Prioritization Delegation and Assignment 4th Edition
LaCharity Test Bank
Chaptery1.yPainyMUL
TIPLEyCHOICE
1.Ayclientytellsytheynurseythatysheyrarelyyexperiencesypain,ybutywhenysheydoes,ysheyseeksymedi
calyattention.yTheynurseyrealizesythisyclientyunderstandsythatypainyisyimportantybecauseyit:
1. isyayprotectiveysystem.
2. includesytheyautomaticywithdrawalyreflex.
3. createsysensitivityytoypain.
4. helpsywithyhealing.
ANS:y1
Painyisyayprotectiveysystemythatyincludesyprotectionyfromyunsafeybehaviorsybyyuseyofyreflexes,
ymemory,yandyavoidance.yEvenythoughytheyautomaticywithdrawalyreflexyisyaypartyofytheypainyr
esponse,yitydoesynotyexplainywhyypainyisyimportant.yPainydoesynotycreateysensitivityytoypain.yP
ainydoesynotyhelpywithyhealing.
PTS:y1yDIF:yAnalyzeyREF:yDefinitionsyandyImplicationsyofyPain
2.Ayclientycomplainsythatytheybedysheetsytouchingyhisyskinyareyextremelyypainful.yTheynurseyr
ealizesythisyclientyisyexperiencing:
1. allodynia.
2. modulation.
3. kinesthesia.
4. proprioception.
ANS:y1
Allodyniayoryhyperalgesiayisyaystateywhereyayslightyorynonpainfulystimulusyisyinterpretedyasyve
ryypainful.yKinesthesiayisytheyawarenessyofymovement.yProprioceptionyisytheyawarenessyofybo
dyyposition.yModulationyisyanyinfluencingyfactoryinytheyperceptionyofypain.
PTS:y1yDIF:yAnalyzeyREF:yPeripheralyNervousySystem
3.Ayclientyisycomplainingyofysevereyabdomenypain.yTheynurseyrealizesythisyclientyisyexperienci
ngywhichytypeyofypain?
1. Neuralgia
2. Pathological
3. Somatic
4. Visceral
ANS:y4
Visceralypainyisypainyarisingyfromytheybodyyorgansyorygastrointestinalytract.ySomaticypainyisypai
nythatyoriginatesyfromytheybone,yjoints,ymuscles,yskin,yoryconnectiveypain.yNeuralgiayand
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,pathologicalypainyareybothytypesyofypainythatyresultyfromyinjuryytoyaynerveyorymalfunctionyofyth
eyneuronalytransmissionyprocessyorydueytoyimpairedyregulation.
PTS:1DIF:AnalyzeREF:TypesyofyPain
4.Ayclient,ydiagnosedywithyacuteyappendicitis,yisyexperiencingyabdominalypain.yTheybestywayyf
orytheynurseytoydescribeythisyclientsypainywouldybe:
1. chronic.
2. neuropathic.
3. referred.
4. acute.
ANS:y4
Acuteypainyonsetyisysuddenyandyofyshortyduration.yChronicypainyisyaysuddenyoryslowyonsetyofy
mildytoysevereypainythatylastsylongerythany6ymonths.yReferredypainyisytheyresultyofytheytransfer
yofyvisceralypainysensationsytoyaybodyysurfaceyatyaydistanceyfromytheyactualyorigin.yNeuropathi
cypainyisyparoxysmalypainythatyoccursyalongytheybranchesyofyaynerve.
PTS:1DIF:ApplyREF:TypesyofyPain
5.Ayclientyisyobservedyholdingyaypillowyoverytheyabdominalyregionywithybothykneesyflexedy
inyayside-
lyingyposition.yVitalysignsyassessmentyrevealsyanyelevatedybloodypressureyandyheartyrate.yW
hichyofytheyfollowingyshouldytheynurseysayytoythisyclient?
1. CanyIygetyyouyanything?
2. Wouldyyouylikeysomethingyforypain?
3. Youylookycomfortable.
4. Yourybloodypressureyisyup.
ANS:y2
Sympatheticyresponsesytoypainyincludeyelevatedybloodypressureyandyheartyrate.yAndysinceythey c
lientyisyhuggingyaypillowyoverytheyabdominalyregionywithybothykneesyflexedyinyayside-
lyingyposition,ytheybestythingyforytheynurseytoysayytoythisyclientyisyWouldyyouylikeysomethingyf
orypain?yTheyotheryresponsesyareyincorrectybecauseytheyydoynotyacknowledgeythatytheyclientyisy
experiencingypain.
