Physical Examination and Health Assessment 8th Edition 0323510809
Chapter 11: Pain Assessment Jarvis: Physical Examination and Health Assessment, 8th Edition MULTIPLE CHOICE 1. The nurse is evaluating a patient’s pain. Which is an example of acute pain? a. Fibromyalgia b. Arthritic pain c. Kidney stones d. Lower back pain ANS: C
Acute pain is short term and self-limiting, often follows a predictable trajectory, and dissipates after an injury heals, such as with surgery, trauma, and kidney stones. The other conditions are examples of chronic pain in which the pain continues for 6 months or longer and does not stop when the injury heals. Fibromyalgia, arthritic pain, and lower back pain are examples of nonmalignant chronic pain (pain that continues for 6 months or longer and does not stop when the injury heals), not acute pain. DIF: Cognitive Level: Understanding (Comprehension) MSC: Client Needs: Physiological Integrity: Basic Care and Comfort 2. The nurse is teaching a class on pain at a local retirement community. Which statement about
the pain experienced by older adults should the nurse include in the instructions? a. “Older adults must learn to tolerate pain.” b. “Pain is a normal process of aging and is to be expected.” c. “Pain indicates a pathologic condition or an injury and is not a normal process of aging.” d. “Older individuals perceive pain to a lesser degree than do younger individuals.” ANS: C
Pain indicates a pathologic condition or an injury and should never be considered something that an older adult should expect or tolerate. Pain is not a normal process of aging, and no evidence suggests that pain perception is reduced with aging. Older adults should not be expected to learn to tolerate pain as pain is not a normal process of aging, and no evidence suggests that pain perception is reduced with aging. Instead, pain indicates a pathologic condition or an injury. DIF: Cognitive Level: Applying (Application) MSC: Client Needs: Physiological Integrity: Basic Care and Comfort 3. A 4-year-old boy is brought to the emergency department by his mother. She says he points to
his stomach and says, “It hurts so bad.” Which pain assessment tool would be the best choice when assessing this child’s pain? a. Descriptor scale b. Numeric rating scale c. Brief pain inventory d. Faces Pain Scale—Revised (FPS-R) ANS: D
Chapter 11 - Pain Assessment
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