Pain Part 1
This is the test 4 prep part 1. This is all of Moira's content on Sleep, Pain, and some on Cranial Nerves. The additional Cranial Nerve quiz is suggested. The rest of the quiz should be posted tomorrow as part 2. There were too many questions on this quiz and more space is needed for the rest.
- 1.
The four dimensions of pain are?
- A.
Transmission, Transduction, Perception, Modality
- B.
Transduction, Transmission, Perception, Modulation
- C.
Transportation, Transmission, Perception, Modulation
- D.
Transduction, Transmission, Production, Modulation
Correct Answer
B. Transduction, Transmission, Perception, ModulationExplanation
The four dimensions of pain are transduction, transmission, perception, and modulation. Transduction refers to the conversion of a painful stimulus into an electrical signal. Transmission involves the relay of this signal from the site of injury to the brain. Perception is the conscious awareness and interpretation of the pain signal. Modulation refers to the regulation and control of pain signals by various mechanisms in the brain and spinal cord.Rate this question:
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- 2.
Pain is something that is responded to universally the same?
- A.
True
- B.
False
Correct Answer
B. FalseExplanation
Each person is unique in their response to pain.Rate this question:
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- 3.
Pain, although unpleasant, does not impact the functionality or the ADL's.
- A.
True
- B.
False
Correct Answer
B. FalseExplanation
False. Pain can significantly impact functionality and activities of daily living (ADLs). Pain can limit mobility, decrease strength and endurance, affect concentration and sleep, and overall reduce a person's ability to perform daily tasks. Therefore, it is incorrect to say that pain does not impact functionality or ADLs.Rate this question:
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- 4.
Pain management is can include which of these principles:
- A.
Repositioning
- B.
Music
- C.
Convincing pain is not as high
- D.
Education
- E.
Encouraging movement
Correct Answer(s)
A. Repositioning
B. Music
D. Education
E. Encouraging movementExplanation
Trying to convince a patient that he/she does not have pain is wrong. We should treat a patients pain based on their admission of pain.Rate this question:
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- 5.
Molly broke her leg as a child. She was left alone and when she broke her leg, she passed out and was not found until many hours later. Molly has had an accident and does not know if her leg is broke again, but her pain is 9/10. Molly's mother, who met her at the Emergency Room, holds her hand while she waits. After Molly has her Xray and finds that her leg is not broken, but is fractured, her pain goes down to a 6/10. What could have caused this reduction?
- A.
Her negative emotional response comes from her previous traumatic experience. Once she realizes her leg isn't broken, the pain is decreased.
- B.
Molly's nurse told her that the pain was not that bad.
- C.
Molly's spiritual response to the pain came from a belief that she was going to be alone through her pain again. Molly's mother being there for her directly positively affects her pain reduction as she is not alone.
- D.
Molly probably realized that she was acting like a baby and sucked it up.
Correct Answer(s)
A. Her negative emotional response comes from her previous traumatic experience. Once she realizes her leg isn't broken, the pain is decreased.
C. Molly's spiritual response to the pain came from a belief that she was going to be alone through her pain again. Molly's mother being there for her directly positively affects her pain reduction as she is not alone.Explanation
Negative past responses to pain not only damage a person's reaction to similar pain, but can also spiritually damage a persons concept of pain. In Molly's case, being alone through pain can increase her perception of pain. Her mother meeting her at the hospital relieved spiritual fears of being alone.Rate this question:
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- 6.
Michael has cut himself badly on his hand. It has taken Michael about 5 months to stop feeling pain in his hand. To Michael, he felt like he would never stop hurting. What type of pain does Michael have?
- A.
Acute
- B.
Chronic
- C.
Intractable
Correct Answer
A. AcuteExplanation
Even though Michael has had 5 months of pain, his pain would be acute. It lasted 5 months. Pain over 6 months is considered to be Chronic.Rate this question:
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- 7.
