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Chapter 3 Quiz Pain and Its Management

Total questions: 30

Worksheet time: 15mins

Name
Class
Date
1.

What is the meaning of adjuvant analgesics?

a)

They are morphinelike drugs.

b)

They are pain medications given by injection only.

c)

They are salicylates with a pain-relieving substance.

d)

They are medications not primarily used for pain control.

2.

What kind of pain is a helpful warning that something is wrong in the body?

a)

Nociceptive

b)

Chronic

c)

Acute

d)

Breakthrough

3.

How is chronic pain identified?

a)

It causes an increase in blood pressure and heart rate.

b)

It starts as acute pain but continues beyond the normal expected time for resolution.

c)

It disappears once the underlying cause is treated.

d)

It is rather easy to manage and control.

4.

An individual with chronic pain that has not responded to traditional pain control therapies but who is willing to participate in research might seek what kind of clinic?

a)

Multidisciplinary pain clinic

b)

Outpatient pain clinic

c)

Inpatient pain clinic

d)

Multidisciplinary pain center

5.

In complementary pain therapy, what does TENS refer to?

a)

Transverse element for nerve stimulation

b)

Transfer of electricity for nerve stimulation

c)

Transmission of electrodes nerve stimulation

d)

Transcutaneous electrical nerve stimulation

6.

According to the Agency for Healthcare Research and Quality (AHRQ), what are the three major barriers to effective pain management?

a)

Client, family, and health-care professional

b)

Client, health-care professional, and pain medications

c)

Client, health-care professional, and medical insurance coverage

d)

Client, health-care professional, and health-care system

7.

What do some primary care providers (PCPs) consider the fifth vital sign?

a)

Cardiac monitoring

b)

Pain assessment

c)

Substance abuse and medication assessment

d)

Client and family history

8.

What is a PCA?

a)

It is a device that allows clients to self-administer pain medication.

b)

It is easy for any client to use.

c)

It is a device ordered by a provider to give clients control over their medication amounts.

d)

It is the abbreviation for a patient-controlled device.

9.

Which of the following statements best describes the placebo effect?

a)

A placebo has a specific physical or chemical property for pain.

b)

Fifty percent or more of clients who use a placebo report good pain relief.

c)

A placebo is effective in the treatment of cancer pain.

d)

The client believes the placebo to be effective in pain management.

10.

If surgery to reduce pain includes the division of lateral nerve pathways coming from the spinal cord, what is the procedure called?

a)

Neuotomy

b)

Cordotomy

c)

Neurectomy

d)

Spondylectomy

11.

What may be the most effective therapy for postoperative pain, neck and myofascial pain, muscle tension, and migraines?

a)

Acupuncture

b)

Reiki

c)

TENS

d)

Hypnosis

12.

Why might Melissa refuse to take an opioid for her migraine headaches?

a)

Opioids are rarely prescribed for migraines.

b)

Both Melissa and her spouse are fearful of addiction.

c)

Melissa’s PCP believes her pain is not severe enough for an opioid.

d)

A friend told her that an epidural steroid injection would work better.

13.

What is the pain that comes from a lesion in the brain or spinal cord?

a)

Acute pain

b)

Nociceptive pain

c)

Peripheral neuropathic pain

d)

Neural pain

14.

Dr. Palermo wants to determine the pain level for 5-year-old Mason, who is complaining of pain in his legs. How might she do this?

a)

Call Mason’s parent to ask for a pain number.

b)

Have Mason run down the hall so she can check for a limp.

c)

Use a faces pain scale appropriate for a young child.

d)

Ask Mason to rate his pain on a 0 to 10 numerical scale.

15.

A PCP might ask clients to journal all their pain medications for what reason?

a)

To determine how often medications are used

b)

To remind clients that taking too much acetaminophen and NSAIDs can cause ulcers

c)

To determine when it is best to try a steroid injection

d)

To remind clients when it is safe to increase the dose

16.

Which of the following complementary therapies are often paired?

a)

Biofeedback and therapeutic touch

b)

Reiki and acupuncture

c)

Hypnosis and aromatherapy

d)

Relaxation and imagery/visualization

17.

What is known about hypnosis and pain relief?

a)

Heightened state of awareness reduces the pain

b)

Has proved useful in clients with burns

c)

Useful in managing malignant pain

d)

Creates pain relief lasting 4 to 6 days

18.

What is the pain therapy that distracts, reduces tension, and increases endorphins and enkephalins?

a)

Laughter and play

b)

Music therapy

c)

Therapeutic touch

d)

Massage

19.

In the PAIN mnemonic used for assessment, what does the letter I represent?

a)

Interactions that worsen the pain

b)

Immediate onset after an injury

c)

Intensity rated on a numeric scale

d)

Irradiation to adjacent body areas

20.

Which mechanism helps explain acupuncture’s analgesic effects?

a)

Stimulates endorphins and enkephalins release

b)

Reverses every neurotransmitter imbalance

c)

Blocks all nociceptor activation permanently

d)

Eliminates inflammation within minutes

21.

A patient with exertional chest aching, heaviness, and fullness most likely has which condition?

a)

Costochondritis from chest wall strain

b)

Panic attack with hyperventilation

c)

Gastroesophageal reflux with esophageal spasm

d)

Stable angina due to myocardial ischemia

22.

Cancer that has metastasized to bone causing persistent discomfort is best classified as which type of pain?

a)

Psychogenic pain without organic basis

b)

Neuropathic pain from peripheral neuritis

c)

Malignant pain requiring comfort-focused care

d)

Breakthrough pain after prior remission

23.

Which term refers to pain felt from an amputated body part?

a)

Phantom limb pain

b)

Psychogenic pain

c)

Breakthrough pain

d)

Neuropathic pain

24.

Which option describes a neuron substance that moves across a synapse to another neuron?

a)

Opioid receptor

b)

Neurotransmitter

c)

Prostaglandin

d)

Endorphin

25.

Which term is defined as the recurrence of chronic pain that previously responded to pain management?

a)

Psychogenic pain

b)

Breakthrough pain

c)

Acute incident pain

d)

Phantom limb pain

26.

Which procedure involves the dissection of a nerve?

a)

Neurotomy

b)

Neurectomy

c)

Laminectomy

d)

Rhizotomy

27.

Which delivery method is placed under the skin to deliver pain medications?

a)

Transdermal patch pump

b)

Subcutaneous nerve port

c)

Intrathecal drug delivery

d)

Epidural catheter system

28.

Which option describes pain experienced by individuals with psychological disorders, without a clear physical cause?

a)

Somatic nociceptive pain

b)

Referred visceral pain

c)

Psychogenic pain

d)

Neuropathic pain

29.

Which class of drugs separates individuals from feeling pain primarily by altering perception?

a)

Opioids

b)

Steroids

c)

NSAIDs

d)

Anesthetics

30.

Which is the most common complaint of those seeking medical attention?

a)

Fever

b)

Pain

c)

Fatigue

d)

Cough