwhenjexperiencingjnausea.
.
3 Thejclientjisjexperiencingjwithdrawaljsymptomsjfromjpainjmedication.
.
, 4 Thejclientjisjexperiencingjreferredj pain.
.
ANS:j2
Painjthresholdjisjinfluencedjbyjnausea,jfatigue,jandjlackjofjsleep.jThejclientjexperiencingjanjincreasej
injpainjduringjnauseajisjdemonstratingjanjalterationjinjthejpainjthreshold.jThejclientjisjnotjbecomingjd
ependentjuponjthejpainjmedication.jThejclientjisjnotjexperiencingjwithdrawaljsymptoms.jThejclientj
isjalsojnotjexperiencingjreferredjpain.
PTS:j1jDIF:jAnalyzejREF:jPainjThresholdjandjPainjTolerance
10. Ajclientjwithjajhistoryjofjmalingeringjpainjtellsjthejnursejthatjhejneedsjajprescriptionjforjpainjmedi
cation.jWhichjofjthejfollowingjshouldjthejnursejdojfirstjtojassistjthisjclient?
1 Askjthejphysicianjforjajpainjmedicationjprescriptionjforjthejclient.
.
2 Remindjthejclientjthatjhejdoesjnotjhavejpainjbutjjustjwantsjthejmedication.
.
3 Thoroughlyjassessjthejclientjforjpain.
.
4 Suggestjthejclientjseekjcounselingjforjhisjpainjmedication-seekingjbehavior.
.
ANS:j3
Painjofjajpsychologicaljoriginjisjwhenjanjindividualjseeksjtreatmentjforjpainjwhenjnojactualjpainjexist
s.jThisjisjalsojreferredjtojasjmalingeringjorjpretendingjpain.jThejnursejshouldjnotjassumejthatjthejpainj
doesjnotjexistjbutjratherjshouldjconductjajthoroughjpainjassessmentjtojrulejoutjanjactualjphysiological
jproblem.jThejnursejshouldjnotjimmediatelyjaskjthejphysicianjforjpainjmedication.jThejnursejshouldj
notjremindjthejclientjthatjhejdoesjnotjhavejpainjbutjjustjwantsjthejmedication.jThejnursejshouldjalsojn
otjsuggestjthejclientjseekjcounselingjforjpainjmedication-jseekingjbehavior.
PTS:j1jDIF:jApplyjREF:jBoxj16-1jPainjDescriptions
11. ThejnursejisjimplementingjthejfivejCsjofjpainjmanagementjforjajclient.jWhichjofjthejfollo
wingjisjincludedjinjthisjintervention?
1 Caringjforjthejclientjinjajholisticjmanner
.
2 Creatingjajcalmjenvironment
.
3 Comparingjthejdegreejofjpainjreportedjwithjpreviousjepisodes
.
4 Continuouslyjassessingjthejclientsjpain
.
ANS:j4
ThejfivejCsjofjpainjmanagementjincludejcomprehensivejassessment,jconsistentjusejof
j j j j j jj
IGNMENT 4TH EDITION LACHARITY NURSING
j j j j
Prioritization Delegation and Assignment 4th Edition LaCharity Test Bank
j j j j j j j j
Chapterj1.jPainjMULT
IPLEjCHOICE
1.Ajclientjtellsjthejnursejthatjshejrarelyjexperiencesjpain,jbutjwhenjshejdoes,jshejseeksjmedicaljattention.j
Thejnursejrealizesjthisjclientjunderstandsjthatjpainjisjimportantjbecausejit:
1. isjajprotectivejsystem.
2. includesjthejautomaticjwithdrawaljreflex.
3. createsjsensitivityjtojpain.
4. helpsjwithjhealing.
ANS:j1
Painjisjajprotectivejsystemjthatjincludesjprotectionjfromjunsafejbehaviorsjbyjusejofjreflexes,jmemory
,jandjavoidance.jEvenjthoughjthejautomaticjwithdrawaljreflexjisjajpartjofjthejpainjresponse,jitjdoesjno
tjexplainjwhyjpainjisjimportant.jPainjdoesjnotjcreatejsensitivityjtojpain.jPainjdoesjnotjhelpjwithjhealin
g.
PTS:j1jDIF:jAnalyzejREF:jDefinitionsjandjImplicationsjofjPain
2.Ajclientjcomplainsjthatjthejbedjsheetsjtouchingjhisjskinjarejextremelyjpainful.jThejnursejrealizesjthi
sjclientjisjexperiencing:
1. allodynia.
2. modulation.
3. kinesthesia.
4. proprioception.
