Chapter 07: Care of Patients with Pain deWit: Medical-Surgical Nursing: Concepts & Practice, 3rd Edition

MULTIPLE CHOICE 1. In order to provide the optimum nursing care, it is important for the nurse to know that the standard of pain and paincontrol is best determined by which person? a. Physician b. Nurse c. Patient’s family d. Patient ANS: D Only the patient knows when pain occurs and what remedy relieves it. PTS:1 DIF: Cognitive Level: Knowledge REF: 127 OBJ:1 (theory) TOP: Pain Theory KEY: Nursing Process Step: Implementation MSC: NCLEX: Physiological Integrity: Basic Care and Comfort 2. The nurse clarifies the basics of the gate theory of pain control. Which information should the nurse include? a. Pain is perceived as opening a “gate” to pain symptoms. b. The “gate” can be closed to pain by the use of nonpainful stimuli. c. The “gate” swings back and forth, first allowing pain, then blocking it. d. The patient can be trained to close the “gate” to pain. ANS: B The sensorineural “gate” can be closed by applying a number of non-pharmacologic stimuli so that the pain is not perceived. PTS:1 DIF: Cognitive Level: Comprehension REF:124 OBJ:1 (theory) TOP: Gate Theory KEY: Nursing Process Step: Implementation MSC: NCLEX: Physiological Integrity: Basic Care and Comfort 3. When giving care to a 30-year-old Hispanic male, which action can most likely be attributed to the patient’s culturalbeliefs about pain? a. The patient maintains a stoic affect about pain. b. The patient prefers a pill to an injection. c. The patient ignores somatic interventions such as heat and massage. d. The patient confesses to pain but refuses pain medication. ANS: A Hispanic males are frequently stoic regarding pain. They prefer injections to pills but may elect to use prayer, heat, or herbal remedies for pain relief. PTS:1 DIF: Cognitive Level: Application REF:131, Cultural Considerations OBJ:4 (theory) TOP: Cultural Considerations KEY: Nursing Process Step: Planning MSC: NCLEX: Physiological Integrity: Basic Care and Comfort 4. The nurse is caring for a patient who is having constant nociceptor pain. Which intervention best addresses the patient’s pain during the perception phase of pain? a. Administer nonsteroidal anti-inflammatory drugs (NSAIDs) for moderate pain. b. Ask the physician if an opioid could be ordered to treat the patient’s pain when severe. c. Engage the patient in conversation regarding his family, hobbies, and plans following discharge from the facility. d. Determine if the patient typically takes a neurotransmitter uptake blocker medication for pain control.