Chapter 6 Pain Assessment 38 Questions with Verified Answers,100% CORRECT, Exams of Nursing

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Chapter 6 Pain Assessment 38 Questions with Verified

Answers

The nurse is assessing the degree of pain or discomfort a patient is feeling. The nurse knows that this will be dependent primarily on: A. ability to explain the pain or discomfort. B. perception of the pain or discomfort. C. age of the individual. D. type of painful stimulus. - CORRECT ANSWER perception of the pain or discomfort Which findings by the nurse would produce the most accurate assessment of the severity level of a patient's pain? A. The nurse's experience B. The cause of the pain C. The patient's subjective data D. The patient's objective findings - CORRECT ANSWER the patient's subjective data The nurse is assessing a patient who has pain with a sudden onset and a limited duration and that subsides as healing occurs. Which type of pain would this be considered? a. Acute pain b. Chronic pain c. Cancer pain d. Nonmalignant pain - CORRECT ANSWER acute pain When assessing the quality of a patient's pain, the nurse should ask which of the following question? a. "When did the pain start?" b."Is the pain a stabbing pain?" c. "Is it a sharp pain or dull pain?" d. "What does your pain feel like?" - CORRECT ANSWER What does your pain feel like?

The nurse is reviewing the pathophysiology of pain. Where does the perception of pain actually occur? a. The dorsal horn of the spinal cord b. The parietal lobe of the cerebral cortex c. The afferent (sensory) nerves d. The visceral and somatic free nerve endings (nociceptors) - CORRECT ANSWER the parietal lobe of the cerebral cortex _________ pain is associated with feeling pain when a limb has been amputated. a. Phantom b. Psychotic c. Chronic d. Invisible - CORRECT ANSWER phantom The nurse is performing a pain assessment of a 4-year-old toddler. Which pain assessment scale would be best for this patient? a. Visual Analog Scale b. Numeric Pain Intensity Scale c. Wong/Baker Faces Rating Scale d. Pain Intensity Scale - CORRECT ANSWER Wong/Baker Faces Rating scale The nurse is compelled to address and manage a patient's pain level by which ethical principles? (Select all that apply.) a. Beneficence b. Liberty c. Autonomy d. Nonmaleficence e. Justice - CORRECT ANSWER beneficience nonmaleficence The nurse is attending an in-service on pain management for postoperative patients. Which statement regarding pain is true? (Select all that apply.) a. An individual's pain response is predictable based on his or her culture or ethnicity. b. Individuals from all cultures respond to pain similarly. c. The pain response may be influenced by one's culture. d. Individuals may express pain differently.

e. Pain management may vary depending on the source of pain. - CORRECT ANSWER the pain response may be influenced by one's culture; individuals may express pain differently; pain management may vary depending on the source of the pain. The nurse is assessing for objective findings are associated with the patient's pain level. Which findings are commonly associated with acute pain? (Select all that apply.) a. The patient is crying b. An elevated blood pressure c. An elevated heart rate d. Diaphoresis e. The patient states a pain level of 8 out of 10 on pain scale f. Vital signs stable - CORRECT ANSWER an elevated BP; elevated HR; diaphoresis What is the most reliable way to assess pain in a patient who is cognitively intact? A. Type and frequency of analgesic medications the patient takes. B. Patient's most recent vital signs (e.g. blood pressure and pulse rate) C. Extent of tissue damage the patient has experienced D. Report by the patient describing the pain experienced - CORRECT ANSWER Report by the patient describing the pain experienced A patient had a knee replaced because of arthritis. He reports that he has not slept well for several nights. He states that he can't get comfortable. Today he is asking for pain medication more often. What could be the reason for this increase in pain? A. arthritis pain is variable; it can be mild one day and sever e the next. B. pain tolerance decreases with sleep deprivation C. the anesthesia from surgery is wearing off D. the patient is using the pain medication to help him sleep during the day. - CORRECT ANSWER pain tolerance decreases with sleep deprivation A patient complains of chest pain. Which question has the highest priority to obtain additional information? A. what were you doing when the pain first occurred? B. Do you have shortness of breath with chest pain? C. What does the pain feel like?

