med surg nursing Chapter 07: Care of Patients with Pain

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. Patient’s family d. Patient 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. 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. 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 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. 5. The patient is experiencing phantom pain following the amputation of her foot. Which type of pain is most associated with phantom pain? a. Nociceptive b. Mild c. Uncontrollable d. Neuropathic 6. The nurse explains that the pain threshold and pain tolerance are different in that the pain threshold is the point at which: a. pain is perceived. b. the person responds to pain. c. pharmacologic intervention is required. d. signs such as grimacing or groaning are observed. 7. The patient who had abdominal surgery this morning refuses the opioid pain medication for fear of addiction. The most informative response by the nurse is: