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Jarvis: Physical Examination & Health Assessment, 4th Canadian Edition > Chapter 11: Pain Assessment > Flashcards

Chapter 11: Pain Assessment Flashcards

1
Q

What is the definition of pain?
a) An unpleasant sensory and emotional experience.
b) A painful physical ailment only.
c) A comfortable sensory experience.
d) A feeling of joy and pleasure.

A

A

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2
Q

Why is pain considered subjective?
a) It is the same for everyone.
b) It varies from person to person.
c) It can be measured precisely.
d) It only occurs in specific populations.

A

B

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3
Q

Where does pain primarily originate from?
a) Skin surface only.
b) Muscle tissue exclusively.
c) The central or peripheral nervous system.
d) The brain alone.

A

C

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4
Q

What are the two main processes through which pain develops?
a) Chronic processing and acute processing.
b) Anxiety processing and depression processing.
c) Minimal processing and maximal processing.
d) Nociceptive processing and neuropathic processing.

A

D

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5
Q

What defines nociceptive pain?
a) Occurs when nerve fibers are intact and functioning.
b) It arises from psychological factors.
c) It is always chronic and severe.
d) It originates from nerve damage.

A

A

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6
Q

What is the first phase of nociception?
a) Transduction.
b) Perception.
c) Modulation.
d) Transmission.

A

A

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7
Q

How can nociceptive pain be described?
a) Unpredictable and ongoing.
b) Constant and sharp.
c) Predictable and time-limited.
d) Vague and indefinite.

A

C

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8
Q

What type of pain is superficial somatic pain derived from?
a) Internal organs.
b) Skin surface and subcutaneous tissues.
c) Nerve fibers exclusively.
d) Deep muscle tissue.

A

B

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9
Q

What is neuropathic pain attributed to?
a) Normal nerve function.
b) Abnormal processing of pain messages.
c) Skin inflammation.
d) Muscle strain.

A

B

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10
Q

What tools can help identify neuropathic pain?
a) Blood tests and MRIs.
b) Ultrasound and X-rays.
c) Electromyography and nerve conduction studies.
d) Patient questionnaires only.

A

C

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11
Q

What is referred pain?
a) Pain that has no specific location.
b) Pain only felt in internal organs.
c) Pain that is purely psychological.
d) Pain felt in one site but originating in another.

A

D

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11
Q

What causes the difficulty in locating referred pain?
a) Both sites share the same spinal nerve.
b) The pain is always emotional.
c) The sites are unrelated.
d) The nerves are damaged.

A

A

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11
Q

How is acute pain characterized?
a) Long-lasting and chronic.
b) Short-term and self-limiting.
c) Unpredictable and never resolved.
d) Consistent and ongoing.

A

B

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12
Q

When does acute pain typically resolve?
a) Over several months.
b) After the injury heals.
c) When medication is administered.
d) With no specific timeline.

A

B

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13
Q

What defines acute pain?
a) Pain lasting over a year.
b) Pain that’s always severe.
c) Persistent pain with no end.
d) Short-term and self-limiting pain.

A

D

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14
Q

How does persistent pain differ from acute pain?
a) Lasts a few days only.
b) Only occurs during injuries.
c) Resolves immediately after injury.
d) Continues for 6 months or longer.

A

D

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15
Q

Which statement about infants and pain is true?
a) They feel less pain than adults.
b) They have the same pain capacity as adults.
c) They express pain better than adults.
d) Their pain perception is not valid.

A

B

16
Q

Why are older adults often undertreated for pain?
a) They cannot experience pain.
b) Pain is common but not normal in aging.
c) They have higher pain thresholds.
d) They rarely report pain.

A

B

17
Q

What factor may influence pain perception between genders?
a) Age differences.
b) Genetic differences.
c) Environmental factors.
d) Education levels.

A

B

18
Q

Why is understanding cross-cultural behaviors important in pain assessment?
a) It helps provide appropriate care.
b) To enforce common treatment norms.
c) To judge pain levels more accurately.
d) To simplify the assessment process.

