What Is A Pain Management?
What do you know about pain management? Let's check it now by taking this quiz!
- 1.
Barriers to adequate pain relief for patients with serious progressive illness are:
- A.
Fear of not being believed
- B.
Patient not willing to take medication because they might become addicted
- C.
Prejudice and bias in dealing with patients
- D.
All of the above
Correct Answer
D. All of the aboveExplanation
The correct answer is "All of the above". This means that all the mentioned barriers to adequate pain relief for patients with serious progressive illness are true. Patients may fear not being believed by healthcare providers about their pain, some patients may be reluctant to take medication due to the fear of addiction, and prejudice and bias in dealing with patients can also hinder their access to pain relief.Rate this question:
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- 2.
Dame Cicely Saunders defined the concept of _______________as "...the suffering that encompasses all of a person's physical, psychological, social, spiritual and practical struggles."
- A.
Total pain
- B.
The 0 to 10 scale
- C.
PAINAD
- D.
Pain is what the patient says it is
Correct Answer
A. Total painExplanation
Dame Cicely Saunders defined the concept of total pain as the suffering that encompasses all of a person's physical, psychological, social, spiritual, and practical struggles. This concept acknowledges that pain is not just limited to physical discomfort, but also includes emotional, social, and spiritual distress that a person may experience. It emphasizes the need for a holistic approach to pain management, addressing all aspects of a person's suffering to provide comprehensive care.Rate this question:
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- 3.
Name two populations of patients with serious progressive illness who are at risk for poor pain assessment and treatment.
- A.
Children and older adults
- B.
History of addictive disease and non-English speaking
- C.
Non-verbal and cognitively impaired
- D.
Different cultures and patients who deny pain
- E.
All of the above
Correct Answer
E. All of the aboveExplanation
Patients with serious progressive illness who are at risk for poor pain assessment and treatment include children and older adults, as they may have difficulty expressing their pain or may be dismissed due to age-related biases. Additionally, patients with a history of addictive disease may be undertreated for pain due to concerns about addiction. Non-English speaking patients may face language barriers that impede their ability to communicate their pain effectively. Non-verbal and cognitively impaired patients may struggle to express their pain verbally. Different cultures may have varying attitudes towards pain, leading to underreporting or denial of pain. Therefore, all of the above populations are at risk for poor pain assessment and treatment.Rate this question:
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- 4.
Using the definitions below, choose the most appropriate to define the term "physical dependence".
- A.
"A state of adaptation that is manifested by a drug class specific withdrawal symdrome that can be produced by abrupt cessation, rapid dose reduction, decreasing blood level of the drug, and/or administration of an antagonist."
- B.
"A state of adaptation in which exposure to a drug induces changes that result in a diminution of one or more of the drug's effects over time."
- C.
"A primary, chronic, neurobiologic disease, with genetic, psycho-social and environmental factors influencing its development and manifestations. It is characterized by behaviors that include one or more of the following: impaired control over drug use, compulsive use, continued use despire harm and craving."
Correct Answer
A. "A state of adaptation that is manifested by a drug class specific withdrawal symdrome that can be produced by abrupt cessation, rapid dose reduction, decreasing blood level of the drug, and/or administration of an antagonist."Explanation
The correct answer defines physical dependence as a state of adaptation that leads to a drug class specific withdrawal syndrome. This adaptation can occur due to various factors such as abrupt cessation, rapid dose reduction, decreasing blood level of the drug, and/or administration of an antagonist. Physical dependence is characterized by the body's reliance on the drug and the occurrence of withdrawal symptoms when the drug is discontinued or reduced.Rate this question:
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- 5.
Direct stimulation of intact nociceptors with transmission along normal pain nerves describes which of the following:
- A.
Somatic pain
- B.
Neuropathic pain
- C.
Neither
- D.
Both
Correct Answer
A. Somatic painExplanation
Direct stimulation of intact nociceptors with transmission along normal pain nerves refers to somatic pain. Somatic pain is caused by the activation of pain receptors in the skin, muscles, bones, or connective tissues. This type of pain is typically localized and can be described as sharp, aching, or throbbing. It is distinct from neuropathic pain, which is caused by damage or dysfunction of the nerves themselves.Rate this question:
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- 6.
Disordered peripheral or central nerves associated with nerve compression, transection, infiltration, ischemia or metabolic injury describes which of the following?
- A.
Somatic pain
- B.
Neuropathic pain
- C.
Neither
- D.
Both
Correct Answer
B. Neuropathic painExplanation
This answer is correct because neuropathic pain refers to pain caused by damage or dysfunction of the peripheral or central nerves. This can occur due to various reasons such as nerve compression, transection, infiltration, ischemia or metabolic injury. Somatic pain, on the other hand, refers to pain originating from the skin, muscles, or bones. Therefore, the correct option is "Neuropathic pain."Rate this question:
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- 7.
