Chapter 19 Davis

Question 1

Serves as a warning sign indicating that damage has occurred or that there may be a potential for damage of tissue

Answer 1

Pain

Question 2

The response to pain varies not only from

Answer 2

culture to culture but also from individual to individual

Question 3

Nurses must view pain

Answer 3

holistically

Question 4

A sensory and/or an emotional experience which means different things to different people

Answer 4

Pain

Question 5

Pain can make it difficult to(1)

Answer 5

•Do activities of daily living

•Rest and experience restorative sleep
•Eat

•Perform normal body movements and exercise

•Maintain family relationships

Question 6

Pain can make it difficult to(2)

Answer 6

•Work or maintain a job

•Have a social life or maintain friendships

•Maintain cognitive abilities

•Focus on spiritual beliefs

Question 7

Purports the transmission of pain impulses to the central nervous system is controlled by a “gate” that opens and closes in response to sensory input

Answer 7

Gate control theory

Question 8

Gate control theory:

The gate must be open for the pain impulse to be

Answer 8

transmitted to the CNS

Question 9

Gate control theory:

When the gate is closed, the nerve impulse for pain is

Answer 9

blocked from transmission

Question 10

Gate control theory:

The_____ opens and closes the gate in relationship to stress, anxiety, exercise, heat, cold, massage, and the TENS

Answer 10

thalamus

Question 11

Pain that comes on suddenly and has a short duration (less than 6 months)

Answer 11

Acute pain

Question 12

Pain that lasts longer than 6 months

Answer 12

Chronic pain

Question 13

Pain that comes and goes at intervals

Answer 13

Intermittent pain

Question 14

Pain that begins at a specific site and shoots out from or extends to a larger area beyond the site of origin

Answer 14

Radiating

Question 15

Pain that cannot be relieved, is incurable, or is resistant to treatment

Answer 15

Intractable

Question 16

Pain felt in an area other than where the pain was produced

Answer 16

Referred

Question 17

Pain felt in an area other than where the pain was produced is known as

Answer 17

Referred pain

Question 18

localized within a specific area, from which the receptors send impulses to the central nervous system via afferent nerve pathways

Answer 18

Nociceptive pain

Question 19

is pain that is more superficial or pertaining to the skin’s surface and underlying subcutaneous tissue. An example is a paper cut or a mild burn.

Answer 19

Cutaneous pain

Question 20

sometimes known as soft tissue pain, is the pain experienced from stimulation of deep internal pain receptors. Examples include pain that results from traumatic injury or surgery, or with metastatic invasion of the soft tissues such as the skin, muscles, and organs. It is generally described as an ache or a cramp-ing-type pain, and it can be intermittent or continuous.

Answer 20

Visceral pain

Question 21

also known as osteogenic pain, is bone, ligament, tendon, and blood vessel pain. The pain may be diffuse and of longer duration than cutaneous pain. Bone cancer, fractures, and arthritic-type diseases are common sources of this type of pain. Your patient may describe it as pain with movement.

Answer 21

Deep somatic pain

Question 22

occurs as a result of destruction of peripheral nerves or the central nervous system itself

Answer 22

Neuropathic pain

Question 23

This pain may extend beyond the local region to encompass a broadening area of discomfort

Answer 23

Neuropathic pain

Question 24

Nerve compression caused by pressure from tumors, lymphedema, or compression fractures of the spine

Answer 24

Neuropathic pain

Question 25

A type of neuropathic pain, which feels as though the pain is coming from an extremity that has been amputated, meaning that it has been surgically or traumatically removed.

Answer 25

Phantom limb pain

Question 26

the complaint of foot pain after the lower leg and foot have been surgically amputated. A common example of which type of pain is

Answer 26

Phantom limb pain

Question 27

Factors Affecting Pain:

Answer 27

●Ethnic and cultural beliefs
●Developmental stage
●Individual values
●Previous pain experience

Question 28

Factors Affecting Pain(2)

Answer 28

●Personal support system
●Emotions
●Fatigue

Question 29

Management and Treatment of Pain:)1

Answer 29

●Level or extent of pain
●Site of pain
●Characteristics of pain
●Acute or chronic
●What elicits the pain
●Patient’s desires in relation to the pain