Carrie has pain. Her SNS is not manifesting. She does not have cancer. She can use NSAIDS to manage her pain. She rates her pain at 2/10. Her pain started on her birthday a year ago. Her pain is not serving a biologic function. What kind of pain does Carrie have?
- A.
Acute
- B.
Chronic
- C.
Intractable
Correct Answer
B. ChronicExplanation
The SNS not manifesting is a key component. She has had pain for a year. Pain not serving as a biologic function is Chronic. Her level of pain is not an indicator of either Acute or Chronic pain. It's her length of time with pain.Rate this question:
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- 8.
Dale's Anterior left neck is hurting. What could this referred pain be related to?
- A.
Lung
- B.
Kidney
- C.
Liver
- D.
Heart
Correct Answer
A. LungExplanation
The referred pain in Dale's anterior left neck could be related to the lung. Referred pain occurs when pain is felt in a different area of the body than the actual source of the pain. The lungs are located in the chest, and pain from the lungs can sometimes be felt in the neck and shoulder area. This type of pain is often associated with conditions such as pneumonia, pleurisy, or lung cancer. Therefore, it is possible that Dale's anterior left neck pain is being referred from his lung.Rate this question:
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- 9.
Steve's right back and right upper chest alternate between being painful. What referred pain could this indicate?
- A.
Lung
- B.
Liver
- C.
Heart
- D.
Kidney
Correct Answer
B. LiverExplanation
The alternating pain in Steve's right back and right upper chest could indicate referred pain from the liver. The liver is located on the right side of the body, just below the rib cage. When the liver is inflamed or experiencing issues, it can cause pain that radiates to the back and upper chest. Therefore, the liver is a possible source of the referred pain in this scenario.Rate this question:
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- 10.
Nicole has had her leg amputated. She had chronic pain in her leg before the amputation. Would you expect Nicole to have a higher , same as, or less than normal phantom pain in her amputated leg?
- A.
Higher
- B.
Same as
- C.
Less than
Correct Answer
A. HigherExplanation
A person with chronic pain is more likely to experience higher pain levels than someone who has not had chronic pain.Rate this question:
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- 11.
Phantom pain is imaginary because there is no limb present.
- A.
True
- B.
False
Correct Answer
B. FalseExplanation
Phantom pain is real pain that must be treated.Rate this question:
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- 12.
Nueropathic pain is best treated by:
- A.
Opioids
- B.
Nonopiods
- C.
Tricyclic antidepressants
Correct Answer
C. Tricyclic antidepressantsExplanation
Tricyclic antidepressants are the best treatment for neuropathic pain. This is because these medications work by altering the levels of certain chemicals in the brain, such as serotonin and norepinephrine, which can help to reduce pain signals. Tricyclic antidepressants have been found to be effective in managing neuropathic pain conditions such as diabetic neuropathy, postherpetic neuralgia, and fibromyalgia. They can help to improve sleep, reduce pain intensity, and improve overall quality of life for individuals suffering from neuropathic pain. Opioids may be used for severe pain that is not responsive to other treatments, while nonopioids may be used for mild to moderate pain.Rate this question:
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- 13.
Somatic pain is:
- A.
Localized pain regarding bones, joints, tendons presenting with achey or sharp pain.
- B.
Abdomen or organ pain that is crampy, dull or even burning pain and is diffuse.
- C.
Nerve cell damage associated with phantom pain, trigeminal nueroalgia, diabetes.
Correct Answer
A. Localized pain regarding bones, joints, tendons presenting with achey or sharp pain.Explanation
The correct answer is localized pain regarding bones, joints, tendons presenting with achey or sharp pain. This is because somatic pain refers to pain that originates from the bones, joints, tendons, or muscles. It is usually described as a dull, aching, or sharp pain and is localized to a specific area of the body. This type of pain can be caused by injuries, fractures, sprains, or other musculoskeletal conditions.Rate this question:
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- 14.
