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Chapter 10: Pain Assessment: The Fifth Vital Sign

Chapter 10: Pain Assessment: The Fifth Vital Sign

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Chapter 10: Pain Assessment: The Fifth Vital Sign
Jarvis: Physical Examination & Health Assessment, 7th Edition
 
MULTIPLE CHOICE
 
     1.   When evaluating a patient’s pain, the nurse knows that an example of acute pain would be:
a.

Arthritic pain.

b.

Fibromyalgia.

c.

Kidney stones.

d.

Low back pain.

 
     2.   Which statement indicates that the nurse understands the pain experienced by an older adult?
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.”

     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)

      4.   A patient states that the pain medication is “not working” and rates his postoperative pain at a 10 on a 1-to-10 scale. Which of these assessment findings indicates an acute pain response to poorly controlled pain?
a.

Confusion

b.

Hyperventilation

c.

Increased blood pressure and pulse

d.

Depression

 
     5.   A 60-year-old woman has developed reflexive sympathetic dystrophy after arthroscopic repair of her shoulder. A key feature of this condition is that the:
a.

Affected extremity will eventually regain its function.

b.

Pain is felt at one site but originates from another location.

c.

Patient’s pain will be associated with nausea, pallor, and diaphoresis.

d.

Slightest touch, such as a sleeve brushing against her arm, causes severe and intense pain.


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