TEST BANK FOR FOUNDATIONS AND ADULT
HEALTH NURSING 9TH EDITION WITH CHAPTER
21 TO 40 Q&A WITH RATIONALES
CHAPTER 21: PAIN MANAGEMENT, COMFORT, REST, AND SLEEP
1. Where does the nurse recognize that many institutions are now including pain
assessment in implementing patient care?
a. The initial assessment
b. Discharge planning
c. Assessing vital signs
d. Care planning
ANS: C
Making pain a vital sign would ensure that pain is monitored on a regular basis.
2. Why should a nurse promptly administer a prescribed analgesic after a pain
assessment?
a. The health care provider has ordered it.
b. It is an efficient use of time.
c. Unrelieved pain can cause setbacks.
d. It meets the goals of the nursing care plan.
ANS: C
Page 1 of 336
,Appropriate pain management can bring about quicker recoveries, shorter
hospital stays, fewer readmissions, and can improve the quality of life.
3. What is the defining term for continuous or intermittent pain that does not
serve as a warning of tissue damage?
a. Acute
b. Unrelieved
c. Chronic
d. Subacute
ANS: C
Chronic pain can be continuous or intermittent and may not be indicative of
tissue damage.
4. The nurse is planning interventions for a patient experiencing pain. For what
type of synergistic relationship should the nurse assess?
a. Inflammatory process
b. Circulatory disorder
c. Food allergy
d. Fatigue
ANS: D
Fatigue, sleep disturbance, and depression act in a synergistic relationship
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,5. A young athlete asks the nurse why he felt little pain when he broke his leg
during a game.
What does the nurse describe as having an effect on this patient‘s perception of
pain? a. Hormones
b. Enzymes
c. Adrenaline
d. Endorphins
ANS: D
Endorphins found in the pituitary gland and other areas of the central nervous
system create the same effect as morphine, producing an analgesic effect.
6. The nurse is giving a backrub to a patient to relieve pain. What pain theory is
the nurse using?
a. Synergism
b. Gate control
c. Distraction
d. Guided imagery
ANS: B
The pressure of a backrub will close the gate, according to the gate control
theory of pain.
7. A young athlete asks the nurse why he felt little pain when he broke his leg
during a game.
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, What does the nurse describe as having an effect on this patient‘s perception of
pain? a. Hormones
b. Enzymes
c. Adrenaline
d. Endorphins
ANS: D
Endorphins found in the pituitary gland and other areas of the central nervous
system create the same effect as morphine, producing an analgesic effect.
8. The nurse obtains information from a patient about the site severity, and
duration of the pain. What type of data is this considered?
a. Patient data
b. Objective data
c. Focused data
d. Subjective data
ANS: D
Information from the patient concerning site, severity, and duration of the pain
is subjective data that only the patient knows.
9. A patient reports to the nurse that he is experiencing a moderate amount of
back pain rated 6 out of 10 on the pain scale. What should the nurse recognize
about this assessment?
a. Pain is objective for the nurse.
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HEALTH NURSING 9TH EDITION WITH CHAPTER
21 TO 40 Q&A WITH RATIONALES
CHAPTER 21: PAIN MANAGEMENT, COMFORT, REST, AND SLEEP
1. Where does the nurse recognize that many institutions are now including pain
assessment in implementing patient care?
a. The initial assessment
b. Discharge planning
c. Assessing vital signs
d. Care planning
ANS: C
Making pain a vital sign would ensure that pain is monitored on a regular basis.
2. Why should a nurse promptly administer a prescribed analgesic after a pain
assessment?
a. The health care provider has ordered it.
b. It is an efficient use of time.
c. Unrelieved pain can cause setbacks.
d. It meets the goals of the nursing care plan.
ANS: C
Page 1 of 336
,Appropriate pain management can bring about quicker recoveries, shorter
hospital stays, fewer readmissions, and can improve the quality of life.
3. What is the defining term for continuous or intermittent pain that does not
serve as a warning of tissue damage?
a. Acute
b. Unrelieved
c. Chronic
d. Subacute
ANS: C
Chronic pain can be continuous or intermittent and may not be indicative of
tissue damage.
4. The nurse is planning interventions for a patient experiencing pain. For what
type of synergistic relationship should the nurse assess?
a. Inflammatory process
b. Circulatory disorder
c. Food allergy
d. Fatigue
ANS: D
Fatigue, sleep disturbance, and depression act in a synergistic relationship
Page 2 of 336
,5. A young athlete asks the nurse why he felt little pain when he broke his leg
during a game.
What does the nurse describe as having an effect on this patient‘s perception of
pain? a. Hormones
b. Enzymes
c. Adrenaline
d. Endorphins
ANS: D
Endorphins found in the pituitary gland and other areas of the central nervous
system create the same effect as morphine, producing an analgesic effect.
6. The nurse is giving a backrub to a patient to relieve pain. What pain theory is
the nurse using?
a. Synergism
b. Gate control
c. Distraction
d. Guided imagery
ANS: B
The pressure of a backrub will close the gate, according to the gate control
theory of pain.
7. A young athlete asks the nurse why he felt little pain when he broke his leg
during a game.
Page 3 of 336
, What does the nurse describe as having an effect on this patient‘s perception of
pain? a. Hormones
b. Enzymes
c. Adrenaline
d. Endorphins
ANS: D
Endorphins found in the pituitary gland and other areas of the central nervous
system create the same effect as morphine, producing an analgesic effect.
8. The nurse obtains information from a patient about the site severity, and
duration of the pain. What type of data is this considered?
a. Patient data
b. Objective data
c. Focused data
d. Subjective data
ANS: D
Information from the patient concerning site, severity, and duration of the pain
is subjective data that only the patient knows.
9. A patient reports to the nurse that he is experiencing a moderate amount of
back pain rated 6 out of 10 on the pain scale. What should the nurse recognize
about this assessment?
a. Pain is objective for the nurse.
Page 4 of 336
