Chapter 11: Pain Assessment and Management

1. Organic/somatogenic is the term used to describe ______.

  1. pain that has a physical cause
  2. pain that is imagined
  3. pain that results from previous, but healed, damage

Answer: A

2. Chronic pain is pain that has lasted ______.

  1. less than 6 months
  2. longer than 3 months
  3. longer than 6 months

Answer: C

3. Pain is classified by ______.

  1. physiology, the cause and intensity
  2. duration of the pain experienced and the type of tissue affected
  3. all of these

Answer: C

4. The assessment of pain should include ______.

  1. quality of the pain, the impact it is having and what they feel about their pain
  2. the site of the pain, when it starts and the severity
  3. aggravating or alleviating factors and what they have done in the past to relieve pain
  4. all of these

Answer: D

5. A pain assessment should be completed using a validated pain assessment tool ______.

  1. when the patient is first seen on the ward, at a community visit or in the outpatient department
  2. only when the patient complains of pain
  3. at every opportunity, i.e. when the vital signs are recorded, especially when the patient complains of pain and 20 minutes after the administration of any analgesic medication

Answer: C

6. The principal component of a pain assessment is the ______.

  1. medication chart
  2. diagnosed condition(s)
  3. patient and their feelings/expectations

Answer: C

7. The nurse should ignore non-verbal signs of pain.

  1. True
  2. False

Answer: B

8. A pain assessment should be accompanied by ______.

  1. the assessment of vital signs
  2. the consideration of medication already given
  3. the patient’s current and previous experience
  4. all of these

Answer: D

9. For those who are cognitively impaired, a pain assessment should include ______.

  1. the parent/carer’s knowledge of the patient
  2. an assessment tool appropriate for the individual
  3. calmness to ensure that the patient has the opportunity to express their feelings
  4. all of these

Answer: D

10. Pain cannot be influenced by culture and previous experience.

  1. True
  2. False

Answer: B

11. The nurse’s attitude can impact on pain management.

  1. True
  2. False

Answer: A

12. Effective management of pain includes ______.

  1. medication and management of side effects
  2. non-medical interventions
  3. timeliness of medication administration
  4. all of these

Answer: D

13. The analgesic effect of medication should be reviewed ______.

  1. immediately after the medication is given
  2. when the patient complains of pain
  3. Approximately 20 minutes after administration

Answer: C

14. Ineffective pain management can cause ______.

  1. physical damage i.e. myocardial infarction
  2. impaired wound healing
  3. psychological distress, i.e. depression
  4. all of these

Answer: D