D. Has anyone in your family had similar pain? - CORRECT ANSWER What does the pain feel like? A patient complains of leg pain. Which question is pertinent to ask to gain additional information? A. What were you doing when the pain first occurred? B. how do you feel about having this pain? C. do you think the pain is caused by a cramp? D. has anyone in your family ever had similar pain? - CORRECT ANSWER what were you doing when the pain first occurred? A female has been admitted to the emergency department with severe abdominal pain. She is lying on a stretcher quietly, with very little movement. Which patient response should the nurse anticipate when palpating this patient's abdomen? A. flushing of the face and neck B. guarding over the abdomen C. redness on the lower abdominal quadrant D. decreased peristalsis - CORRECT ANSWER guarding of the abdomen What is important to remember about pain? - CORRECT ANSWER Although pain occurs when tissues are damaged, there is no correlation between the amount of tissue damage and the degree or intensity of pain experienced. The attention people give to their pain, their expectation/anticipation of pain, and their judgment/explanation of it are considered ______ _____. - CORRECT ANSWER cultural factors People with _______ pain with similar diagnoses and histories of pain may report their experience of pain differently from others, based on their beliefs about the meaning of pain and their ability to function. - CORRECT ANSWER chronic _______ pain has a recent onset (less than 6 months), results from tissue damage, is usually self-limiting, and ends when the tissue heals. It is a stressor initiating a generalized stress response and may cause physiologic signs. - CORRECT ANSWER acute

What are some physiologic signs associated with pain? - CORRECT ANSWER increased BP; increased Pulse rate; increased respiration. _______ pain may be intermittent or continuous, lasting more than 6 months. - CORRECT ANSWER persistent pain What are some clinical manifestations associated with persistent pain? - CORRECT ANSWER irritability, depression, and insomnia ______ pain arises from stimulation of somatic structures such as bone, joint, muscle, skin, and connective tissue or from stimulation of visceral organs such as the gastrointestinal tract or pancreas. - CORRECT ANSWER nociceptive pain _______ pain occurs from an abnormal processing of sensory input by the central or peripheral nervous system. - CORRECT ANSWER neuropathic ______ pain is felt in an areas away from the area of tissue injury or disease. This pain often occurs when visceral pain is experienced because many abdominal organs do not have pain receptors. - CORRECT ANSWER referred _____ pain is a pain that a person feels in an amputated extremity after the residual limb has healed. - CORRECT ANSWER phantom What are the standards set by (TJC) The Joint Commission for pain for patients? - CORRECT ANSWER 1. initial assessment of pain and regular assessments following (taking into account patient's personal, cultural, spiritual, and ethnic beliefs).

2. the education of all relevant health care personnel in pain assessment and management
3. the education of patients and their families on their roles in managing pain and the potential limitations and adverse affects of the treatment of pain. The TJC standard states that pain must be assessed in all patients. What are the expectations for nurses implementing this standard? - CORRECT ANSWER - assessing the intensity of pain, its location, its quality, duration, as well as the alleviating and aggravating factors, and determining the effects of pain on the patient's life (adl's) and the patient's goal for pain relief.

What should a nurse do if a patient's self-report of pain is incongruent with the patient's nonverbal behavior or the nurses' individual beliefs? - CORRECT ANSWER a nurse must trust the patient's self-report _____ ______ is the point at which a stimulus is perceived as pain. This does not vary significantly over time. - CORRECT ANSWER pain threshhold _____ _____ is the duration or intensity of pain that a person endures or tolerates before responding outwardly. - CORRECT ANSWER pain tolerance When does pain tolerance decrease? - CORRECT ANSWER after repeated exposure to pain, fatigue, anger, boredom, apprehension, and sleep deprivation When does pain tolerance increase? - CORRECT ANSWER after alcohol consumption, medication, hypnosis, warmth, distracting activities, and as a result of faith beliefs. What are some chronic illnesses that may cause pain? - CORRECT ANSWER diabetes mellitus(neuropathic pain) osteoarthritis ______ pain is usually well localized and described as aching or throbbing. - CORRECT ANSWER somatic _____ pain caused by a tumor is described as aching and well localized; but, if it is caused by an obstruction, the pain may be poorly localized and described as intermittent cramping. - CORRECT ANSWER visceral The FLACC pain assessment tool uses five categories of pain behaviors... What are they? - CORRECT ANSWER Facial expression leg movement activity cry consolability What are the universal signals of neonate pain? - CORRECT ANSWER - increased HR, hypertension, decreased 02, pallor, sweating.