PTS:y1yDIF:yApplyyREF:yAssessingytheyClinicalyManifestationsyofyPain
6.AyclientyexperiencingychronicypainyasksytheynurseywhyysheyisynotyprescribedyDemerolylikeys
heyreceivedywhenysheyhadyaytotalykneeyreplacement.yWhichyofytheyfollowingyshouldytheynurse
yrespondytoythisyclient?
1. Youydontyneedysomethingythatystrong.
2. Thatymedicationydoesynotyexistyanymore.
3. Thatymedicationydoesynotylastyveryylong.
4. Itycanycauseyyouyhaveyhighybloodypressure.
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,ANS:y3
Meperidineyisynoylongeryaymajorydrugyforyacuteyorychronicypainydueytoyitsyshortyanalgesicydurat
ionyofy2ytoy3yhoursyandytheypotentialyforyaccumulativeytoxicyeffectsyofyitsymetabolite,ynormeper
idine.yTheybestyresponseyforytheynurseytoymakeytoytheyclientywouldybeythatymedicationydoesynot
ylastyveryylong.yTheyotheryresponsesyareyinaccurate.
PTS:1DIF:ApplyREF:Opioidy Analgesics
7.Ayclientyisyinformedythatyaytricyclicyantidepressantymedicationyisygoingytoyhelpycontrolyhisyc
hronicypain.yTheynurseywouldyexpectytheyphysicianytoyprescribe:
1. Amitriptyline.
2. Baclofen.
3. Gabapentin.
4. Diazepam.
ANS:y1
Amitriptylineyisyanyantidepressant.yGabapentinyisyanyanticonvulsant.yBaclofenyisyaymuscleyrela
xant.yDiazepamyisyaybenzodiazepine.
PTS:y1yDIF:yAnalyzeyREF:yAdjuvantyMedications
8.Ayclientyreceivingyaround-the-
clockymedicationyforyterminalycanceryexperiencesyadditionalypainywhenyperformingyactivitiesyofyd
ailyyliving.yTheynurseyrealizesythisyclientyisyexperiencing:
1. breakthroughypain.
2. intractableypain.
3. psychosomaticypain.
4. acuteypain.
ANS:y1
Breakthroughypainyisycommonlyyseenyinytheyadvancedystagesyofycancer.yItyisyspontaneous,yunp
redictable,yandycanybeyinitiatedybyycertainyactivitiesysuchyasyduringyactivitiesyofydailyyliving.yIn
tractableypainyisyresistantytoysomeyoryallyformsyofytherapy.yPsychosomaticypainyisythatywhichyh
asyaypsychologicalyorigin.yTheyclientyisydiagnosedywithyterminalycancer.yAcuteypainyhasyaysudd
enyonsetyandyresolvesywithiny6ymonths.
PTS:1DIF:AnalyzeREF:BreakthroughyPain
9.Ayclientyrecoveringyfromysurgeryytellsytheynurseythatysheyisynauseatedyandyisyexperiencingya
nyincreaseyinypain.yWhichyofytheyfollowingydoesythisyclientsysymptomsysuggestytoytheynurse?
1 Theyclientyisybecomingydependentyuponytheypainymedication.
.
2 Theyclientsypainythresholdyisylowerywhenyexperiencingynausea.
.
3 Theyclientyisyexperiencingywithdrawalysymptomsyfromypainymedication.
.
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, 4 Theyclientyisyexperiencingyreferredypain.
.
ANS:y2
Painythresholdyisyinfluencedybyynausea,yfatigue,yandylackyofysleep.yTheyclientyexperiencingyan
yincreaseyinypainyduringynauseayisydemonstratingyanyalterationyinytheypainythreshold.yTheyclien
tyisynotybecomingydependentyuponytheypainymedication.yTheyclientyisynotyexperiencingywithdr
awalysymptoms.yTheyclientyisyalsoynotyexperiencingyreferredypain.