Visceral pain is:
- A.
Localized pain regarding bones, joints, tendons presenting with achey or sharp pain.
- B.
Abdomen or organ pain that is crampy, dull or even burning pain and is diffuse.
- C.
Nerve cell damage associated with phantom pain, trigeminal nueroalgia, diabetes.
Correct Answer
B. Abdomen or organ pain that is crampy, dull or even burning pain and is diffuse.Explanation
Visceral pain refers to pain that originates from the organs in the abdomen. It is characterized by crampy, dull, or burning pain that is diffuse, meaning it is not localized to a specific area. This type of pain can be caused by various conditions affecting the organs, such as gastrointestinal disorders, urinary tract infections, or reproductive system issues. It is important to differentiate visceral pain from other types of pain, as the treatment and management strategies may vary.Rate this question:
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- 15.
Neuropathic pain is?
- A.
Abdomen or organ pain that is crampy, dull or even burning pain and is diffuse
- B.
Nerve cell damage associated with phantom pain, trigeminal nueroalgia, diabetes.
- C.
Localized pain regarding bones, joints, tendons presenting with achey or sharp pain.
Correct Answer
B. Nerve cell damage associated with pHantom pain, trigeminal nueroalgia, diabetes.Explanation
Neuropathic pain refers to pain caused by damage or dysfunction of the nerves. This type of pain is associated with conditions such as phantom pain (pain felt in a body part that is no longer there), trigeminal neuralgia (severe facial pain), and diabetes (nerve damage due to high blood sugar levels). The pain experienced in neuropathic pain can be described as burning, shooting, or electric-like sensations.Rate this question:
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- 16.
This starts in the peripheral, causes cell damage with the releasing of sensitizing chemicals and leads to action potential.
- A.
Transduction
- B.
Transmission
- C.
Perception
- D.
Modulation
Correct Answer
A. TransductionExplanation
Transduction is the process by which sensory receptors convert physical or chemical stimuli into electrical signals that can be transmitted to the brain. In this case, the statement suggests that the process starts in the peripheral (where sensory receptors are located), causes cell damage (which may trigger the release of sensitizing chemicals), and ultimately leads to the generation of action potentials (electrical signals) that can be transmitted to the brain. Therefore, transduction is the most appropriate term to describe this sequence of events.Rate this question:
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- 17.
Action potential continues from site of injury to spinal cord, spinal cord to brainstem and thalamus, thalamus to cortex for processing.
- A.
Transduction
- B.
Transmission
- C.
Perception
- D.
Modulation
Correct Answer
B. TransmissionExplanation
This explanation describes the process of transmitting the action potential from the site of injury to various parts of the central nervous system. It states that the action potential travels from the site of injury to the spinal cord, then from the spinal cord to the brainstem and thalamus, and finally from the thalamus to the cortex for processing. This process of transmitting the action potential through different regions of the central nervous system is known as transmission.Rate this question:
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- 18.
Conscious experience of pain is?
- A.
Transduction
- B.
Transmission
- C.
Perception
- D.
Modulation
Correct Answer
C. PerceptionExplanation
Perception refers to the conscious experience of pain. It involves the interpretation and understanding of sensory information by the brain. When we perceive pain, our brain processes the signals received from the nervous system and creates a subjective experience of pain. This experience includes the emotional and cognitive aspects associated with pain, such as the intensity, location, and unpleasantness. Therefore, perception is the correct answer as it accurately describes the conscious awareness and interpretation of pain.Rate this question:
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- 19.
Neurons originating in the brainstem descend to the spinal cord and release substances (e.g., endogenous opioids) that inhibit nociceptive impusles?
- A.
Transduction
- B.
Transmission
- C.
Perception
- D.
