CRRN Pain Management in Rehabilitation Nursing 3

Question 1

Transcutaneous Electrical Nerve Stimulation (TENS) is believed to reduce pain in rehabilitation patients primarily through which mechanism?

Accepted Answer

Stimulating large-diameter nerve fibers to inhibit pain signal transmission via gate control theory

Answer

Increasing systemic cortisol release to suppress inflammation

Answer

Permanently blocking small-diameter nociceptive nerve fibers

Answer

Directly destroying peripheral pain receptors at the skin surface

Question 2

Which non-pharmacological intervention is most appropriate for a rehabilitation patient experiencing acute musculoskeletal pain within the first 24 to 48 hours of injury?

Accepted Answer

Cold therapy (cryotherapy) applied to the injured area

Answer

Moist heat therapy applied for 20 minutes

Answer

Therapeutic ultrasound at deep tissue level

Answer

Deep tissue massage over the acute injury site

Question 3

A rehabilitation nurse is educating a patient with chronic pain about cognitive-behavioral therapy (CBT). The primary focus of CBT for pain management is to:

Accepted Answer

Identify and restructure maladaptive thought patterns and behaviors associated with pain

Answer

Achieve complete elimination of all pain through psychological techniques alone

Answer

Encourage total bed rest to prevent pain exacerbation during recovery

Answer

Replace all pharmacological pain management with psychological interventions

Question 4

A rehabilitation patient with chronic low back pain asks about biofeedback therapy. The nurse correctly explains that biofeedback helps manage pain by:

Accepted Answer

Teaching patients to consciously control physiological responses such as muscle tension and heart rate

Answer

Providing external electrical stimulation directly to the painful nerve roots

Answer

Using guided imagery to create a relaxation response that permanently eliminates pain

Answer

Administering subliminal auditory cues to block pain perception during therapy

Question 5

A rehabilitation nurse is providing care for a patient with chronic pain who is using progressive muscle relaxation (PMR). PMR reduces pain primarily by:

Accepted Answer

Systematically tensing and releasing muscle groups to reduce overall muscle tension and anxiety

Answer

Providing direct mechanical stimulation to pain receptors in muscle tissue

Answer

Applying external pressure to trigger points to release myofascial adhesions

Answer

Using controlled breathing patterns to increase oxygen delivery to painful tissues

Question 6

Heat therapy (thermotherapy) is contraindicated in a rehabilitation patient with which condition?

Accepted Answer

Acute thrombophlebitis of the lower extremity

Answer

Subacute low back strain more than one week post-injury

Answer

Chronic muscle spasm in the cervical region

Answer

Fibromyalgia with widespread musculoskeletal pain

Question 7

Which non-pharmacological intervention is most appropriate and evidence-based for a rehabilitation patient experiencing phantom limb pain following lower extremity amputation?

Accepted Answer

Mirror therapy combined with residual limb desensitization techniques

Answer

Keeping the residual limb in a dependent position to reduce edema and pain

Answer

Applying a tight constrictive bandage to the residual limb around the clock

Answer

Avoiding all tactile contact with the residual limb to prevent stimulation