Chapter 07: Care of Patients with Pain -med surg nursing

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1. In order to provide the optimum nursing care, it is important for the nurse to know that the standard of pain and pain control is best determined by which person? a. Physician b. Nurse c. Patie... nt’s family d. Patient ANS: D Only the patient knows when pain occurs and what remedy relieves it. DIF: Cognitive Level: Knowledge REF: 126 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 as: 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 nonpharmacologic stimuli so that the pain is not perceived. DIF: Cognitive Level: Comprehension REF: 124-125 OBJ: 2 (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, the nurse is aware that the young man will most likely: a. be stoic about pain. b. prefer a pill to an injection. c. ignore somatic interventions such as heat and massage. d. confess to pain, but refuse 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. 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. The nurse can best address the patient’s pain during the perception phase of pain with which intervention? a. Administer nonsteroidal anti-inflammatory drugs (NSAIDs) for moderate pain. [Show More]

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