Pain Test - Medical Update

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PAIN - PreTest

1. Pain is _____

A. A normal part of aging
B. Easy to diagnose using objective biological markers
C. An abstract concept

2. The first step to pain management is _____.

A. Give an opioid
B. Assess the patient
C. Convince the patient to go to sleep.

3. One of the signs or symptoms of pain is NOT:

A. Unexplained changes in behavior
B. Poor appetite
C. Constantly eating and drinking

4. When a patient is in pain, the staff might expect:

A. Fighting the caregivers when they try to change the patient's position
B. Restlessness. Digging heels and elbows into the mattress
C. Both A and B

5. The easiest way to measure pain is:

A. Patient self report using the pain scale
B. Increase in the blood pressure
C. Placing your hand on the painful body part

6. Chronic pain:

A. Has a sudden onset
B. Cannot be controlled
C. Persists and grows worse over time

7. Clinicians tend to _____ pain intensity.

A. Over-estimate
B. Underestimate
C. Ignore

8. Terminally ill patients usually require:

A. More pain control
B. Less pain control
C. No pain management

9. A rule of thumb for pharmacological interventions in the elderly is:

A. Complicated drug regimens are best
B. Start low and go slow
C. Intravenous therapy should be used first to control pain

10. The least invasive type of administration of pain medication is:

A. Oral
B. Subcutaneous injections
C. Intramuscular injections

11. Breakthrough pain is:

A. Pain occurring between medication doses
B. Due to giving medications too infrequently
C. Both A and B

12. Surveyors will usually review _____ for pain management.

A. All patients complaining of pain during the initial survey walk-through
B. All patients identified by the staff
C. None of the above

13. In the elderly, opioids almost always cause:

A. Falls
B. Urinary retention and constipation
C. Confusion and disorientation

14. PCA stands for:

A. Patient Controlled Analgesic
B. Patient Caring Attitude
C. Patient Creating Anxiety

15. Transcutaneous administration of medications is contraindicated in:

A. Patients with an excess of body fat
B. Patients requiring long term pain management
C. Patients with no fatty tissue

16. Elderly patients are prone to:

A. Be stoic and non-complaining
B. Seek alternative sources of pain relief
C. Be undertreated for pain

17. An example of a non-drug treatment would be:

A. Back massage
B. Regular doses of Tylenol
C. Rock music

19. An avoidable lack of improvement or decline might be:

A. A cancer patient in pain
B. A new surgical site requiring frequent dressings
C. A patient experiencing pain with no assessment or intervention

18. Pain management requires:

A. Diligence on the part of the entire health care team
B. Vigilance and perseverance
C. Both A and B

20. A deficiency is usually cited if:

A. A patient is complaining of pain and nothing has been done
B. There is no documentation of any patient interventions for a pain complaint
C. Both A and B

PAIN - PostTest