This type of pain is poorly localized, diffuse, vague, difficult to describe and may be colicky, cramping, squeezing or "referred" to another area. It is often periodic and builds to peaks and is frequently associated with nausea and vomiting. This BEST describes which of the following?
- A.
Somatic pain
- B.
Neuropathic pain
- C.
Visceral pain
- D.
Bone pain
Correct Answer
C. Visceral painExplanation
Visceral pain is poorly localized and difficult to describe because it originates from the internal organs. It can be colicky, cramping, squeezing or referred to another area. The pain is often periodic and builds to peaks, and it is commonly associated with symptoms like nausea and vomiting. This description aligns with the characteristics of visceral pain. Somatic pain refers to pain that is localized and well-defined, neuropathic pain is caused by damage to the nerves, and bone pain specifically originates from the bones.Rate this question:
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- 8.
Pharmacologic tolerance develops to all of the following side effects of opioid analgesics EXCEPT:
- A.
Constipation
- B.
Nausea
- C.
Respiratory depression
- D.
Sedation
Correct Answer
A. ConstipationExplanation
Pharmacologic tolerance is the body's reduced response to a drug over time, requiring higher doses to achieve the same effect. In the case of opioid analgesics, tolerance can develop to side effects such as nausea, respiratory depression, and sedation. However, constipation is an exception to this, as tolerance does not typically develop to this side effect. This means that even with prolonged use of opioid analgesics, constipation may persist as a side effect.Rate this question:
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- 9.
Severe pain may be relieved using a variety of routes of medication administration, including the oral route.
- A.
True
- B.
False
Correct Answer
A. TrueExplanation
Severe pain can be effectively relieved using various methods of medication administration, including the oral route. This means that medications can be taken orally, such as through tablets or liquids, to alleviate severe pain. Other routes of administration, such as injections or topical applications, may also be used depending on the situation. Therefore, the statement is true.Rate this question:
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- 10.
There is a ceiling on the analgesia of morphine. In other words, beyond a certain dosage of morphine, increases in dosage will NOT increase pain relief.
- A.
True
- B.
False
Correct Answer
B. FalseExplanation
The statement suggests that there is a limit to the pain relief provided by morphine and increasing the dosage beyond that limit will not provide any additional pain relief. However, this statement is false. Morphine is a powerful analgesic and increasing the dosage can indeed provide increased pain relief. Higher doses of morphine can be prescribed in cases of severe pain where lower doses are insufficient.Rate this question:
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- 11.
According to "Capital Hospice Algorithm for Management of Somatic/Visceral Pain--Non-opioid", when considering using NSAIDS for pain, it is necessary to assess the patient for all of the following EXCEPT:
- A.
History of a GI bleed
- B.
Oral steroid use
- C.
Allergy to codeine
- D.
Use of anticoagulation
- E.
Platelet status
Correct Answer
C. Allergy to codeineExplanation
When considering using NSAIDs for pain, it is necessary to assess the patient for all of the following EXCEPT allergy to codeine. This means that the patient's allergy to codeine is not a factor that needs to be considered when deciding whether to use NSAIDs for pain management. However, it is important to assess the patient for a history of a GI bleed, oral steroid use, use of anticoagulation, and platelet status before prescribing NSAIDs, as these factors can increase the risk of complications or adverse effects.Rate this question:
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- 12.
Which of the following is true about the Capital Hospice procedure for documenting pain assessment in the patient with advanced dementia?
- A.
Patients with advanced dementia are not able to self-report pain, so leave the space blank
- B.
Patients with advanced dementia do not experience pain, so document "0"
- C.
Patients with advanced dementa are not able to self-report pain, so do not attempt a pain assessment and document "unable to quantify"
- D.
Use the PAINAD scale
- E.
Ask the family or the caregivers to rate the patient's pain intensity from 0-10
Correct Answer
D. Use the PAINAD scaleExplanation
The correct answer is to use the PAINAD scale. This scale is specifically designed for assessing pain in patients with advanced dementia who are unable to self-report pain. It includes five categories of observable behaviors (breathing, vocalization, facial expression, body language, and consolability) that are rated on a scale of 0-2. By using this scale, healthcare professionals can obtain a more accurate assessment of pain in these patients and provide appropriate pain management interventions.Rate this question:
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- 13.
Which of the following medications could be problematic for a patient with disturbances of cardiac conduction?
- A.
Methadone
- B.
Duragesic patch
- C.
