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Pain Management Part II: Managing Expectations and Exploring Treatment Options

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1.  According to Relieving Pain in America (2011), improving care for patients in pain requires:
  1. education on causes and effects of pain
  2. offering a range of treatments to obtain relief
  3. consider chronic pain as a biopsychosocial disorder
  4. All of the above
2.  Catastrophizing behavior is associated with:
  1. less clinical pain
  2. more effective pain coping strategies
  3. greater clinical pain
  4. a feeling of empowerment
3.  Three types of comfort interventions are:
  1. physical, environmental, religious
  2. sociocultural, psychospiritual
  3. technical, coaching, comforting
  4. contexts, outcomes, warmth
4.  When considering the importance of expectation management and adherence to a pain treatment plan setting realistic expectations are:
  1. time-consuming
  2. important
  3. a poor use of clinician time
  4. ineffective
5.  Which of the following is NOT a realistic pain management expectation?
  1. injuries are painful
  2. pain will be 100% relieved
  3. medication responses vary by individual
  4. must have balance between safety and comfort
6.  How can we improve patient adherence to pain management plans?
  1. counsel the patient that their efforts may eliminate all pain
  2. develop strategies to overcome practical barriers
  3. use complex medical terminology to explain the plan
  4. All of the above
7.  What is a recommended pain treatment and prescribing recommendation?
  1. Always start with opioid medications
  2. Encourage non-pharmacological therapies
  3. Guarantee relief of all pain
  4. Refers all clients to psychiatry before initiating treatment
8.  The 2016 CDC Guideline for Prescribing Opioids suggest:
  1. Opioids are first line treatment for patients in pain
  2. Using the highest effective dose tolerated by the patient
  3. Evaluating benefits and harms frequently
  4. Prescribe concurrent opioids and benzodiazepines to best control pain
9.  Which is true about multimodal pain management therapy?
  1. it combines regimens and may include physical methods (heat/cold), relaxation, and cognitive-behavioral therapy tailored to an individual’s needs
  2. It uses only pharmacological treatment
  3. It has been shown to negatively impact patient outcomes
  4. It is a one-size-fits-all approach that works for most patients
10.  Non-pharmacologic pain interventions:
  1. Allow the patient to play an active role in their care
  2. Can be used in combination with pharmacological therapy
  3. Should only be used when all pharmacologic approaches have been exhausted
  4. Do not benefit most patients

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