PTS:y1yDIF:yAnalyzeyREF:yPainyThresholdyandyPainyTolerance
10. Ayclientywithyayhistoryyofymalingeringypainytellsytheynurseythatyheyneedsyayprescriptionyfory
painymedication.yWhichyofytheyfollowingyshouldytheynurseydoyfirstytoyassistythisyclient?
1 Askytheyphysicianyforyaypainymedicationyprescriptionyforytheyclient.
.
2 Remindytheyclientythatyheydoesynotyhaveypainybutyjustywantsytheymedication.
.
3 Thoroughlyyassessytheyclientyforypain.
.
4 Suggestytheyclientyseekycounselingyforyhisypainymedication-seekingybehavior.
.
ANS:y3
Painyofyaypsychologicalyoriginyisywhenyanyindividualyseeksytreatmentyforypainywhenynoyactualy
painyexists.yThisyisyalsoyreferredytoyasymalingeringyorypretendingypain.yTheynurseyshouldynotyas
sumeythatytheypainydoesynotyexistybutyratheryshouldyconductyaythoroughypainyassessmentytoyrul
eyoutyanyactualyphysiologicalyproblem.yTheynurseyshouldynotyimmediatelyyaskytheyphysicianyfo
rypainymedication.yTheynurseyshouldynotyremindytheyclientythatyheydoesynotyhaveypainybutyjusty
wantsytheymedication.yTheynurseyshouldyalsoynotysuggestytheyclientyseekycounselingyforypainym
edication-yseekingybehavior.
PTS:y1yDIF:yApplyyREF:yBoxy16-1yPainyDescriptions
11. TheynurseyisyimplementingytheyfiveyCsyofypainymanagementyforyayclient.yWhichyof
ytheyfollowingyisyincludedyinythisyintervention?
1 Caringyforytheyclientyinyayholisticymanner
.
2 Creatingyaycalmyenvironment
.
3 Comparingytheydegreeyofypainyreportedywithypreviousyepisodes
.
4 Continuouslyyassessingytheyclientsypain
.
ANS:y4
TheyfiveyCsyofypainymanagementyincludeycomprehensiveyassessment,yconsistentyuseyof
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LaCharity Test Bank
Chaptery1.yPainyMUL
TIPLEyCHOICE
1.Ayclientytellsytheynurseythatysheyrarelyyexperiencesypain,ybutywhenysheydoes,ysheyseeksymedi
calyattention.yTheynurseyrealizesythisyclientyunderstandsythatypainyisyimportantybecauseyit:
1. isyayprotectiveysystem.
2. includesytheyautomaticywithdrawalyreflex.
3. createsysensitivityytoypain.
4. helpsywithyhealing.
ANS:y1
Painyisyayprotectiveysystemythatyincludesyprotectionyfromyunsafeybehaviorsybyyuseyofyreflexes,
ymemory,yandyavoidance.yEvenythoughytheyautomaticywithdrawalyreflexyisyaypartyofytheypainyr
esponse,yitydoesynotyexplainywhyypainyisyimportant.yPainydoesynotycreateysensitivityytoypain.yP
ainydoesynotyhelpywithyhealing.
PTS:y1yDIF:yAnalyzeyREF:yDefinitionsyandyImplicationsyofyPain
2.Ayclientycomplainsythatytheybedysheetsytouchingyhisyskinyareyextremelyypainful.yTheynurseyr
ealizesythisyclientyisyexperiencing:
1. allodynia.
2. modulation.
3. kinesthesia.
4. proprioception.
ANS:y1
Allodyniayoryhyperalgesiayisyaystateywhereyayslightyorynonpainfulystimulusyisyinterpretedyasyve
ryypainful.yKinesthesiayisytheyawarenessyofymovement.yProprioceptionyisytheyawarenessyofybo
dyyposition.yModulationyisyanyinfluencingyfactoryinytheyperceptionyofypain.
PTS:y1yDIF:yAnalyzeyREF:yPeripheralyNervousySystem
3.Ayclientyisycomplainingyofysevereyabdomenypain.yTheynurseyrealizesythisyclientyisyexperienci
ngywhichytypeyofypain?