Amitriptyline (Elavil)
- D.
A and C
- E.
All of the above
Correct Answer
D. A and CExplanation
Methadone and Amitriptyline (Elavil) could be problematic for a patient with disturbances of cardiac conduction. Methadone is an opioid medication that can cause QT prolongation, a condition that affects the electrical activity of the heart, potentially leading to dangerous arrhythmias. Amitriptyline is a tricyclic antidepressant that can also cause QT prolongation and increase the risk of abnormal heart rhythms. Therefore, both medications should be used with caution in patients with cardiac conduction disturbances.Rate this question:
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- 14.
Choose 4 components of a comprehensive physical pain assessment
- A.
Environment, social situation, spiritual needs, nausea
- B.
Environment, relieving factors, intensity, manner of expressing pain
- C.
Social situation, spiritual needs, location, quality
- D.
Location, intensity, quality, pattern of pain
Correct Answer
D. Location, intensity, quality, pattern of painExplanation
A comprehensive physical pain assessment should include the location of the pain, the intensity of the pain, the quality of the pain, and the pattern of the pain. By assessing the location, healthcare professionals can determine the specific area affected and potentially identify underlying causes. Assessing the intensity helps to gauge the severity of the pain and monitor changes over time. The quality of the pain refers to its characteristics, such as sharp, dull, or throbbing, which can provide additional information about the underlying cause. Finally, understanding the pattern of the pain, such as its frequency or triggers, can help in developing an appropriate treatment plan.Rate this question:
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- 15.
Dexamethasone (Decadron) is useful for painful plexopathies.
- A.
True
- B.
False
Correct Answer
A. TrueExplanation
Dexamethasone, also known as Decadron, is a type of corticosteroid medication. It has anti-inflammatory and immunosuppressive properties, which can help reduce pain and inflammation associated with plexopathies. Plexopathies are conditions that affect the nerves in a network called a plexus, such as brachial plexopathy or lumbosacral plexopathy. By reducing inflammation, Dexamethasone can alleviate pain and improve symptoms in individuals with painful plexopathies. Therefore, the statement that Dexamethasone is useful for painful plexopathies is true.Rate this question:
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- 16.
Dexamethasone (Decadron) is useful for pain associated with stretching of the liver capsule.
- A.
True
- B.
False
Correct Answer
A. TrueExplanation
Dexamethasone (Decadron) is a corticosteroid medication that has anti-inflammatory and immunosuppressant effects. It can be used to reduce pain associated with inflammation, including pain caused by the stretching of the liver capsule. Therefore, the statement that Dexamethasone is useful for pain associated with stretching of the liver capsule is true.Rate this question:
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- 17.
Dexamethasone (Decadron) is not effective for treating bone pain.
- A.
True
- B.
False
Correct Answer
B. FalseExplanation
Dexamethasone (Decadron) is a corticosteroid medication that is commonly used to reduce inflammation and suppress the immune system. While it may not directly treat bone pain, it can be effective in managing pain associated with certain conditions that cause inflammation in the bones, such as arthritis or cancer. Therefore, the statement that Dexamethasone is not effective for treating bone pain is false.Rate this question:
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- 18.
Rapid IV dosing of dexamethasone (Decadron) can result in uncomfortable perineal burning.
- A.
True
- B.
False
Correct Answer
A. TrueExplanation
Rapid IV dosing of dexamethasone (Decadron) can result in uncomfortable perineal burning. This is because dexamethasone is a potent corticosteroid that can cause local irritation and inflammation when administered rapidly through the intravenous route. The perineal area, which includes the genital and anal regions, can be particularly sensitive to this burning sensation. Therefore, it is true that rapid IV dosing of dexamethasone can lead to uncomfortable perineal burning.Rate this question:
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- 19.
Dexamethasone (Decadron) can be admnistered once daily due to its long half-life.
- A.
True
- B.
False
Correct Answer
A. TrueExplanation
Dexamethasone (Decadron) can be administered once daily because it has a long half-life. This means that it stays in the body for a longer period of time, allowing for once daily dosing instead of multiple doses throughout the day. This is convenient for patients and can improve medication adherence.Rate this question:
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- 20.
All of the following statements about pain are true EXCEPT:
- A.
Physical pain is always the most important contributor to suffering
- B.
Total pain refers to the physical, psychologic, spiritual and social pain experienced by dying patients
- C.
The distress associated with spiritual pain exacerbates physical symptoms
- D.
Uncontrolled physical symptoms interfere with a patient's ability to interact with loved ones
Correct Answer
A. pHysical pain is always the most important contributor to suffering -
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Mar 21, 2023Quiz Edited by
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Apr 01, 2009Quiz Created by
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