Modulation
Correct Answer
D. ModulationExplanation
The correct answer is Modulation. Modulation refers to the process of modifying or altering the transmission of signals. In this context, neurons originating in the brainstem release substances that inhibit nociceptive impulses, which can be seen as a modulation of pain signals. This modulation helps to regulate and control the perception of pain in the spinal cord.Rate this question:
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- 20.
Bradykinin is a
- A.
Vasodiolator
- B.
Vasoconstictor
- C.
Inflammation response
Correct Answer
A. VasodiolatorExplanation
Bradykinin is a vasodilator, meaning it causes the blood vessels to widen, resulting in increased blood flow. This can help to lower blood pressure and improve circulation. Vasodilators work by relaxing the smooth muscles in the walls of blood vessels, allowing them to expand. Bradykinin is also involved in the inflammatory response, but its primary role is as a vasodilator.Rate this question:
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- 21.
Histamine is :
- A.
Vasodialator
- B.
Vasoconstrictor
- C.
Inflammation Response
- D.
Makes receptors more sensitive
Correct Answer
C. Inflammation ResponseExplanation
Histamine is a compound released by cells in response to injury or allergic reactions. It plays a key role in the inflammatory response, causing blood vessels to dilate and become more permeable, allowing immune cells to reach the affected area. This leads to redness, swelling, and heat, which are characteristic signs of inflammation. Therefore, histamine is responsible for the inflammation response.Rate this question:
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- 22.
Substance P is:
- A.
Vasodialator
- B.
Vasoconstrictor
- C.
Inflammation response.
- D.
Makes receptors more sensitive.
Correct Answer
D. Makes receptors more sensitive.Explanation
Substance P is a neuropeptide that plays a role in the transmission of pain signals. It is known to enhance the sensitivity of pain receptors, making them more responsive to pain stimuli. This increased sensitivity can contribute to the perception of pain and the development of chronic pain conditions. Therefore, the statement "Makes receptors more sensitive" accurately describes the function of Substance P.Rate this question:
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- 23.
Serotonin is a:
- A.
Vasodialator
- B.
Vasoconstrictor
- C.
Inflammation Response
- D.
Makes cells more sensitive.
Correct Answer
B. VasoconstrictorExplanation
Serotonin is a vasoconstrictor because it causes the narrowing of blood vessels. This constriction reduces the diameter of blood vessels, leading to an increase in blood pressure and a decrease in blood flow to certain areas of the body.Rate this question:
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- 24.
Nonopioids, NSAIDS, and corticosteroids all help block:
- A.
Histamine
- B.
Prostoglandins
- C.
Substance P
- D.
Bradykinins
Correct Answer
B. ProstoglandinsExplanation
Nonopioids, NSAIDs, and corticosteroids all help block prostaglandins. Prostaglandins are hormone-like substances that play a key role in inflammation and pain. By inhibiting the production or activity of prostaglandins, these medications can reduce inflammation, relieve pain, and decrease fever. Prostaglandins are involved in various physiological processes, including the regulation of blood flow, the immune response, and the formation of blood clots. Blocking prostaglandins can have a wide range of therapeutic effects and is a common approach in the treatment of various conditions, such as arthritis, menstrual cramps, and headaches.Rate this question:
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- 25.
Tylenol is good for working with:
- A.
Histamine
- B.
Bradykinins
- C.
Prostoglandins
- D.
Serotonin
Correct Answer
D. SerotoninExplanation
Tylenol is not typically used to work with serotonin. Serotonin is a neurotransmitter that regulates mood, appetite, and sleep, among other functions. Tylenol, also known as acetaminophen, is commonly used as a pain reliever and fever reducer. It works by inhibiting the production of prostaglandins, which are chemicals involved in pain and inflammation. While serotonin may play a role in pain perception, Tylenol does not directly target serotonin levels or function. Therefore, it is unlikely that Tylenol is specifically good for working with serotonin.Rate this question:
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- 26.
Opioids work on which part of pain?
- A.
Transduction
- B.
Transmission
- C.
Perception
- D.
