Pain Assessment: Understanding and Identifying Different Types of Pain, Exams of Medicine

Download Pain Assessment: Understanding and Identifying Different Types of Pain and more Exams Medicine in PDF only on Docsity! Chapter 10: Pain Assessment: The Fifth Vital Sign Jarvis: Physical Examination & Health Assessment Questions And Answers 1. When evaluating a patients pain, the nurse knows that an example of acute pain would be: a. Arthritic pain. b. Fibromyalgia. c. Kidney stones. d. Chapter 10: Pain Assessment: The Fifth Vital Sign Jarvis: Physical Examination & Health Assessment Questions And Answers Low back pain. - correct answer Kidney stones. Acute pain is short-term and dissipates after an injury heals 2. Which statement indicates that the nurse understands the pain experienced by an older adult? a. Older adults must learn to tolerate pain. b. Pain is a normal process of aging and is to be expected. c. Pain indicates a pathologic condition or an injury and is not a normal process of aging. Chapter 10: Pain Assessment: The Fifth Vital Sign Jarvis: Physical Examination & Health Assessment Questions And Answers a. Affected extremity will eventually regain its function. b. Pain is felt at one site but originates from another location. c. Patients pain will be associated with nausea, pallor, and diaphoresis. d. Chapter 10: Pain Assessment: The Fifth Vital Sign Jarvis: Physical Examination & Health Assessment Questions And Answers Slightest touch, such as a sleeve brushing against her arm, causes severe and intense pain. - correct answer Slightest touch, such as a sleeve brushing against her arm, causes severe and intense pain. 6. The nurse is assessing a patients pain. The nurse knows that the most reliable indicator of pain would be the: - correct answer Subjective report. 7. A patient has had arthritic pain in her hips for several years since a hip fracture. She is able to move around in her room and has not offered any complaints so far this morning. However, when asked, she states that her pain is bad this morning and rates it at an 8 on a 1-to-10 scale. What does the nurse suspect? The patient: a. Is addicted to her pain medications and cannot obtain pain relief. b. Chapter 10: Pain Assessment: The Fifth Vital Sign Jarvis: Physical Examination & Health Assessment Questions And Answers Does not want to trouble the nursing staff with her complaints. c. Is not in pain but rates it high to receive pain medication. d. Has experienced chronic pain for years and has adapted to it. - correct answer Has experienced chronic pain for years and has adapted to it. 8. The nurse is reviewing the principles of pain. Which type of pain is due to an abnormal processing of the pain impulse through the peripheral or central nervous system? a. Visceral Chapter 10: Pain Assessment: The Fifth Vital Sign Jarvis: Physical Examination & Health Assessment Questions And Answers Pain after a leg amputation. - correct answer Cholecystitis. (gallbladder inflammation) Visceral pain originates from the larger interior organs 11. The nurse is reviewing the principles of nociception. During which phase of nociception does the conscious awareness of a painful sensation occur? a. Perception b. Modulation c. Transduction Chapter 10: Pain Assessment: The Fifth Vital Sign Jarvis: Physical Examination & Health Assessment Questions And Answers d. Transmission - correct answer perception (third phase) Steps of nociception (4) - correct answer 1: transduction 2:transmission 3: perception 4: modulation 12. When assessing the intensity of a patients pain, which question by the nurse is appropriate? a. What makes your pain better or worse? b. Chapter 10: Pain Assessment: The Fifth Vital Sign Jarvis: Physical Examination & Health Assessment Questions And Answers How much pain do you have now? c. How does pain limit your activities? d. What does your pain feel like? - correct answer How much pain do you have now? 13. A patient is complaining of severe knee pain after twisting it during a basketball game and is requesting pain medication. Which action by the nurse is appropriate? a. Chapter 10: Pain Assessment: The Fifth Vital Sign Jarvis: Physical Examination & Health Assessment Questions And Answers d. Infants feel pain less than do adults. - correct answer A procedure that induces pain in adults will also induce pain in the infant. 15. A patient has been admitted to the hospital with vertebral fractures related to osteoporosis. She is in extreme pain. This type of pain would be classified as: a. Referred. b. Cutaneous. c. Chapter 10: Pain Assessment: The Fifth Vital Sign Jarvis: Physical Examination & Health Assessment Questions And Answers Visceral. d. Deep somatic. - correct answer deep somatic (Deep somatic pain comes from sources such as the blood vessels, joints, tendons, muscles, and bone) pain is felt at one site but originates from another location. - correct answer referred pain pain is derived from the skin surface and subcutaneous tissues. - correct answer cutaneous 1. During assessment of a patients pain, the nurse is aware that certain nonverbal behaviors are associated with chronic pain. Which of these behaviors are associated with chronic pain? Select all that apply. Chapter 10: Pain Assessment: The Fifth Vital Sign Jarvis: Physical Examination & Health Assessment Questions And Answers Sleeping Moaning Diaphoresis Bracing Restlessness Rubbing - correct answer A, D, F 2. During an admission assessment of a patient with dementia, the nurse assesses for pain because the patient has recently had several falls. Which of these are appropriate for the nurse to assess in a patient with dementia? Select all that apply. Ask the patient, Do you have pain? Assess the patients breathing independent of vocalization. Chapter 10: Pain Assessment: The Fifth Vital Sign Jarvis: Physical Examination & Health Assessment Questions And Answers During the physical examination, your patient is diaphoretic and pale and complains of dull pain in the LUQ of the abdomen. This is what type of pain? A. Cutaneous Pain B. Somatic Pain C. Visceral Pain D. Psychogenic Pain - correct answer c While caring for a preterm infant, you are aware that: A. Inhibitory neurotransmitters are in sufficient supply y 15 weeks gestation. B. The fetus has less capacity to feel pain C. Repetitive blood draws have minimal long-term consequences. D. The preterm infant is more sensitive to painful stimuli. - correct answer D Normal age- related finding in the lower extremities of an 80-year-old woman would be: Chapter 10: Pain Assessment: The Fifth Vital Sign Jarvis: Physical Examination & Health Assessment Questions And Answers A. Crepitus B. Joint Swelling C. Diminished strength bilaterally D. Unilateral muscle atrophy - correct answer c A patient presents with acute pain of the abdomen. After the initial examination, how would you proceed? A. Withhold analgesic until diagnostic testing is completed B. Give patient medications as ordered C. Withhold analgesic until pain subsides. D. Determine what type of pain it is and proceed accordingly - correct answer b For older adults postoperative patients, poorly controlled acute pain places them at higher risk for: A. Atelectasis B. Increased myocardial oxygen demand Chapter 10: Pain Assessment: The Fifth Vital Sign Jarvis: Physical Examination & Health Assessment Questions And Answers C. Impaired wound healing D. All the above - correct answer d A 30 year old woman reports having persistent intense pain in her right arm related to trauma sustained from a car accident 5 months ago. She states that the slightest touch or clothing can exacerbate the pain. This report is suggestive of: A. Referred Pain B. Psychogenic Pain C. Complex Regional Pain I D. Cutaneous pain - correct answer c CRIES is an inappropriate pain assessment tool for: A. Cognitively impaired older adults B. Children ages 2 to 8 years C. Infants D. Preterm and term neonates - correct answer d