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FUNDAMENTALS OF NURSING 10TH EDITION LIPPINCOTT - TEST BANK
CHAPTER 36QUESTIONS AND CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+||NEWEST
VERSION
A CYCLIST REPORTS TO THE NURSE THAT HE IS EXPERIENCING PAIN IN THE TENDONS AND
LIGAMENTS OF HIS LEFT LEG, AND THE PAIN IS WORSE WITH AMBULATION. THE NURSE WILL
DOCUMENT THIS TYPE OF PAIN AS WHICH OF THE FOLLOWING?
A) SOMATIC PAIN
B) CUTANEOUS PAIN
C) VISCERAL PAIN
D) PHANTOM PAIN - ANSWER-A) Somatic
SOMATIC PAIN IS DIFFUSE OR SCATTERED PAIN, AND IT ORIGINATES IN TENDONS, LIGAMENTS,
BONES, BLOOD VESSELS, AND NERVES. CUTANEOUS PAIN USUALLY INVOLVES THE SKIN OR
SUBCUTANEOUS TISSUES. VISCERAL PAIN IS POORLY LOCALIZED AND ORIGINATES IN BODY
ORGANS. PHANTOM PAIN OCCURS IN AN AMPUTATED LEG FOR WHICH RECEPTORS AND
NERVES ARE CLEARLY ABSENT, BUT THE PAIN IS A REAL EXPERIENCE FOR THE CLIENT.
WHICH STATEMENT ACCURATELY DESCRIBES PAIN EXPERIENCED BY THE OLDER ADULT?
A) BOREDOM AND DEPRESSION MAY AFFECT AN OLDER PERSON'S PERCEPTION OF PAIN.
B) RESIDENTS IN LONG-TERM CARE FACILITIES HAVE A MINIMAL LEVEL OF PAIN.
C) THE OLDER CLIENT HAS DECREASED SENSITIVITY TO PAIN.
D) A HEIGHTENED PAIN TOLERANCE OCCURS IN THE OLDER ADULT. - ANSWER-A) Boredom and
depression may affect an older person's perception of pain.
BOREDOM, LONELINESS, AND DEPRESSION MAY AFFECT AN OLDER PERSON'S PERCEPTION AND
REPORT OF PAIN. ONE MYTH HELD BY MANY TO BE TRUE IS THAT OLDER CLIENTS HAVE A
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DECREASED SENSITIVITY TO PAIN AND THEREFORE A HEIGHTENED PAIN TOLERANCE.
NUMEROUS OLDER ADULT CLIENTS RESIDING IN LONG-TERM CARE FACILITIES HAVE
SIGNIFICANT PAIN THAT NEGATIVELY AFFECTS THEIR QUALITY OF LIFE.
PET THERAPY IS COMMONLY USED IN LONG-TERM FACILITIES FOR DISTRACTION. IF A CLIENT IS
EXPERIENCING PAIN AND THE PAIN IS TEMPORARILY DECREASED WHILE PETTING A VISITING
DOG OR CAT, THIS IS AN EXAMPLE OF WHICH TYPE OF DISTRACTION TECHNIQUE?
A) TACTILE KINESTHETIC DISTRACTION
B) VISUAL DISTRACTION
C) AUDITORY DISTRACTION
D) PROJECT DISTRACTION - ANSWER-A) Tactile kinesthetic distraction
EXAMPLES OF TACTILE KINESTHETIC DISTRACTION INCLUDE HOLDING OR STROKING A LOVED
ONE, PET, OR TOY; ROCKING; AND SLOW RHYTHMIC BREATHING. PROJECT DISTRACTION
INCLUDES PLAYING A CHALLENGING GAME OR PERFORMING MEANINGFUL WORK. VISUAL
DISTRACTION CAN BE ACCOMPLISHED THROUGH READING OR WATCHING TELEVISION.
AUDITORY DISTRACTION MAY OCCUR WHEN ONE LISTENS TO MUSIC.
OF THE FOLLOWING INDIVIDUALS, WHO CAN BEST DETERMINE THE EXPERIENCE OF PAIN?
A) THE PERSON WHO HAS THE PAIN
B) THE PERSON'S IMMEDIATE FAMILY
C) THE NURSE CARING FOR THE CLIENT
D) THE PHYSICIAN DIAGNOSING THE CAUSE - ANSWER-A) The person who has the pain
ACCORDING TO MCCAFFERY, AN EXPERT ON PAIN, "PAIN IS WHATEVER THE EXPERIENCING
PERSON SAYS IT IS, EXISTING WHENEVER HE (OR SHE) SAYS IT DOES." THE ONLY ONE WHO CAN
BE A REAL AUTHORITY ON WHETHER AND HOW A PERSON EXPERIENCES PAIN IS THAT
INDIVIDUAL.
