Pain Management
1)

Which of the following statements do NOT apply to pain management?
 
Pain management is both an art and a science Effective pain management always results in complete alleviation of a patient's pain Pain management can involve a singular approach, or a combination of approaches All types of pain can be addressed with pain management techniques
 
2) Which of the statements does NOT describe acute pain?
 
Comes on quickly Can be severe Is not an indicator of a serious medical condition Diminishes within an expected time period
 
3) Chronic pain can be described as:
 
Pain that persists for long periods of time Is resistant to most medical treatment May have multiple causes All of the above
 
4) Psychogenic pain is:
 
Not debilitating Not real, but imagined Easily treated None of the above
 
5) Which method listed is NOT typically used to assess the severity of an adult's pain?
 
History and physical Numeric scale Laboratory tests Color scale
 
6) Which treatment listed is an example of active physical therapy?
 
TENS Units Stretching exercises Ice/heat treatments Ultrasound
 
7) Which technique listed is NOT an example of a Cognitive Behavioral pain management technique?
 
Therapeutic massage Hypnosis Therapeutic activities Meditation
 
8) Which over-the-counter pain reliever is NOT an NSAID?
 
Motrin Aspirin Tylenol Aleve
 
9) Which of the drug classifications listed is NOT a non-narcotic prescription drug sometimes used to treat pain?
 
Anticonvulsants Antidepressants Muscle relaxants Opioids
 
10)

All of the statements about opioids are true except one. Which statement is untrue?
 
Opioids are usually not addictive when used to manage chronic pain Physical dependence can occur when opioids are used to manage chronic pain Demerol is a good drug to use for the management of chronic pain Long-acting and short-acting opioids may be used in combination to manage chronic pain
 
11) Patients who become addicted to opioids can be effectively treated with:
 
Naltrexone Methadone Buprenorphine All of the above
 
12) Which statement is NOT true of Patient Controlled Analgesia (PCA)
 
Often results in an accidental overdose of pain medication PCA gives the patient the power to control his/her own pain Sometimes delivers a constant flow of pain medication Is safe in the hands of patients as young as seven years of age
 
13) Which statement is a fact of pediatric pain management?
 
Children tolerate pain better than adults Children become easily addicted to narcotics A child's behavior is not a specific indication of their pain level Children will tell you when they are experiencing pain
 
14) Which statement does not describe a barrier to effective pain management in children?
 
A bias on the part of healthcare systems A child's negative attitude about taking medications A fear on the child's part that s/he will have a prolonged hospital stay if they report their pain The failure of a child to feel severe pain
 
15) Which statement is true when discussing non-pharmacological approaches to managing pain in children?
 
Non-pharmacologic interventions should routinely be used to treat pain in children Children are not good candidates for hypnosis because they fear losing control while in a trance state Music, art, literature, and play seldom distract a child from his/her pain Massage is not a useful pain reduction method in chidlren because they are too active to lay still for a massage
 
16)

After the physical problem that causes pain is healed:
 
All problems are solved regarding pain There may be a lingering psychological dimension that needs to be addressed. Any further complaints of pain are clear symptoms of malingering. The patient should stay on pain medication as long as possible to make sure there is no pain.
 
17)

Nociceptive Pain is caused by:
 
Abnormalities in the nerves Abnormalities in the spinal cord Abnormalities in the brain An injury to body tissues (such as a cut, bruise, burn, etc)
 
18)

Neuropathic pain is caused by:
 
Abnormalities in the nerves, spinal cord or brain An injury to body tissues Eating too many sweets Having to take too many CEU courses
 
19)

Biofeedback as a method of pain management primarily involves:
 
Learning cognitive control of bodily functions such as muscle tension and heart rate. Putting patients in a trance-like state to take away their pain Using pain medication to manage pain Heavy exercise
 
20)

Progressive relaxation involves:
 
Tensing and releasing all muscles groups, from tows to the forehead. Positive affirmations Guided imagery All of the Above
 
21)

True or False: Therapeutic activities such as music, art, literature and play may reduce pain related stress.
 
True False
 
22)

Anti-depressants may be helpful to relieve back pain because
 
Back pain is a common symptom of depression Back pain can lead to emotional distress and depression Some anti-depressants may help the patient sleep All of the above
 
23)

Long-term use of Opioids can lead to:
 
Physical dependence Tolerance Addiction All of the above
 
24)

Symptoms of withdrawal from Opoiods include all of the following except:
 
Restlessness Insomnia Enhanced cognitive functioning Vomiting
 
25)

True or False:  Methadone is used to help eliminate withdrawals symptoms and relieve craving from addiction to Opoiods.
 
True False