Modulation
Correct Answer
B. TransmissionExplanation
Opioids block neural transmitters, bind at the receptor, and block pain sensation.Rate this question:
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- 27.
Protective impulse is activated before pain perception has been achieved?
- A.
True
- B.
False
Correct Answer
A. TrueExplanation
The statement implies that the protective impulse, which is the instinctive reaction to protect oneself from harm, is activated before the person actually feels or perceives pain. This suggests that the body's defense mechanism is triggered preemptively to prevent potential harm or injury, even before the brain registers the sensation of pain.Rate this question:
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- 28.
Opioids and Nonopioids stop pain:
- A.
True
- B.
False
Correct Answer
B. FalseExplanation
They do not stop pain. They stop the perception of pain.Rate this question:
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- 29.
Pain threshold is:
- A.
The lowest of intensity of stimulation that can cause pain recognition.
- B.
The duration or intensity of pain a person is willing to endure.
- C.
The amount of pain that dictates opioids use.
- D.
The amount of pain that dictates nonopioid use.
Correct Answer
A. The lowest of intensity of stimulation that can cause pain recognition.Explanation
The pain threshold refers to the lowest intensity of stimulation that can cause pain recognition. This means that it is the minimum level of stimulation required for a person to perceive and recognize it as pain. It is important because it helps determine an individual's sensitivity to pain and can vary from person to person.Rate this question:
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- 30.
Pain tolerance is:
- A.
The lowest of intensity of stimulation that can cause pain recognition.
- B.
The duration or intensity of pain a person is willing to endure.
- C.
The amount of pain that dictates nonopioid use.
- D.
The amount of pain that dictates opioid use.
Correct Answer
B. The duration or intensity of pain a person is willing to endure.Explanation
Pain tolerance refers to the level of pain that an individual is willing to endure, either in terms of duration or intensity. It is a subjective measure that varies from person to person. Some individuals may have a high pain tolerance and can tolerate pain for longer periods or at higher intensities, while others may have a lower pain tolerance and may experience pain more intensely or for shorter durations. This measure is important in understanding an individual's ability to cope with pain and can influence their treatment options and pain management strategies.Rate this question:
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- 31.
Endorphins are associated with:
- A.
Transduction
- B.
Transmission
- C.
Perception
- D.
Modulation
Correct Answer
D. ModulationExplanation
Endorphins are neuropeptides that act as natural painkillers and mood enhancers. They are released by the body in response to various stimuli, such as exercise, stress, or pain. Endorphins primarily function by modulating or regulating the transmission of pain signals in the nervous system. They bind to specific receptors in the brain and spinal cord, reducing the perception of pain and promoting feelings of pleasure and well-being. Therefore, endorphins are closely associated with modulation, as they play a crucial role in regulating pain and mood.Rate this question:
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- 32.
Enkaphalins are associate with: check all that apply
- A.
Modulation
- B.
Perception
- C.
Inhibiting substance P
- D.
Transmission
Correct Answer(s)
A. Modulation
C. Inhibiting substance PExplanation
Enkaphalins are neuropeptides that are associated with modulation and inhibiting substance P. They play a role in regulating pain perception by modulating the transmission of pain signals in the central nervous system. Enkaphalins bind to opioid receptors and inhibit the release of substance P, a neurotransmitter involved in transmitting pain signals. Therefore, enkaphalins are involved in both modulating the perception of pain and inhibiting the transmission of pain signals.Rate this question:
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- 33.
Tricyclic antidepressants work best on:
- A.
Perception
- B.
Transmission
- C.
Modulation
- D.
Transduction
Correct Answer
C. ModulationExplanation
Tricyclic antidepressants work best on modulation. Modulation refers to the process of modifying or regulating the intensity or frequency of signals, in this case, the signals in the brain that are associated with mood and emotions. Tricyclic antidepressants help to modulate the levels of certain neurotransmitters, such as serotonin and norepinephrine, in the brain, which can improve mood and alleviate symptoms of depression. By targeting the modulation of these neurotransmitters, tricyclic antidepressants are able to effectively treat depression.Rate this question:
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- 34.