ANS:j1
Allodyniajorjhyperalgesiajisjajstatejwherejajslightjorjnonpainfuljstimulusjisjinterpretedjasjveryjpainful
.jKinesthesiajisjthejawarenessjofjmovement.jProprioceptionjisjthejawarenessjofjbodyjposition.jModu
lationjisjanjinfluencingjfactorjinjthejperceptionjofjpain.
PTS:j1jDIF:jAnalyzejREF:jPeripheraljNervousjSystem
3.Ajclientjisjcomplainingjofjseverejabdomenjpain.jThejnursejrealizesjthisjclientjisjexperiencingjwhichjtyp
ejofjpain?
1. Neuralgia
2. Pathological
3. Somatic
4. Visceral
ANS:j4
Visceraljpainjisjpainjarisingjfromjthejbodyjorgansjorjgastrointestinaljtract.jSomaticjpainjisjpainjthatjor
iginatesjfromjthejbone,jjoints,jmuscles,jskin,jorjconnectivejpain.jNeuralgiajand
,pathologicaljpainjarejbothjtypesjofjpainjthatjresultjfromjinjuryjtojajnervejorjmalfunctionjofjthejneuronaljtra
nsmissionjprocessjorjduejtojimpairedjregulation.
PTS:1DIF:AnalyzeREF:TypesjofjPain
4.Ajclient,jdiagnosedjwithjacutejappendicitis,jisjexperiencingjabdominaljpain.jThejbestjwayjforjthejn
ursejtojdescribejthisjclientsjpainjwouldjbe:
1. chronic.
2. neuropathic.
3. referred.
4. acute.
ANS:j4
Acutejpainjonsetjisjsuddenjandjofjshortjduration.jChronicjpainjisjajsuddenjorjslowjonsetjofjmildjtojsev
erejpainjthatjlastsjlongerjthanj6jmonths.jReferredjpainjisjthejresultjofjthejtransferjofjvisceraljpainjsens
ationsjtojajbodyjsurfacejatjajdistancejfromjthejactualjorigin.jNeuropathicjpainjisjparoxysmaljpainjthatj
occursjalongjthejbranchesjofjaj nerve.
PTS:1DIF:ApplyREF:TypesjofjPain
5.Ajclientjisjobservedjholdingjajpillowjoverjthejabdominaljregionjwithjbothjkneesjflexedjinjajside-
lyingjposition.jVitaljsignsjassessmentjrevealsjanjelevatedjbloodjpressurejandjheartjrate.jWhichjofj
thejfollowingjshouldjthejnursejsayjtojthisjclient?
1. CanjIjgetjyoujanything?
2. Wouldjyoujlikejsomethingjforjpain?
3. Youjlookjcomfortable.
4. Yourjbloodjpressurejisjup.
ANS:j2
Sympatheticjresponsesjtojpainjincludejelevatedjbloodjpressurejandjheartjrate.jAndjsincejthejclientjisjh
uggingjajpillowjoverjthejabdominaljregionjwithjbothjkneesjflexedjinjajside-
lyingjposition,jthejbestjthingjforjthejnursejtojsayjtojthisjclientjisjWouldjyoujlikejsomethingjforjpain?jTh
ejotherjresponsesjarejincorrectjbecausejtheyjdojnotjacknowledgejthatjthejclientjisjexperiencingjpain.
PTS:j1jDIF:jApplyjREF:jAssessingjthejClinicaljManifestationsjofjPain
6.AjclientjexperiencingjchronicjpainjasksjthejnursejwhyjshejisjnotjprescribedjDemeroljlikejshejreceiv
edjwhenjshejhadjajtotaljkneejreplacement.jWhichjofjthejfollowingjshouldjthejnursejrespondjtojthisjcli
ent?
1. Youjdontjneedjsomethingjthatjstrong.
2. Thatjmedicationjdoesjnotjexistjanymore.
3. Thatjmedicationjdoesjnotjlastjveryjlong.
4. Itjcanjcausejyoujhavejhighjbloodj pressure.
,ANS:j3
Meperidinejisjnojlongerjajmajorjdrugjforjacutejorjchronicjpainjduejtojitsjshortjanalgesicjdurationjofj2jt
oj3jhoursjandjthejpotentialjforjaccumulativejtoxicjeffectsjofjitsjmetabolite,jnormeperidine.jThejbestjr
esponsejforjthejnursejtojmakejtojthejclientjwouldjbejthatjmedicationjdoesjnotjlastjveryjlong.jThejotherj
responsesjarejinaccurate.
PTS:1DIF:ApplyREF:Opioidj Analgesics
7.Ajclientjisjinformedjthatjajtricyclicjantidepressantjmedicationjisjgoingjtojhelpjcontroljhisjchronicjpa
in.jThejnursejwouldjexpectjthejphysicianjtojprescribe:
1. Amitriptyline.
2. Baclofen.
3. Gabapentin.
4. Diazepam.
ANS:j1
Amitriptylinejisjanjantidepressant.jGabapentinjisjanjanticonvulsant.jBaclofenjisjajmusclejrelaxant.jD
iazepamjisjajbenzodiazepine.
