Nursing Chapter 8 Providing Important Service The Community Working With

subject Type Homework Help
subject Pages 4
subject Words 578
subject Authors Lynne M. Dunphy PhD APRN FNP-BC FAAN FAANP

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Chapter 78. Palliative Care and Pain Management
MULTIPLE CHOICE
1. Which of the following statements is TRUE regarding pain?
A.
If a patient complains of pain but has no physical signs, he or she is most likely
exhibiting drug-seeking behaviors.
B.
Acute pain is more intense and severe than chronic pain.
C.
Pain is a subjective experience related to actual or potential tissue damage.
D.
Nociceptive pain represents a normal response to injury of tissue.
2. Which of the following would be a cause of neuropathic pain?
A.
Bone metastases
B.
Poststroke pain
C.
Musculoskeletal inflammation
D.
Postsurgical incisional pain
3. Which drug is considered the MOST effective medication for pain in terminally ill patients?
A.
Codeine
B.
Hydrocodone
C.
Morphine
D.
Hydromorphone
4. Unlike palliative care, hospice provides:
A.
Emotional support
B.
Care to patients at end of life only
C.
Spiritual services
D.
Relies on combined knowledge and skill
5. An 8-year-old patient is admitted to the hospital due to Reye’s syndrome. Which medication
was most likely the cause?
A.
Tylenol
B.
Motrin
C.
Aspirin
D.
Advil
6. A patient is 11 years old and recently had her tonsils removed. Which of the following
medications is safe to give to this patient?
A.
Ultram
B.
Ultracet
C.
Codeine
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D.
Tylenol
7. Which of the following best describes the onset of action for a fentanyl patch after
application?
A.
12 to 16 hours
B.
1 to 2 hours
C.
17 to 19 hours
D.
4 to 6 hours
8. How often should clinicians reassess a patient that is on chronic opioids?
A.
2 weeks
B.
1 week
C.
4 weeks
D.
3 weeks
9. Which antiepileptic medication is an effective treatment for nerve pain?
A.
Amitriptyline
B.
Codeine
C.
Methadone
D.
Gabapentin
10. Which type of pain arises from muscle joints and cutaneous tissue?
A.
Somatic pain
B.
Neuropathic pain
C.
Visceral pain
D.
Nociceptive pain
11. Which best describes a challenge with creating palliative care provision in community health
centers and primary care?
A.
Providing an important service to the community
B.
Working with long-term patients with known history
C.
Help with responsibilities in a primary-care setting
D.
Not enough time to work with patients and families on goals of care and advanced
directives
12. Which of the following is the best description of dyspnea?
A.
An oxygen saturation of less than 90%
B.
Respiratory rate greater than 24
C.
A psychological state resulting in the feeling of air hunger
D.
A subjective feeling of breathlessness
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13. For acute pain, how many days are considered sufficient for treatment with opioids?
A.
3
B.
5
C.
4
D.
9
14. Scopolamine patch is one drug of choice to manage which of the following conditions that can
contribute to dyspnea?
A.
Copious secretions
B.
Cough
C.
Anxiety
D.
Effusion
15. Which option best defines delirium?
A.
Sudden onset
B.
Impaired attention
C.
Affective changes
D.
Delusions
16. Which of the following classes of drugs should be used as first-line therapy for treatment of
delirium?
A.
Benzodiazepines
B.
Antipsychotics
C.
Anticonvulsants
D.
Antidepressants
17. Which of the following is a role of the palliative-care team?
A.
Detecting cancer in asymptomatic patients
B.
Coordinating care provided by all health-care providers
C.
Identifying the patient’s quality of life
D.
Providing goal options to family and patients
18. Which of the following is an example of how to assess pain?
A.
Description of the pain
B.
Timing of the pain
C.
When the pain stopped
D.
What improved the pain
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19. According to the American Pain Society, an example of the first-line therapy for mild pain
includes which of the following?
A.
Tylenol
B.
Hydrocodone
C.
An opioid
D.
Muscle relaxant
20. You are providing end-of-life care to an elderly patient with a history of heart failure. The
patient complains of dyspnea. What is often the first line treatment for this condition?
A.
Oxygen
B.
Benzodiazepines
C.
Opioids
D.
Nonpharmacological solution

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