1. Neuralgia
2. Pathological
3. Somatic
4. Visceral
ANS:y4
Visceralypainyisypainyarisingyfromytheybodyyorgansyorygastrointestinalytract.ySomaticypainyisypai
nythatyoriginatesyfromytheybone,yjoints,ymuscles,yskin,yoryconnectiveypain.yNeuralgiayand
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,pathologicalypainyareybothytypesyofypainythatyresultyfromyinjuryytoyaynerveyorymalfunctionyofyth
eyneuronalytransmissionyprocessyorydueytoyimpairedyregulation.
PTS:1DIF:AnalyzeREF:TypesyofyPain
4.Ayclient,ydiagnosedywithyacuteyappendicitis,yisyexperiencingyabdominalypain.yTheybestywayyf
orytheynurseytoydescribeythisyclientsypainywouldybe:
1. chronic.
2. neuropathic.
3. referred.
4. acute.
ANS:y4
Acuteypainyonsetyisysuddenyandyofyshortyduration.yChronicypainyisyaysuddenyoryslowyonsetyofy
mildytoysevereypainythatylastsylongerythany6ymonths.yReferredypainyisytheyresultyofytheytransfer
yofyvisceralypainysensationsytoyaybodyysurfaceyatyaydistanceyfromytheyactualyorigin.yNeuropathi
cypainyisyparoxysmalypainythatyoccursyalongytheybranchesyofyaynerve.
PTS:1DIF:ApplyREF:TypesyofyPain
5.Ayclientyisyobservedyholdingyaypillowyoverytheyabdominalyregionywithybothykneesyflexedy
inyayside-
lyingyposition.yVitalysignsyassessmentyrevealsyanyelevatedybloodypressureyandyheartyrate.yW
hichyofytheyfollowingyshouldytheynurseysayytoythisyclient?
1. CanyIygetyyouyanything?
2. Wouldyyouylikeysomethingyforypain?
3. Youylookycomfortable.
4. Yourybloodypressureyisyup.
ANS:y2
Sympatheticyresponsesytoypainyincludeyelevatedybloodypressureyandyheartyrate.yAndysinceythey c
lientyisyhuggingyaypillowyoverytheyabdominalyregionywithybothykneesyflexedyinyayside-
lyingyposition,ytheybestythingyforytheynurseytoysayytoythisyclientyisyWouldyyouylikeysomethingyf
orypain?yTheyotheryresponsesyareyincorrectybecauseytheyydoynotyacknowledgeythatytheyclientyisy
experiencingypain.
PTS:y1yDIF:yApplyyREF:yAssessingytheyClinicalyManifestationsyofyPain
6.AyclientyexperiencingychronicypainyasksytheynurseywhyysheyisynotyprescribedyDemerolylikeys
heyreceivedywhenysheyhadyaytotalykneeyreplacement.yWhichyofytheyfollowingyshouldytheynurse
yrespondytoythisyclient?
1. Youydontyneedysomethingythatystrong.
2. Thatymedicationydoesynotyexistyanymore.
3. Thatymedicationydoesynotylastyveryylong.
4. Itycanycauseyyouyhaveyhighybloodypressure.
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,ANS:y3
Meperidineyisynoylongeryaymajorydrugyforyacuteyorychronicypainydueytoyitsyshortyanalgesicydurat
ionyofy2ytoy3yhoursyandytheypotentialyforyaccumulativeytoxicyeffectsyofyitsymetabolite,ynormeper
idine.yTheybestyresponseyforytheynurseytoymakeytoytheyclientywouldybeythatymedicationydoesynot
ylastyveryylong.yTheyotheryresponsesyareyinaccurate.
PTS:1DIF:ApplyREF:Opioidy Analgesics
7.Ayclientyisyinformedythatyaytricyclicyantidepressantymedicationyisygoingytoyhelpycontrolyhisyc
hronicypain.yTheynurseywouldyexpectytheyphysicianytoyprescribe:
1. Amitriptyline.
2. Baclofen.
3. Gabapentin.
4. Diazepam.
ANS:y1
Amitriptylineyisyanyantidepressant.yGabapentinyisyanyanticonvulsant.yBaclofenyisyaymuscleyrela
xant.yDiazepamyisyaybenzodiazepine.
