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The Psychological Management of Chronic Pain - Test
by William W. Deardorff, Ph.D., ABPP

Course content © copyright 2004-2008 by William W. Deardorff, Ph.D., ABPP. All rights reserved.

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1. The IASP definition of pain acknowledges that ____________ is the "gold standard by which pain is understood. Help
the patient's complaint of symptoms
tissue damage
the diagnostic test result
the pain behavior
2. In acute pain there is usually a ____________ correlation between tissue damage and pain sensation but in chronic non-cancer pain the relationship is usually much __________ . Help
low, higher
high, lower
significant, more significant
The relationship between tissue damage and pain sensation is always the same
3. The most current theory of pain is the: Help
specificity theory
Muller's doctrine of specific nerve energies
gate control theory
Livingston's central summation theory
4. Problems with the specificity theory include: Help
pain after the point of tissue healing
injury without pain and pain without injury
hypnosis for anesthesia
all of the above
5. The gate control theory was first proposed by __________ in 1965. Help
Pavlov
Wilbert Fordyce
Melzack and Wall
Sonny and Cher
6. _______________ is mechanical, thermal, or chemical energy acting on specialized nerve endings. Help
nociception
pain sensation
kinesophobia
phantom limb pain
7. Gatchel's model describing the transition from acute to chronic pain includes what concept(s): Help
physical deconditioning
mental deconditioning
psychological or "functional" overlay
1 and 2
8. One of the biggest problems in treating depression in the chronic pain patent is: Help
missing the diagnosis
lack of mental health insurance
the patient's fear of movement
the attitude of the referring physician
9. _________ is more common in the sub-acute pain phase whereas ________ is more likely to occur in chronic pain. Help
anger, anxiety
depression, anxiety
anxiety, depression
anger, psychosis
10. An irrational fear of movement seen in chronic pain syndromes is termed: Help
nociception
depressionogenic
chronification
kinesophobia
11. Behavioral influences on chronic pain include: Help
positive reinforcement
negative reinforcement
avoidance learning
all of the above
12. Although the elements of the clinical interview might vary, the __________ should always be included. Help
psychological testing
questionnaires
Mental Status Examination
Diaries
13. The clinical interview should start with the collection of __________ data and proceed to gathering _____________ information since this will help avoid placing the patient on the defensive, build rapport, and establish the credibility of the practitioner. Help
psychological, medical
medical, psychological
mental status examination, medical
psychosocial, psychometric
14. An example of a psychological test designed specifically for use with chronic pain patients is: Help
MMPI-2
The Thematic Apperception Test (TAT)
MPI
BDI-2
15. The _____________ is the most commonly used psychological test for assessing chronic pain patients. Help
MMPI/MMPI-2
Coping Strategies Questionnaire (CSQ)
Chronic Pain Coping Inventory (CPCI)
Multidimensional Pain Inventory (MPI)
16. One of the most fundamental methods of assessment of the chronic pain patient is: Help
observation
psychological testing
questionnaires
archival data
17. Two of the most common "direct" psychological treatments of chronic pain are: Help
cognitive-behavioral and medications
cognitive-behavioral and aggressive reconditioning
cognitive-behavioral and relaxation training
relaxation training and past lives regression
18. The "C" in the ABCDE model stands for: Help
cue controlled relaxation
chronic pain
C-fibers
consequent emotions
19. According to Turk (2002), the cognitive-behavioral model asserts that treatment should focus on _____________ dimension(s). Help
cognitive-behavioral
physiological
affective
all of the above
20. "Either I am cured or I am not", is an example of _________ thinking. Help
Black and White
Filtering
Catastrophic
Overgeneralization
21. The relaxation response can be learned by: Help
listening to one's favorite music
laying on a hammock
practicing rapid and shallow breathing
practicing specific deep relaxation exercises
22. Cue controlled relaxation is based upon _________ conditioning principles. Help
operant
classical
Skinnerian
Physical
23. Acetaminophen is often combined with some other analgesics such as hydrocodone or oxycodone. A patient should not exceed __________ mgs of acetaminophen per day from all sources. Help
2000
400
4000
40
24. Research has shown that, if opioids are given for a legitimate reason addiction is ______________. Help
very likely to occur
very unlikely to occur
the same as tolerance and dependence
a treatment goal
25. One sign of ____________ is when the opioid dose must be increased to get the same results. Help
physical dependence
tolerance
addiction
1 and 3
26. _________________ is drug-seeking behavior that seems similar to addiction but is due to unrelieved pain. Help
tolerance
physical dependence
pseudoaddiction
pseudotolerance
27. A low dose of an anti-depressant taken at bedtime might be used with a chronic pain patient for it's: Help
anti-depressant effect
analgesic effect
help with sleep
2 and 3
28. One of the newest classes of drugs to be used in the treatment of certain "nerve" pain syndromes is the __________ Help
anticonvulsants
antidepressants
opioids
NSAID
29. In the quota system of exercising, the initial quota is often set at _____ percent of the baseline average. Help
10
20
100
70
30. The pain management clinician can help design the behavioral aspects of a physical reconditioning program using all of the following concepts except: Help
exercising to quotas
pacing activities
intervening in the psychosocial environment
getting the patient to exercise as much as possible

 

 

 
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