Deck 25: Pain Management and Alternative Health Modalities

Question 1

It is not uncommon to encounter older adults who are reluctant to use pain medication for fear of addiction.

Answer 1

True

Question 2

Although there are no active ingredients in a homeopathic solution, it helps the body to begin to heal itself by using its own defense mechanisms.

Answer 2

True

Question 3

Safety of Chinese herbal medicines is a concern because they are not tested for safety as they are considered supplements.

Answer 3

True

Question 4

Neurotransmitters are released from nociceptor endings in the brain and trigger signals to the dorsal horn neurons during what process of the pain pathway?

A) Transduction
B) Transmission
C) Perception
D) Modulation

Question 5

What pain measurement instrument assesses major symptoms of both neuropathic and non-neuropathic pain?

A) Behavioral Pain Scale (BPS)
B) Critical-Care Pain Observation Tool (CPOT)
C) McGill Pain Questionnaire (MPQ)
D) Checklist for Nonverbal Pain Indicator (CNPI)

Question 6

What medical condition is often associated with chronic pain?

A) Anxiety
B) Depression
C) Delirium
D) Dementia

Question 7

Although it can be used as a method of self-defense, which of the following is practiced by many to combine gentle exercise, meditation, and deep breathing?

A) Tai chi
B) Qigong
C) Yoga
D) Ayurveda

Question 8

Which of the following whole diet therapies has been suggested to possibly decrease body inflammation and, therefore, decrease pain?

A) The Atkins Diet
B) The Pritikin Diet
C) The Ornish Diet
D) The Mediterranean Diet

Question 9

What type of pain increases above the level of pain addressed by the prescribed analgesic and includes end-of-dose failure and incident pain?

A) Somatic pain
B) Visceral pain
C) Breakthrough pain
D) Neuropathic pain

Question 10

What strong opioid has a long half-life and is useful for relieving neuropathic pain?

A) Fentanyl
B) Oxycodone
C) Methadone
D) Hydromorphone

Question 11

Some elderly persons will not accurately report pain because they do not want to be perceived as complainers.

Question 12

Because pain is a subjective experience, self-report is the most reliable and accurate information.

Question 13

Aging causes decreased pain perception, sensitivity, and tolerance.

Question 14

The pathway of nociceptive pain is characterized by the movement of the action potentials from the site of noxious stimulus to the dorsal horn at the base of the brain by way of dorsal root ganglion?

A) Transduction
B) Transmission
C) Perception
D) Modulation

Question 15

What type of pain is felt as painful in response to a nonpainful stimulus and accompanied by normal appearing tissue, such as an older adult feeling discomfort with bed sheets resting on the legs or feet?

A) Allodynia
B) Incident pain
C) Somatic pain
D) Breakthrough pain

Question 16

What type of pain medications have a ceiling effect in which increasing the dose beyond a certain point does not increase the analgesic effect, but only increases risk?

A) Acetaminophen
B) Nonsteroidal anti-inflammatory drugs (NSAIDs)
C) Weak opioids
D) Adjuvant drugs

Question 17

Which of the following adjuvant medications should be used with caution in older men with benign prostatic hyperplasia or increased intraocular pressure?

A) Venlafaxine
B) Carbamazepine
C) Gabapentin
D) Pregabalin

Question 18

What whole medical system functions on the belief that if the body is supported and the barriers to cure are removed, the body will heal itself?

A) Homeopathy
B) Naturopathic medicine
C) Ayurveda
D) Traditional Chinese medicine

Question 19

What whole medical system emphasizes "curing illnesses that have not yet happened rather than curing illness"?

A) Homeopathy
B) Naturopathic medicine
C) Ayurveda
D) Traditional Chinese medicine

Question 20

What traditional Chinese medical treatment became newsworthy during the 2016 Summer Olympics when several swimmers displayed bluish circular hematomas over their upper shoulder area?

A) Cupping
B) Acupuncture
C) Moxibustion
D) Qigong