PTS:y1yDIF:yAnalyzeyREF:yAdjuvantyMedications
8.Ayclientyreceivingyaround-the-
clockymedicationyforyterminalycanceryexperiencesyadditionalypainywhenyperformingyactivitiesyofyd
ailyyliving.yTheynurseyrealizesythisyclientyisyexperiencing:
1. breakthroughypain.
2. intractableypain.
3. psychosomaticypain.
4. acuteypain.
ANS:y1
Breakthroughypainyisycommonlyyseenyinytheyadvancedystagesyofycancer.yItyisyspontaneous,yunp
redictable,yandycanybeyinitiatedybyycertainyactivitiesysuchyasyduringyactivitiesyofydailyyliving.yIn
tractableypainyisyresistantytoysomeyoryallyformsyofytherapy.yPsychosomaticypainyisythatywhichyh
asyaypsychologicalyorigin.yTheyclientyisydiagnosedywithyterminalycancer.yAcuteypainyhasyaysudd
enyonsetyandyresolvesywithiny6ymonths.
PTS:1DIF:AnalyzeREF:BreakthroughyPain
9.Ayclientyrecoveringyfromysurgeryytellsytheynurseythatysheyisynauseatedyandyisyexperiencingya
nyincreaseyinypain.yWhichyofytheyfollowingydoesythisyclientsysymptomsysuggestytoytheynurse?
1 Theyclientyisybecomingydependentyuponytheypainymedication.
.
2 Theyclientsypainythresholdyisylowerywhenyexperiencingynausea.
.
3 Theyclientyisyexperiencingywithdrawalysymptomsyfromypainymedication.
.
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, 4 Theyclientyisyexperiencingyreferredypain.
.
ANS:y2
Painythresholdyisyinfluencedybyynausea,yfatigue,yandylackyofysleep.yTheyclientyexperiencingyan
yincreaseyinypainyduringynauseayisydemonstratingyanyalterationyinytheypainythreshold.yTheyclien
tyisynotybecomingydependentyuponytheypainymedication.yTheyclientyisynotyexperiencingywithdr
awalysymptoms.yTheyclientyisyalsoynotyexperiencingyreferredypain.
PTS:y1yDIF:yAnalyzeyREF:yPainyThresholdyandyPainyTolerance
10. Ayclientywithyayhistoryyofymalingeringypainytellsytheynurseythatyheyneedsyayprescriptionyfory
painymedication.yWhichyofytheyfollowingyshouldytheynurseydoyfirstytoyassistythisyclient?
1 Askytheyphysicianyforyaypainymedicationyprescriptionyforytheyclient.
.
2 Remindytheyclientythatyheydoesynotyhaveypainybutyjustywantsytheymedication.
.
3 Thoroughlyyassessytheyclientyforypain.
.
4 Suggestytheyclientyseekycounselingyforyhisypainymedication-seekingybehavior.
.
ANS:y3
Painyofyaypsychologicalyoriginyisywhenyanyindividualyseeksytreatmentyforypainywhenynoyactualy
painyexists.yThisyisyalsoyreferredytoyasymalingeringyorypretendingypain.yTheynurseyshouldynotyas
sumeythatytheypainydoesynotyexistybutyratheryshouldyconductyaythoroughypainyassessmentytoyrul
eyoutyanyactualyphysiologicalyproblem.yTheynurseyshouldynotyimmediatelyyaskytheyphysicianyfo
rypainymedication.yTheynurseyshouldynotyremindytheyclientythatyheydoesynotyhaveypainybutyjusty
wantsytheymedication.yTheynurseyshouldyalsoynotysuggestytheyclientyseekycounselingyforypainym
edication-yseekingybehavior.
PTS:y1yDIF:yApplyyREF:yBoxy16-1yPainyDescriptions
11. TheynurseyisyimplementingytheyfiveyCsyofypainymanagementyforyayclient.yWhichyof
ytheyfollowingyisyincludedyinythisyintervention?
1 Caringyforytheyclientyinyayholisticymanner
.
2 Creatingyaycalmyenvironment
.
3 Comparingytheydegreeyofypainyreportedywithypreviousyepisodes
.
4 Continuouslyyassessingytheyclientsypain
.
ANS:y4
TheyfiveyCsyofypainymanagementyincludeycomprehensiveyassessment,yconsistentyuseyof
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