A CLIENT WHO HAS BREAST CANCER IS SAID TO BE IN REMISSION. WHAT DOES THIS TERM
SIGNIFY?
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A) THE CLIENT IS EXPERIENCING SYMPTOMS OF THE DISEASE.
B) THE CLIENT HAS END-STAGE CANCER.
C) THE CLIENT IS EXPERIENCING UNREMITTING PAIN.
D) THE DISEASE IS PRESENT BUT THE CLIENT IS NOT EXPERIENCING SYMPTOMS. - ANSWER-D)
The disease is present but the client is not experiencing symptoms.
COMMONLY, PEOPLE WITH CHRONIC PAIN EXPERIENCE PERIODS OF REMISSION (WHEN THE
DISEASE IS PRESENT BUT THE PERSON DOES NOT EXPERIENCE SYMPTOMS) OR EXACERBATION
(THE SYMPTOMS REAPPEAR).
WHICH OF THE FOLLOWING CLIENTS WOULD BE CLASSIFIED AS HAVING CHRONIC PAIN?
A) A CLIENT WITH RHEUMATOID ARTHRITIS
B) A CLIENT WITH PNEUMONIA
C) A CLIENT WITH CONTROLLED HYPERTENSION
D) A CLIENT WITH THE FLU - ANSWER-A) A client with rheumatoid arthritis
CHRONIC PAIN IS PAIN THAT MAY BE LIMITED, INTERMITTENT, OR PERSISTENT BUT THAT LASTS
BEYOND THE NORMAL HEALING PERIOD. ACUTE PAIN IS GENERALLY RAPID IN ONSET AND
VARIES IN INTENSITY FROM MILD TO SEVERE. AFTER ITS UNDERLYING CAUSE IS RESOLVED,
ACUTE PAIN DISAPPEARS. IT SHOULD END ONCE HEALING OCCURS.
A CLIENT HAS A SEVERE ABDOMINAL INJURY WITH DAMAGE TO THE LIVER AND COLON FROM A
MOTORCYCLE CRASH. WHAT TYPE OF PAIN WILL PREDOMINATE?
A) PSYCHOGENIC PAIN
B) NEUROPATHIC PAIN
C) CUTANEOUS PAIN
D) VISCERAL PAIN - ANSWER-D) Visceral pain
FUNDAMENTALS OF NURSING 10TH EDITION LIPPINCOTT - TEST BANK
CHAPTER 36QUESTIONS AND CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+||NEWEST
VERSION
A CYCLIST REPORTS TO THE NURSE THAT HE IS EXPERIENCING PAIN IN THE TENDONS AND
LIGAMENTS OF HIS LEFT LEG, AND THE PAIN IS WORSE WITH AMBULATION. THE NURSE WILL
DOCUMENT THIS TYPE OF PAIN AS WHICH OF THE FOLLOWING?
A) SOMATIC PAIN
B) CUTANEOUS PAIN
C) VISCERAL PAIN
D) PHANTOM PAIN - ANSWER-A) Somatic
SOMATIC PAIN IS DIFFUSE OR SCATTERED PAIN, AND IT ORIGINATES IN TENDONS, LIGAMENTS,
BONES, BLOOD VESSELS, AND NERVES. CUTANEOUS PAIN USUALLY INVOLVES THE SKIN OR
SUBCUTANEOUS TISSUES. VISCERAL PAIN IS POORLY LOCALIZED AND ORIGINATES IN BODY
ORGANS. PHANTOM PAIN OCCURS IN AN AMPUTATED LEG FOR WHICH RECEPTORS AND
NERVES ARE CLEARLY ABSENT, BUT THE PAIN IS A REAL EXPERIENCE FOR THE CLIENT.
WHICH STATEMENT ACCURATELY DESCRIBES PAIN EXPERIENCED BY THE OLDER ADULT?
A) BOREDOM AND DEPRESSION MAY AFFECT AN OLDER PERSON'S PERCEPTION OF PAIN.
B) RESIDENTS IN LONG-TERM CARE FACILITIES HAVE A MINIMAL LEVEL OF PAIN.
C) THE OLDER CLIENT HAS DECREASED SENSITIVITY TO PAIN.
D) A HEIGHTENED PAIN TOLERANCE OCCURS IN THE OLDER ADULT. - ANSWER-A) Boredom and
depression may affect an older person's perception of pain.
BOREDOM, LONELINESS, AND DEPRESSION MAY AFFECT AN OLDER PERSON'S PERCEPTION AND
REPORT OF PAIN. ONE MYTH HELD BY MANY TO BE TRUE IS THAT OLDER CLIENTS HAVE A
,2|Page
DECREASED SENSITIVITY TO PAIN AND THEREFORE A HEIGHTENED PAIN TOLERANCE.