Barry has an increase in HR, increase BP, increased RR, and has an increased Glu. He has just had car accident. What system is working in Barry to elevate this response?
- A.
Sympathetic Response
- B.
Parasympathetic Response
- C.
Pain Reduction Response
- D.
Modulation decrease response.
Correct Answer
A. Sympathetic ResponseExplanation
Barry's increased heart rate (HR), increased blood pressure (BP), increased respiratory rate (RR), and increased glucose (Glu) levels are all indicative of a sympathetic response. The sympathetic nervous system is responsible for the "fight or flight" response, which is activated in stressful situations such as a car accident. This response increases heart rate, blood pressure, and respiratory rate to prepare the body for action. Additionally, the release of glucose provides immediate energy for the body to deal with the stressful situation.Rate this question:
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- 35.
Tina has decreased BP, irregular RR, and decreased HR. The nurse is worried about vomiting and that Tina may faint. The nurse knows that this system is at work in Tina:
- A.
Sympathetic Response
- B.
Parasympathetic Response
- C.
Pain Reduction Response
- D.
Transduction Decreasing Response.
Correct Answer
B. Parasympathetic ResponseExplanation
The parasympathetic response is responsible for conserving energy and promoting rest and digestion. It opposes the sympathetic response, which is associated with the "fight or flight" response. In this scenario, Tina's decreased blood pressure, irregular respiratory rate, and decreased heart rate are indicative of a parasympathetic response. The nurse's concern about vomiting and fainting aligns with the parasympathetic response's role in promoting rest and digestion, as well as regulating bodily functions.Rate this question:
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- 36.
What is the number one thing missed by the nurse when treating pain?
- A.
Not giving all prescribed meds.
- B.
Not asking about quality of pain.
- C.
Not documenting affects of pain meds or pain interventions.
Correct Answer
C. Not documenting affects of pain meds or pain interventions.Explanation
The correct answer is not documenting affects of pain meds or pain interventions. This means that the nurse fails to record or document the effects or outcomes of the pain medications administered or the interventions performed to alleviate pain. This documentation is important for tracking the effectiveness of the treatment and ensuring proper pain management for the patient.Rate this question:
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- 37.
Myra is dealing with her pain. What could detract from the effectiveness of the nurses pain plan. (Check all that apply)
- A.
Having no support systems at home.
- B.
Depression
- C.
Over eating
- D.
Motility
- E.
Bad Weather
Correct Answer(s)
A. Having no support systems at home.
B. Depression
C. Over eating
D. Motility
E. Bad WeatherExplanation
When thinking about pain management, a nurse should take a multi rational response.Rate this question:
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- 38.
Pain assessment and reassessment is the same for every situation.
- A.
True
- B.
False.
Correct Answer
B. False.Explanation
Different patients will need different frequencies of reassessment.Rate this question:
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- 39.
A baby has an increased HR and decreased O2 sat. What could this indicate?
- A.
The baby is throwing a tantrum.
- B.
The baby is in pain.
- C.
The baby needs O2.
- D.
The baby is cold.
Correct Answer
B. The baby is in pain.Explanation
The increased heart rate and decreased oxygen saturation in a baby can indicate that the baby is in pain. Pain can cause physiological changes in the body, including an increased heart rate and decreased oxygen saturation. These changes may be a response to the baby's discomfort or distress.Rate this question:
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- 40.
"The pain is someone else's fault," would be a statement pertaining to:
- A.
Infant
- B.
Toddler
- C.
Adult
- D.
Elderly
Correct Answer
B. ToddlerExplanation
This statement would be more likely to pertain to a toddler. Toddlers often have difficulty taking responsibility for their actions and tend to blame others for any negative experiences or discomfort they may be feeling. This is a common behavior in early childhood development as they are still learning to navigate their emotions and understand the consequences of their actions.Rate this question:
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- 41.
