CRRN Pain Management in Rehabilitation Nursing

Question 1

Which pain assessment tool is most appropriate for evaluating pain in a non-verbal adult patient with cognitive impairment in a rehabilitation setting?

Accepted Answer

PAINAD Scale

Answer

Numeric Rating Scale (NRS)

Answer

Visual Analog Scale (VAS)

Answer

Wong-Baker FACES Scale

Question 2

In the PQRST pain assessment mnemonic used in rehabilitation nursing, what does the letter 'P' represent?

Accepted Answer

Precipitating and palliating factors

Answer

Pain level on a numeric scale

Answer

Position of the patient during pain

Answer

Pharmacological history of the patient

Question 3

A rehabilitation patient describes pain as 'burning, shooting, and electric shock-like' that radiates along the arm following a nerve distribution. This pain is best classified as:

Accepted Answer

Neuropathic pain

Answer

Somatic pain

Answer

Visceral pain

Answer

Inflammatory pain

Question 4

A rehabilitation patient with a T6 spinal cord injury suddenly reports a severe pounding headache and diaphoresis above the level of injury along with worsening pain. The nurse's priority action is to:

Accepted Answer

Assess for and eliminate the triggering stimulus for autonomic dysreflexia

Answer

Administer a PRN analgesic immediately

Answer

Apply a heating pad to relieve muscle spasm

Answer

Notify dietary services about a potential food sensitivity

Question 5

Undertreated chronic pain in a rehabilitation patient is most likely to result in which of the following outcomes?

Accepted Answer

Functional decline and development of depression

Answer

Increased motivation for physical therapy participation

Answer

Improved quality of sleep and rest

Answer

Enhanced ability to perform activities of daily living

Question 6

The rehabilitation nurse is using the Functional Pain Scale (FPS) to assess a patient. How does this scale differ from the standard Numeric Rating Scale (NRS)?

Accepted Answer

It incorporates the impact of pain on the patient's ability to function

Answer

It uses illustrated facial expressions to represent pain intensity

Answer

It is designed exclusively for pediatric rehabilitation patients

Answer

It only measures acute pain following surgical procedures

Question 7

A rehabilitation nurse notes that a patient's pain is consistently worse during morning physical therapy sessions and improves with rest and ice application. This pain pattern is most consistent with:

Accepted Answer

Musculoskeletal pain aggravated by mechanical loading

Answer

Neuropathic pain from nerve root compression

Answer

Visceral pain from an internal organ

Answer

Central sensitization syndrome