Question 1

You want to incorporate the biomechanical model to develop interventions for individuals with chronic pain from arthritis. Which of the following interventions is most closely associated with this model?

A) Biofeedback
B) Cognitive restructuring
C) Environmental adaptations
D) Reactivation of interests

C

Accepted Answer

Environmental adaptations are closely associated with the biomechanical model, as they focus on modifying the individual's physical environment to reduce stress on joints and improve function. Biofeedback, cognitive restructuring, and reactivation of interests are more commonly associated with psychosocial models of pain management.

Question 2

Which classification of medications is effective with acute pain but must be used with caution because of the potential for these drugs to lead to addiction?&#10;A) Opioids&#10;B) Anticonvulsants&#10;C) Muscle relaxants&#10;D) Tricyclic antidepressants

Accepted Answer

Opioids are effective for acute pain, but can lead to addiction and must be used with caution. The other medication classifications listed are not typically used for acute pain relief.

Question 3

Which of the following is the most desired outcome of a comprehensive pain assessment for occupational therapy practitioners?&#10;A) Understanding of how pain impacts occupational engagement&#10;B) Understanding of the initial trauma related to the onset of pain&#10;C) Understanding of how medication impacts pain&#10;D) Understanding of the psychological impact of pain

Accepted Answer

Understanding how pain impacts occupational engagement is the most desired outcome of a comprehensive pain assessment for occupational therapy practitioners. This understanding helps practitioners develop interventions and strategies that facilitate occupational engagement despite pain. While understanding the initial trauma related to the onset of pain, how medication impacts pain, and the psychological impact of pain are important, they are not the most desired outcome for occupational therapy practitioners.

Question 4

Acute pain can best be defined as ____________.&#10;A) Pain that has an insidious onset&#10;B) Pain that does not serve a biological purpose&#10;C) Pain that has no apparent tissue damage&#10;D) Pain that is caused by tissue irritation related to an injury or disease

Accepted Answer

Acute pain is defined as pain that is caused by tissue irritation related to an injury or disease. It typically has a sudden onset and serves a protective biological purpose by alerting the body to potential tissue damage or injury.

Question 5

Which standardized evaluation provides information on occupations and participation?&#10;A) Pain diaries&#10;B) McGill Pain Questionnaire&#10;C) Pain rating index&#10;D) Brief Pain Inventory

Accepted Answer

The Brief Pain Inventory provides information on the intensity of pain, its location, and how pain affects the patient's daily functions and activities, thus offering insights into occupations and participation.

Question 6

Holly is a 45-year-old who reports low levels of pain when she is at rest, but this increases to moderate levels when she is doing her instrumental activities of daily living (IADLs). Recently she has had to rely on her husband and children to complete these activities. Therefore, her self-esteem has started to diminish and she's afraid that before long she won't be able to do anything. She values her role as a homemaker and her goal is to manage her pain so she can complete the activities associated with this role. You decide to focus your intervention on refocusing Holly's thinking and incorporating activities such as deep breathing, distraction, and relaxation training that she can use while engaging in her valued role. Which model of practice is most closely associated with your intervention plan?

A) Behavioral Model
B) Biomechanical
C) Model of Human Occupation
D) Relaxation and Refocusing Model

Accepted Answer

The intervention plan focuses on refocusing Holly's thinking and incorporating relaxation techniques, which aligns with the Relaxation and Refocusing Model.

Question 7

The primary approach to pain assessment is _____.&#10;A) The use of self-report measures&#10;B) The use of physiological measures&#10;C) Diagnostic testing&#10;D) The use of psychological measures

Accepted Answer

The use of self-report measures is considered the primary approach to pain assessment, as it directly asks the person experiencing the pain to describe their level and type of pain. While physiological measures and diagnostic testing can provide objective information about pain, they may not accurately reflect the person's subjective experience. Psychological measures can also be useful in assessing factors that may influence pain perception or coping, but they are not the primary approach.

Question 8

According to the biopsychosocial model, which of the following best represents the perception of pain that signals you to take action?&#10;A) Pain&#10;B) Nociception&#10;C) Suffering&#10;D) Pain behavior

Accepted Answer

In the biopsychosocial model, nociception refers to the physiological process of detecting and transmitting pain signals. This is the first step in the pain experience, which triggers the perception of pain and the need to take action. Pain itself (A), suffering (C), and pain behavior (D) are all components of the broader pain experience and are influenced by psychological and social factors in addition to nociceptive input.

Question 9

A company's investment in ergonomic assessments and modifications in all areas of the workplace to avoid repetitive motion and other workplace injuries is a good example of _____________.&#10;A) Prevention&#10;B) Relapse management&#10;C) Pain management&#10;D) Biomechanical intervention

Accepted Answer

The investment in ergonomic assessments and modifications aims at preventing workplace injuries and is an example of prevention.

Question 10

Pain is often comorbid with __________.&#10;A) Mood disorders&#10;B) Obesity&#10;C) Attention deficit-hyperactivity disorder&#10;D) Heart disease

Accepted Answer

Pain is often comorbid with mood disorders such as depression and anxiety. Studies have shown that chronic pain and mood disorders share common pathways in the brain, and individuals with mood disorders may be more sensitive to pain.

Question 11

While completing an assessment with an adult experiencing chronic pain, you ask the client to choose one word from a list of 15 descriptors to identify his pain intensity. There is an associated number with that word that will be used as the pain intensity score. Which assessment does this best represent?

A) Visual analog scale
B) Verbal rating scale
C) FACES Scale
D) McGill Pain Questionnaire

Accepted Answer

The answer of While completing an assessment with an adult...

Question 12

What is the best scale to use for the measurement of pain intensity?&#10;A) Visual analog scale&#10;B) Numerical rating scale&#10;C) Verbal rating scale&#10;D) Pain interference scale

Accepted Answer

The answer of What is the best scale to use...

Question 13

What type of pain scales are recommended for persons who have difficulties with written language?&#10;A) Numerical rating scale&#10;B) Visual analog scale&#10;C) FACES scales&#10;D) Verbal rating scale

Accepted Answer

The answer of What type of pain scales are recommended...

Question 14

What percent decrease in pain represents a change that is meaningful to the individual experiencing pain?&#10;A) 10%&#10;B) 5%&#10;C) 33%&#10;D) 25%

Accepted Answer

The answer of What percent decrease in pain represents a...

Question 15

You are working in a pain clinic and you want to get an understanding of the intensity of pain your 10-year-old client is experiencing. You decide to implement an evaluation that shows pictures of facial expressions depicting various levels of pain intensity. Which evaluation would you choose?

A) Visual analog scale
B) Verbal rating scale
C) FACES scale
D) McGill Pain Questionnaire

Accepted Answer

The answer of You are working in a pain clinic...

Deck 27: Pain