With low activity, clinging, loss of appetite and uneasy to console, this group would be most likely to be:
- A.
Infant
- B.
Toddler
- C.
Preschooler
Correct Answer
A. InfantExplanation
Based on the symptoms of low activity, clinging, loss of appetite, and being uneasy to console, it can be inferred that this group is most likely infants. Infants are generally less active compared to toddlers and preschoolers, and they often exhibit clinginess and difficulty in being consoled. Loss of appetite can also be common in infants due to various reasons such as teething or illness. Therefore, the given symptoms align more closely with the behavior and characteristics of infants rather than toddlers or preschoolers.Rate this question:
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- 42.
Nikki feels guilty that she has been hurt and is worried her body is now different. What group does NIkki represent?
- A.
Infant
- B.
Toddler
- C.
School Age
- D.
Adolescent
Correct Answer
C. School AgeExplanation
Nikki represents the School Age group because she is feeling guilty about being hurt and is concerned about changes in her body. This suggests that she is old enough to understand and reflect upon her experiences, which aligns with the cognitive and emotional development typically seen in school-age children.Rate this question:
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- 43.
Dave doesn't want anyone know he is hurt because he is afraid he will loose respect. Which group is Dave likely to be associated with?
- A.
Toddler
- B.
School Age
- C.
Adolescent
- D.
Adult
Correct Answer
C. AdolescentExplanation
Dave is likely to be associated with the group of adolescents because this age group is commonly characterized by a strong desire for independence and a fear of losing respect from their peers. Adolescents often strive to maintain a certain image and may be hesitant to show vulnerability or weakness, which is consistent with Dave's reluctance to let anyone know he is hurt.Rate this question:
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- 44.
Greta is a 73 year old female. While talking to her nurse about her pain she states, "Pain is pain and a part of being older." What would the nurse say to respond to that. *Check all that apply*
- A.
You are right, pain is a part of getting older. Let's see what we can do to make it better though.
- B.
Greta, you are 73, of course you will have pain.
- C.
Just because you are 73 doesn't mean you should have pain. What activities are involved when you feel this pain?
- D.
Having a positive attitude about your pain is important. What do you do to help ease your pain when it is at it's worst?
Correct Answer(s)
C. Just because you are 73 doesn't mean you should have pain. What activities are involved when you feel this pain?
D. Having a positive attitude about your pain is important. What do you do to help ease your pain when it is at it's worst?Explanation
Pain is not a part of getting older.Rate this question:
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- 45.
Jock is a 67 year old male with dementia. He is none responsive to his environment. His wife says that she is happy that Jock's arthritis pain does not seem to stop him and is glad that at least his dementia keeps him from feeling pain. What could the nurse say to Jock's wife?
- A.
When Jock is at home, it is important to let him do everything he can even if it was something he couldn't do early because of pain.
- B.
Jock still feels pain. His dementia may mask that he is in pain. It's important that his pain still be treated so he doesn't injure himself.
- C.
People with dementia are blessed because they don't feel pain.
Correct Answer
B. Jock still feels pain. His dementia may mask that he is in pain. It's important that his pain still be treated so he doesn't injure himself.Explanation
The nurse could say to Jock's wife that Jock still feels pain, even though his dementia may mask it. It is important to treat his pain so that he doesn't injure himself.Rate this question:
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- 46.
When Mary, a 58 year old woman with Alzheimer's, stands up, she gets very angry and combative. When she is sitting, she is calm, smiles, and loves to talk about her childhood. What could the change in demeanor be caused from?
- A.
There is no way to know what Alzheimer patients may be thinking or feeling.
- B.
Mary may have an ingrown toenail that is hurting her.
- C.
Mary's mental field changes as she stands up.
