Exam (elaborations)
Chapter 14 Pain, Temperature, Sleep, and Sensory Function
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- Galen College Of Nursing
Chapter 14 Pain, Temperature, Sleep, and Sensory Function
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Chapter 14: Pain, Temperature, Sleep, and Sensory FunctionMULTIPLE CHOICE
1. A patient asks the nurse where nociceptors can be found. How should the nurse respond?
One location in which nociceptors can be found is the:
a. skin.
b. spinal cord.
c. efferent pathways.
d. hypothalamus.
ANS: A
Nociceptors are pain receptors and can be found in the skin. Nociceptors are not located in
the spinal cord. Nociceptors are not located in efferent, but afferent, pathways. Nociceptors
are not located in the hypothalamus but can be found in the meninges.
REF: p. 337, Table 14-1
2. A nurse is discussing an individual’s conditioned or learned approach or avoidance
behavior in response to pain. Which system is the nurse describing?
a. Sensory-discriminative system
b. Affective-motivational system
c. Sensory-motivational system
d. Cognitive-evaluative system
ANS:
B
The affective-motivational system determines an individual’s conditioned avoidance
behaviors and emotional responses to pain. The sensory-discriminative system is mediated by
the somatosensory cortex and is responsible for identifying the presence, character, location,
and intensity of pain. The sensory-motivational system is not a system in the response to pain.
The cognitive-evaluative system overlies the individual’s learned behavior concerning the
experience of pain and can modulate perception of pain.
REF: p. 338
3. A patient scrapes both knees while playing soccer and reports sharp and well-localized pain.
Which of the following should the nurse document to most accurately characterize the pain?
a. Chronic pain
b. Referred pain
c. Somatic pain
d. Visceral pain
ANS: C
Somatic pain is superficial, arising from the skin. It is typically well localized and
described as sharp, dull, aching, or throbbing. Chronic pain has been defined as lasting for
more than
3-6 months. Referred pain is felt in an area removed or distant from its point of origin; the
area of referred pain is supplied by the same spinal segment as the actual site of pain.
Visceral pain is pain in internal organs and lining of body cavities and tends to be poorly
localized, with an aching, gnawing, throbbing, or intermittent cramping quality.
, REF: p. 340
4. A nurse should document on the chart that chronic pain is occurring when the patient
reports the pain has lasted longer than:
a. 1 month.
b. 3-6 months.
c. 1 year.
d. 2-3 years.
ANS: B
Chronic or persistent pain has been defined as lasting for more than 3-6 months.
REF: p. 340
5. Several years after an amputation the patient continues to sporadically feel pain in the
absent hand. What type of pain should the nurse document in the chart?
a. Neuropathic pain
b. Visceral pain
c. Phantom limb pain
d. Chronic pain
ANS: C
The qualities we normally feel from the body, including pain, also can be felt in the absence
of inputs from the body, such as is noted with phantom limb pain. Neuropathic pain is
initiated or caused by a primary lesion or dysfunction in the nervous system. Visceral pain
refers to pain in internal organs and the lining of body cavities. Chronic pain lasts more than
3-6 months and is not associaNte dRw itIh loGss oBf a.lCim bM.
U S N T O
REF: p. 341, Table 14-3
6. When planning care for a child in pain, which principle should the nurse remember? The
pain threshold in children is that of adults.
a. higher than
b. more variable
c. the same as
d. not related to
ANS: B
The pain threshold in children is lower than or the same as that of adults.
REF: p. 338, Table 14-2
7. When the nurse is taking a patient’s temperature, which principle should the nurse remember?
Regulation of body temperature primarily occurs in the:
a. cerebrum.
b. brainstem.
c. hypothalamus.
d. pituitary gland.
ANS: C
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