Deck 27: Chronic Pain

Question 1

Mr. K, a 50-year-old meter reader for a water and power company, fell and injured his lower back. After 5 days of bed rest, which had been prescribed by his physician, the pain did not diminish. His physician prescribed transcutaneous electrical nerve stimulation. This type of treatment involves:

A) reducing stress and promoting relaxation, thus reducing pain
B) placing electrodes on the skin over localized muscles and attaching them to a machine which measures electrical activity of the muscles and conveys this information to the individual through tones or lights
C) placing electrodes of a small battery-operated device over the painful area to stimulate the nerve fibers electrically
D) application of splints or braces so that pressure is applied to muscle groups, thereby reducing pain

Answer 1

C

Question 2

Mr. H has a history of chronic low back pain from a work related injury. His most recent flare up has caused increased pain, and his physician is concerned that he may no longer be able to work as a truck driver due to long periods of sitting. When counseling Mr. H about potential job retraining opportunities, what issues should be addressed?

A) Functional ability and/or lifting restrictions
B) Medications needed to control pain and discomfort
C) Environmental issues
D) All of the above

Answer 2

D

Question 3

What is the recognition or awareness of the sensation of pain?

A) Pain tolerance
B) Pain perception
C) Pain intensity
D) Pain expression

Answer 3

B

Question 4

_______________ is using instruction or descriptive narrative from a trained professional to help individuals direct their thoughts to a relaxed, focused state. It is used to promote relaxation, manage pain, and to promote healing.

A) Guided imagery
B) Meditation
C) Cognitive-behavioral therapy
D) Biofeedback

Question 5

What is the observation of pain severity, such as grimacing, moaning, etc. based on the individual's response to pain?

A) Pain tolerance
B) Pain perception
C) Pain intensity
D) Pain expression

Question 6

Pain is influenced by many factors. What is not one of these factors?

A) Cultural background and beliefs
B) Previous pain experience
C) Age
D) Individual's physical and psychological state

Question 7

Neuropathic pain is

A) the result of irritation or injury to tissue in the central or peripheral nervous system, such as pain associate with phantom limb pain.
B) irritation to musculoskeletal tissue or organ tissue resulting in stimulation of sensitive nerve fibers.
C) a combination of irritation to tissues in the nervous and musculoskeletal system.
D) the product of the physical, psychological, spiritual, cultural, and social experience of each individual.

Question 8

The following includes the three types of chronic pain except:

A) pain that persists beyond the regular healing time
B) pain related to a chronic, degenerative, or malignant condition.
C) pain that persists for months or years but has no readily identifiable organic cause
D) pain that is severe in intensity for a short period of time.

Question 9

What is not a medication used as part of pain management?

A) Stimulants
B) Analgesics
C) Corticosteroids
D) Antidepressants

Question 10

What is a type of noninvasive intervention used to treat pain?

A) Acupuncture
B) Operant conditioning
C) Nerve blocks
D) Antidepressants

Question 11

Discuss what acute pain is.

Question 12

Explain the differences between pain perception, pain threshold, pain tolerance, pain intensity, and pain expression.

Question 13

What is chronic pain?

Question 14

Explain the differences between nociceptive, neuropathic, and what mixed category means.

Question 15

Functional implications

Question 16

What types of medications are given to manage chronic pain?

Question 17

Explain the factors that impact how an individual reacts to pain.

Question 18

What do nerve blocks do?

Question 19

Explain how relaxation therapy, meditation, and hypnosis differ.

Question 20

What purpose do pain groups serve?