Correct Answer
B. Mary may have an ingrown toenail that is hurting her.Explanation
A change in mood can be caused by pain. She may not feel the pain of her toenail until she puts weight on it.Rate this question:
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- 47.
Keith had 8/10 pain. He is now resting after his medication. What can we assume now that Keith is asleep? *check all that apply*
- A.
Keith still has pain.
- B.
Keith is in no pain.
- C.
Keith will get full rest and sleep now and will help his pain.
- D.
Keith is asleep but he may not get quality NREM 3/4 sleep.
Correct Answer(s)
A. Keith still has pain.
D. Keith is asleep but he may not get quality NREM 3/4 sleep.Explanation
The correct answer is that Keith still has pain and Keith is asleep but he may not get quality NREM 3/4 sleep. This is because the question states that Keith had 8/10 pain and is now resting after his medication. So, it can be assumed that Keith still has pain. Additionally, it is mentioned that Keith is asleep, but it is not specified whether he will get quality NREM 3/4 sleep, so it is possible that he may not get it.Rate this question:
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- 48.
Karen's father was an alcoholic until he died at age 51. Karen has stayed away from alcohol and drugs because of her father's addiction. He was not abusive, but she knows his addiction added to his early death. What might Karen's fears cause when dealing with pain?
- A.
Karen is less likely to become dependent on the drugs.
- B.
Karen should be monitored for addictive traits on her drugs.
- C.
Karen's fear of addiction could cause he to refuse her meds.
- D.
Karen's fear of dependence will keep her positive and likely to move quickly through her recovery of pain.
Correct Answer
C. Karen's fear of addiction could cause he to refuse her meds.Explanation
Fear of addiction could cause Karen a problem in that she may not take her medications. Educating Karen that dependence is not about pain, but about the need for a substance beyond pain. Her unwillingness to participate in her recovery with the use of pain meds may cause her stress, sleeplessness, and therefore making her recovery time longer.Rate this question:
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- 49.
Todd has been taking a non opioid for pain. His pain is 7/10. He has taken two doses at the prn of 2 tabs q hour of pain. After three hours, what should the nurse do?
- A.
Document hat the non opiod is not making progress on the pain and communicate this to the doctor.
- B.
The nurse only has one hour left and will give the findings to the next nurse during reports.
- C.
The pain is constant, but not getting worse, so no action is needed.
- D.
The nurse suspects that Todd is a drug seeker and takes away his prn med.
Correct Answer
A. Document hat the non opiod is not making progress on the pain and communicate this to the doctor.Explanation
The correct answer is to document that the non-opioid is not making progress on the pain and communicate this to the doctor. This is the appropriate action for the nurse to take in this situation because Todd's pain is not improving despite taking the prescribed non-opioid medication. By documenting this information and communicating it to the doctor, the nurse can ensure that Todd's pain management plan is reassessed and potentially adjusted to provide him with more effective pain relief.Rate this question:
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- 50.
Luke is in 8/10 pain. He is crying and moaning. The nurse is able to talk to Luke and he Oriented x4. What would be a good intervention to do with Luke?
- A.
Tell Luke that his crying is bothering the children in the hall in the hopes that he will calm down.
- B.
Reassure Luke that his pain is important and it is a priority.
- C.
Involve Luke in his own pain management goal.
- D.
Give Luke a placebo to see if his pain is mental or not.
Correct Answer(s)
B. Reassure Luke that his pain is important and it is a priority.
C. Involve Luke in his own pain management goal.Explanation
Placebos are unethical. Reassuring Luke that his pain is important is likely to give him some piece of mind that no one thinks he is making it up. If there are children in the hall that are bothered by Luke's crying, you may want to suggest to the parent to accompany the children to a quieter part of the hospital.Rate this question:
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Current Version
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Mar 22, 2023Quiz Edited by
ProProfs Editorial Team -
Nov 16, 2008Quiz Created by
Rossj
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