NUMEROUS OLDER ADULT CLIENTS RESIDING IN LONG-TERM CARE FACILITIES HAVE
SIGNIFICANT PAIN THAT NEGATIVELY AFFECTS THEIR QUALITY OF LIFE.
PET THERAPY IS COMMONLY USED IN LONG-TERM FACILITIES FOR DISTRACTION. IF A CLIENT IS
EXPERIENCING PAIN AND THE PAIN IS TEMPORARILY DECREASED WHILE PETTING A VISITING
DOG OR CAT, THIS IS AN EXAMPLE OF WHICH TYPE OF DISTRACTION TECHNIQUE?
A) TACTILE KINESTHETIC DISTRACTION
B) VISUAL DISTRACTION
C) AUDITORY DISTRACTION
D) PROJECT DISTRACTION - ANSWER-A) Tactile kinesthetic distraction
EXAMPLES OF TACTILE KINESTHETIC DISTRACTION INCLUDE HOLDING OR STROKING A LOVED
ONE, PET, OR TOY; ROCKING; AND SLOW RHYTHMIC BREATHING. PROJECT DISTRACTION
INCLUDES PLAYING A CHALLENGING GAME OR PERFORMING MEANINGFUL WORK. VISUAL
DISTRACTION CAN BE ACCOMPLISHED THROUGH READING OR WATCHING TELEVISION.
AUDITORY DISTRACTION MAY OCCUR WHEN ONE LISTENS TO MUSIC.
OF THE FOLLOWING INDIVIDUALS, WHO CAN BEST DETERMINE THE EXPERIENCE OF PAIN?
A) THE PERSON WHO HAS THE PAIN
B) THE PERSON'S IMMEDIATE FAMILY
C) THE NURSE CARING FOR THE CLIENT
D) THE PHYSICIAN DIAGNOSING THE CAUSE - ANSWER-A) The person who has the pain
ACCORDING TO MCCAFFERY, AN EXPERT ON PAIN, "PAIN IS WHATEVER THE EXPERIENCING
PERSON SAYS IT IS, EXISTING WHENEVER HE (OR SHE) SAYS IT DOES." THE ONLY ONE WHO CAN
BE A REAL AUTHORITY ON WHETHER AND HOW A PERSON EXPERIENCES PAIN IS THAT
INDIVIDUAL.
A CLIENT WHO HAS BREAST CANCER IS SAID TO BE IN REMISSION. WHAT DOES THIS TERM
SIGNIFY?
, 3|Page
A) THE CLIENT IS EXPERIENCING SYMPTOMS OF THE DISEASE.
B) THE CLIENT HAS END-STAGE CANCER.
C) THE CLIENT IS EXPERIENCING UNREMITTING PAIN.
D) THE DISEASE IS PRESENT BUT THE CLIENT IS NOT EXPERIENCING SYMPTOMS. - ANSWER-D)
The disease is present but the client is not experiencing symptoms.
COMMONLY, PEOPLE WITH CHRONIC PAIN EXPERIENCE PERIODS OF REMISSION (WHEN THE
DISEASE IS PRESENT BUT THE PERSON DOES NOT EXPERIENCE SYMPTOMS) OR EXACERBATION
(THE SYMPTOMS REAPPEAR).
WHICH OF THE FOLLOWING CLIENTS WOULD BE CLASSIFIED AS HAVING CHRONIC PAIN?
A) A CLIENT WITH RHEUMATOID ARTHRITIS
B) A CLIENT WITH PNEUMONIA
C) A CLIENT WITH CONTROLLED HYPERTENSION
D) A CLIENT WITH THE FLU - ANSWER-A) A client with rheumatoid arthritis
CHRONIC PAIN IS PAIN THAT MAY BE LIMITED, INTERMITTENT, OR PERSISTENT BUT THAT LASTS
BEYOND THE NORMAL HEALING PERIOD. ACUTE PAIN IS GENERALLY RAPID IN ONSET AND
VARIES IN INTENSITY FROM MILD TO SEVERE. AFTER ITS UNDERLYING CAUSE IS RESOLVED,
ACUTE PAIN DISAPPEARS. IT SHOULD END ONCE HEALING OCCURS.
A CLIENT HAS A SEVERE ABDOMINAL INJURY WITH DAMAGE TO THE LIVER AND COLON FROM A
MOTORCYCLE CRASH. WHAT TYPE OF PAIN WILL PREDOMINATE?
A) PSYCHOGENIC PAIN
B) NEUROPATHIC PAIN
C) CUTANEOUS PAIN
D) VISCERAL PAIN - ANSWER-D) Visceral pain
