N109: Foundations in Nursing Practice

N109: Foundations in Nursing Practice Study Guide 6. The individual’s pain threshold is best described as: a. The point at which a stimulus produces a sensation of pain b. The maximum level of pain that an individual can tolerate c. Variable across time d. All of the above 7. In the normal processing of pain, the process that can lead to an increase or decrease in pain perception is called: a. Modulation 8. The nurse is caring for a patient who rates his pain as a 9 on a scale of 0 to 10. Which statement by the nurse would indicate that the nurse does NOT have a good understanding of how pain affects patients? a. “I don’t want to give you too much pain medicine because there is a high risk for addiction with this medication.” b. “I understand you are having severe pain. I am going to give you astrong opioid for this pain.” c. “With this PCA pump, you control how much pain medication you get and when you get it.” d. “When the medication starts to work, I will give you abackrub to help you relax.” 9. The nurse is assessing the pain of an 80-year-old woman. The patient says she is not having any pain but just feels “tired.” The astute nurse knows that all of the following are true EXCEPT: a. The elderly woman may see pain as an expected part of aging, and may not report symptoms b. The woman may have diminished sensory perception, which prevents her from identifying symptoms as pain c. The woman may be concerned that reporting symptoms of pain may result in the need for supervised care and decreased independence d. None of the above 10. The nurse is caring for a patient who has a morphine drip (narcotic analgesic). Upon entering the room to assess the patient, the nurse calls the patient and gets no response. The nurse notes that the patient’s pulse rate is 66 and respiratory rate is six per minute. The best action in this situation is for the nurse to: a. Quietly leave the room since the patient’s pain is obviously under control b. Increase the rate of the drip since the patient is responding well to the treatment c. Stop the IV drip, contact the physician, and stay with the patient d. Decrease the rate of the drip since the patient is responding well to the treatment e. The answer key is on page 148. Transduction b. Transmission c. Perception d.

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