PTS:j1jDIF:jAnalyzejREF:jAdjuvantjMedications
8.Ajclientjreceivingjaround-the-
clockjmedicationjforjterminaljcancerjexperiencesjadditionaljpainjwhenjperformingjactivitiesjofjdailyjlivi
ng.jThejnursejrealizesjthisjclientjisjexperiencing:
1. breakthroughjpain.
2. intractablejpain.
3. psychosomaticjpain.
4. acutejpain.
ANS:j1
Breakthroughjpainjisjcommonlyjseenjinjthejadvancedjstagesjofjcancer.jItjisjspontaneous,junpredicta
ble,jandjcanjbejinitiatedjbyjcertainjactivitiesjsuchjasjduringjactivitiesjofjdailyjliving.jIntractablejpainji
sjresistantjtojsomejorjalljformsjofjtherapy.jPsychosomaticjpainjisjthatjwhichjhasjajpsychologicaljorigi
n.jThejclientjisjdiagnosedjwithjterminaljcancer.jAcutejpainjhasjajsuddenjonsetjandjresolvesjwithinj6j
months.
PTS:1DIF:AnalyzeREF:Breakthroughj Pain
9.Ajclientjrecoveringjfromjsurgeryjtellsjthejnursejthatjshejisjnauseatedjandjisjexperiencingjanjincreasejinjp
ain.jWhichjofjthejfollowingjdoesjthisjclientsjsymptomsjsuggestjtojthejnurse?
1 Thejclientjisjbecomingjdependentjuponjthejpainjmedication.
.
2 Thejclientsjpainjthresholdjisjlowerjwhenjexperiencingjnausea.
.
3 Thejclientjisjexperiencingjwithdrawaljsymptomsjfromjpainjmedication.
.
, 4 Thejclientjisjexperiencingjreferredj pain.
.
ANS:j2
Painjthresholdjisjinfluencedjbyjnausea,jfatigue,jandjlackjofjsleep.jThejclientjexperiencingjanjincreasej
injpainjduringjnauseajisjdemonstratingjanjalterationjinjthejpainjthreshold.jThejclientjisjnotjbecomingjd
ependentjuponjthejpainjmedication.jThejclientjisjnotjexperiencingjwithdrawaljsymptoms.jThejclientj
isjalsojnotjexperiencingjreferredjpain.
PTS:j1jDIF:jAnalyzejREF:jPainjThresholdjandjPainjTolerance
10. Ajclientjwithjajhistoryjofjmalingeringjpainjtellsjthejnursejthatjhejneedsjajprescriptionjforjpainjmedi
cation.jWhichjofjthejfollowingjshouldjthejnursejdojfirstjtojassistjthisjclient?
1 Askjthejphysicianjforjajpainjmedicationjprescriptionjforjthejclient.
.
2 Remindjthejclientjthatjhejdoesjnotjhavejpainjbutjjustjwantsjthejmedication.
.
3 Thoroughlyjassessjthejclientjforjpain.
.
4 Suggestjthejclientjseekjcounselingjforjhisjpainjmedication-seekingjbehavior.
.
ANS:j3
Painjofjajpsychologicaljoriginjisjwhenjanjindividualjseeksjtreatmentjforjpainjwhenjnojactualjpainjexist
s.jThisjisjalsojreferredjtojasjmalingeringjorjpretendingjpain.jThejnursejshouldjnotjassumejthatjthejpainj
doesjnotjexistjbutjratherjshouldjconductjajthoroughjpainjassessmentjtojrulejoutjanjactualjphysiological
jproblem.jThejnursejshouldjnotjimmediatelyjaskjthejphysicianjforjpainjmedication.jThejnursejshouldj
notjremindjthejclientjthatjhejdoesjnotjhavejpainjbutjjustjwantsjthejmedication.jThejnursejshouldjalsojn
otjsuggestjthejclientjseekjcounselingjforjpainjmedication-jseekingjbehavior.
PTS:j1jDIF:jApplyjREF:jBoxj16-1jPainjDescriptions
11. ThejnursejisjimplementingjthejfivejCsjofjpainjmanagementjforjajclient.jWhichjofjthejfollo
wingjisjincludedjinjthisjintervention?
1 Caringjforjthejclientjinjajholisticjmanner
.
2 Creatingjajcalmjenvironment
.
3 Comparingjthejdegreejofjpainjreportedjwithjpreviousjepisodes
.
4 Continuouslyjassessingjthejclientsjpain
.
ANS:j4
ThejfivejCsjofjpainjmanagementjincludejcomprehensivejassessment,jconsistentjusejof
