Pain Assessment, Control and Management 1 Post Test
1. Which quality indicator is important to consider during pain assessment and control?
A. Giving pain medication orally.
B. Giving pain medication every time the patient is in pain to maintain pain under control.
C. Assessing pain intensity using a descriptive rating scale.
D. Using non-drug technique regularly vs analgesics.
2. An example of a multimodal approach is:
A. Giving Oxicodone and Morphine
B. Giving Morphine and codeine
C. Giving Naproxen and Ibuprofen
D. Giving Naproxen and Oxicodone
3. All of the following are not part of The American Pain Society Guidelines except:
A. Monitor outcome of pain management intervention used,
B. Avoid involving the family in pain management plan.
C. Plan your interventions when you recognize pain.
D. Adjust the pain dose as needed.
4. When the nurse is conducting the admission interview should:
A. Request people accompanying the patient to step outside the room.
B. Explore typical coping mechanism used by the patient for psychiatric disorders.
C. Collect another set of vital signs.
D. Introduce patient to other patients.
5. The 5-minutes interview includes all of the following except:
A. Listening to the patient’s concerns.
B. Communicating the desire to help the patient.
C. Telling the patient the strategies that he or she should use.
D. A and B
6. Assessing pain on admission is called:
A. Baseline
B. The 5th Vital Sign
C. Ongoing pain assessment
D. Pain control
7. Choose the best answer. The ANA Position on Pain Management and Control states that:
A. The nurses are responsible for patients experiencing pain.
B. The nurses have an ethical responsibility to cause suffering to patients experiencing pain.
C. The nurses have an ethical obligation to provide respectful and individualized care to patients experiencing pain.
D. The nurses have an obligation to monitor the pain.
8. When a nurse is unable to provide adequate pain relief, it causes:
A. Moral Trauma
B. Moral distress
C. Moral disengagement
D. Moral anxiety
9. True or False. Healthcare professionals are people of science. They follow thoughts based on fact. Because prejudices and biases are preconceived and are not based on reason or fact, healthcare professionals do not experience them.
A. True
B. False
10. True or False. Culture and religion play an important role in the way patients report and respond to pain, becoming a barrier.
A. True
B. False
11. The nurse notices a male patient grimacing as he moves slowly from the wheelchair to the bed. The patient tells the nurse that he is not experiencing any pain. The nurse's response is to:
A. Confront the patient's denial of pain.
B. Obtain an order for pain medication.
C. Clarify the patient's report by reviewing the patient's nonverbal behavior.
D. Support the patient's stoic behavior.
12. A patient reports pain in the foot that moves up along the calf. The patient states that the “right foot feels numb and like it is on fire” since the day before. The patient has no prior history of injury or falls. Which components of pain assessment has the patient reported?
A. Aggravating and alleviating factors.
B. Exacerbation, with associated signs and symptoms.
C. Intensity, and characteristics.
D. Location, quality, and onset.
13. The following are not factors that should be considered when conducting pain assessment and pain history except:
A. Family medical history
B. Diet
C. History of depression
D. Number of children
14. During admission, the pain assessment procedure includes all the following except:
A. The nurse provides education to the patient and family related to pain management.
B. The nurse sets a pain relief goal.
C. The nurse completes a thorough pain assessment on the patient.
D. The nurse reviews pain relief medications.
15. Which of the following are key components when the nurse assesses pain in a patient with chronic pain?
A. Pain history, aggravating and alleviating factors.
B. Pain description, pattern, and location
C. Non-pharmacological pain intervention techniques used.
D. All of the above
16. Which statement indicates the patient is developing tolerance to pain medication:
A. The patient requests the medication ahead of time.
B. Compared to last week, larger doses of medication are needed to control pain.
C. Stimulants are needed to counteract the sedating effects of the medication.
D. The patient requests a specific medication.
17. True or False. Elderly patients are at a greater risk for painful conditions because pain is a normal change of aging.
A. True
B. False
18. The interaction of personal and social influences that reinforce the nurses’ separation of their moral values and obligations from actions consistent with those values and obligations is called:
A. Moral disengagement
B. Moral distress
C. Immoral practice
D. Immoral intervention
19. True or False. If we keep older adults and disabled people on scheduled painkillers, they are more likely to get addicted.
A. True
B. False
20. The main responsibilities of the admitting nurse in relation to pain management are to:
A. Assess the level of function, order ROM exercises, and monitor functional progress.
B. Provide a psychosocial evaluation and teach problem-solving techniques.
C. Develop pain management strategies to apply in the workplace and facilitate the return to work.
D. Review the medical history; review medications prescribed; and provide education for the patient and family.
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