CHPNA Pain and Symptom Management

Question 1

Which pain scale uses faces to rate pain level and is commonly used with cognitively impaired patients?

Accepted Answer

Wong-Baker FACES Pain Scale

Answer

The Wong-Baker FACES Pain Scale uses facial expressions to help patients who cannot verbally rate their pain, making it useful for cognitively impaired or pediatric patients.

Question 2

What does 'breakthrough pain' mean in palliative care?

Accepted Answer

A sudden flare of pain occurring despite baseline pain control

Answer

Breakthrough pain is a transient, sudden flare of intense pain that occurs despite a patient being on a scheduled pain medication regimen.

Question 3

When should the nursing assistant report a change in a patient's pain level?

Accepted Answer

Immediately when a significant change is observed

Answer

Any significant change in a patient's pain level should be reported to the supervising nurse immediately so appropriate interventions can be made.

Question 4

Which non-pharmacological comfort measure may help relieve pain in hospice patients?

Accepted Answer

Repositioning and gentle massage

Answer

Non-pharmacological measures such as repositioning, gentle massage, heat/cold application, and relaxation techniques can help complement pain medication.

Question 5

Which of the following is a common sign of uncontrolled pain in a non-verbal patient?

Accepted Answer

Facial grimacing, moaning, or restlessness

Answer

Non-verbal signs of pain include facial grimacing, furrowing of brows, moaning, guarding, and increased restlessness or agitation.

CHPNA - Certified Hospice and Palliative Nursing Assistant Practice Test

CHPNA - Certified Hospice and Palliative Nursing Assistant Practice Test

CHPNA Pain and Symptom Management