A

A

19
Q

What is the most reliable indicator of pain assessment?
a) Objective measurements only.
b) Subjective report from the patient.
c) Doctor’s observations.
d) Patient’s medical history.

A

B

20
Q

What does the ‘Q’ in OPQRSTU stand for?
a) Quantity of Pain.
b) Quick assessment method.
c) Quantitative pain metrics.
d) Quality of Pain.

A

D

21
Q

In pain assessment, what does ‘R’ represent?
a) Remorse of pain.
b) Rate of pain.
c) Reason for pain.
d) Region or Radiation.

A

D

22
Q

Which tool helps to assess pain systematically?
a) ABCDEF.
b) WXYZ.
c) OPQRSTU.
d) Pain Chart Method.

A

C

23
Q

What does the ‘U’ in OPQRSTU indicate?
a) Understanding of the patient’s pain history.
b) Urgency of pain treatment.
c) Usage of medication.
d) Utility of pain management.

A

A

24
Q

Which question can be asked during the initial pain assessment?
a) How does pain limit your function or activities?
b) Why is pain a problem?
c) Does your pain have a specific cause?
d) Is pain common in your family?

A

A

25
Q

How does pain impact an individual’s functionality?
a) Pain has no impact on activities.
b) Pain only affects emotional health.
c) Pain enhances overall physical performance.
d) Pain can significantly limit an individual’s function or activities.

A

D

26
Q

What are personal reactions to pain influenced by?
a) They are the same for everyone.
b) They don’t affect pain management.
c) They can vary among individuals, affecting well-being.
d) They are entirely physiological.

A

C

27
Q

What aspect of paIn do pain assessment tools measure?
a) Only emotional responses to pain.
b) Duration of chronic pain.
c) Pain’s effect on mental health.
d) Different dimensions of pain, including intensity.

A

D

28
Q

What should you consider when selecting a pain assessment tool?
a) Only the tool’s popularity.
b) Purpose, administration time, and patient comprehension.
c) The patient’s previous pain history.
d) How often the tool is used.

A

B

29
Q

Which tool is specifically useful for assessing chronic pain?
a) Brief Pain Inventory.
b) Numeric Scale.
c) Facial Pain Rating Scale.
d) Oucher Scale.

A

A

30
Q

Which scale is most commonly used for adults to evaluate pain severity?
a) Oucher Scale.
b) Numeric Scale.
c) Faces Pain Rating Scale.
d) Descriptor Scale.

A

B

31
Q

What is the primary role of a physical examination in pain assessment?
a) To prescribe medication immediately.
b) To diagnose chronic illnesses only.
c) To avoid patient interaction.
d) To provide objective data that supports subjective reports.

A

A

32
Q

What nonverbal behavior might indicate a patient is in pain?
a) Smiling frequently.
b) Active engagement in conversation.
c) Guarding the painful area.
d) Increased physical activity.

A

C

33
Q

How do people typically react to painful stimuli?
a) They react in diverse ways, complicating assessment.
b) They all show the same behaviours.
c) Reactions are mostly irrelevant.
d) Responses are always exaggerated.

A

A

34
Q

What kind of behaviours are associated with acute pain?
a) Acute pain elicits more obvious behavioral cues.
b) Chronic pain has more visible cues.
c) No behaviours are related to pain.
d) Acute pain leads to increased calmness

A

D

35
Q

Why is it important to evaluate physiological changes in pain management?
a) They may arise from poorly controlled pain.
b) Only psychological factors matter.
c) Physiological changes have no relation to pain.
d) They are irrelevant in patient assessments.

A

A

36
Q

What should pain management be informed by?
a) Subjective reports and objective findings.
b) Patient age and gender only.
c) Past medical history solely.
d) Bodily functions unrelated to pain.

A

A

37
Q

What does the S stand for in the pain assessment acronym

A

Severity

38
Q

What does the T stand for in the pain assessment acronym

A

Timing/ treatment/onset

39
Q

What does the O stand for in the pain assessment acronym

A

Onset

40
Q

What does the P stand for in the pain assessment acronym

A

Precipitating/Provoking

Jarvis: Physical Examination & Health Assessment, 4th Canadian Edition (32 decks)

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