Pain Quiz

Question 1

Types of Pain

Answer 1

-Location
-Duration
-Intensity

Question 2

Acute Pain

Answer 2

-Sympathetic nervous system
-Resolves with healing

Question 3

Chronic Pain

Answer 3

-Parasympathetic nervous system
-Client does not mention pain unless asked

Question 4

0-10 Scale

Answer 4

-Describes the intensity

1-3 mild pain
4-6 moderate pain
7-10 severe pain

Question 5

Pain Threshold

Answer 5

least amount of stimuli needed for a pain sensation

Question 6

Pain Tolerance

Answer 6

Maximum amount of pain a person is willing to withstand

Question 7

Hyperalgesia/Hyperpathia

Answer 7

heightened responses to a painful stimuli
(severe pain to a paper cut)

Question 8

Allodynia

Answer 8

non-painful stimuli procedures pain
(light touch, wind)

Question 9

Dysesthesia

Answer 9

an unpleasant abnormal sensation
(pins/needles, itching, burning)

Question 10

Sensitization

Answer 10

increased sensitivity of a receptor after repeated activation by a noxious stimuli

Question 11

Windup

Answer 11

Progressive increase in excitability & sensitivity of spinal cord neurons, leading to persistent increased pain.

Question 12

Nociception

Answer 12

detection of painful stimuli

Question 13

Transduction

Answer 13

1st phase
-PNS (ibuprofen)

Question 14

Transmission

Answer 14

2nd phase
-Spinal Cord (narcotics)

Question 15

Perception

Answer 15

3rd phase
Brain (distraction/music)

Question 16

Modulation

Answer 16

4th phase
Descending system (antidepressants)

Question 17

FLACC Scale

Answer 17

-Facial expressions
-Leg Movement
-Activity
-Cry
-Consolability

validated in children 2 months-7 years

Question 18

PAINAD

Answer 18

Pain
Assessment
IN
Advanced Dementia

Question 19

OLDCARTS

Answer 19

Onset
Location
Duration
Characteristics
Aggravating factors
Relieving factors
Treatment
Severity

Question 20

Non-opioids

Answer 20

NSAIDs

-Ibuprofen/Aspirin-PNS
-Acetaminophen-CNS

Question 21

Opioid

Answer 21

-CNS
(Morphine, Fentanyl, Oxycodone, Tramadol)

Question 22

Coanalgesic

Answer 22

a med developed for another reason, but has been found to reduce certain pain

Question 23

Nonopioid/NSAIDs Side Effects

Answer 23

NASIDs (take w/ food)

-GI Ulcers
-increased bleeding
-renal insufficiency

Question 24

Opioid Side Effects

Answer 24

-Constipation
-Nausea & Vomiting
-Sedation
-Respiratory depression
-Pruritus
-Urinary retention

Question 25

Acetaminophen Side effects

Answer 25

-hepatotoxicity (limit to <4 grams per day/3 grams is best)

Question 26

Nurses frequently decide

Answer 26

to administer meds &
dose and time

Question 27

Non-pharmacologic pain management

Answer 27

body, mind, spirit and social interactions

INVASIVE:
-nerve block

Question 28

Psychology of Pain Phases

Answer 28

1. Transduction
2. Transmission
3. Perception
4. Modulation