Unit 3 Pain

Question 1

Multimodal analgesia

Answer 1

More than one method to treat pain

Question 2

Preemptive analgesia

Answer 2

administration of meds prior to an event

Question 3

Interventions to treat Pain

Answer 3

Non-opioid analgesics
Opioid analgesics
Non-steroid anti-inflammatory drugs

Question 4

Pain Assessment

Answer 4

Location
Intensity
Quality
Onset and Duration
Alleviating and relieving factors
Effect of pain on quality of life
Comfort

Question 5

Factors that can affect pain

Answer 5

-Communication barriers
-Cognitive impairment or disability
-Mental Health Conditions
-Injury or conditions associated with pain (Traumatic, illness, surgery)

Question 6

Medication Education

Answer 6

-Turn of TV when education
-Make sure patient has hearing aids/glasses
-Teach about medication
Name, dose, why?, when?, side affects
-Provide written instructions
-When to call health care providers

Question 7

Cardiovascular

Question 8

A nurse is caring for a client with chronic low back pain. What is the
priority outcome of care for this client?

Answer 8

1. The client is able to dress self.
2. The client will not experience pain.
3. The client will state three ways to cope with anxiety.
4. The client’s discomfort will not interfere with sleep.

Question 9

What should a nurse do to assess the behavioral aspects of a client’s
pain?

Answer 9

1. Ask the client to rate pain on a scale of 0-10.
2. Watch the client walk down the hall observing impaired mobility related to
   pain.
3. Assess what the client does to relieve the pain.
4. Determine if the client avoids participating in conversations with visitors.

Question 10

Risk Factors for Maladaptive Coping:

Answer 10

-Inability to accurately assess stressor
-Denial or avoidance
-Actual or perceived lack of support
-Non or poor experience in managing stress

Question 11

Stages of Grief

Answer 11

• Denial – the patient has difficulty believing a terminal diagnosis or loss
• Anger – the patient lashes out at other people or things
• Bargaining – the patient negotiates for more time or a cure
• Depression – the patient is overwhelmingly saddened by the inability to
  change the situation
• Acceptance – the patient acknowledges what is happening and plans for the
  future by moving forward

Question 12

SOCRATES

Answer 12

Site
Onset
Character
Radiation
Associations
Time Course
Exacerbating/relieving
Severity

Question 13

Nociceptive

Answer 13

Pain coming from actual tissue damage

Question 14

Neuropathic

Answer 14

Pain that could be coming from not actual physical source

Question 15

What to consider with end-of-life care.

Answer 15

• Allow time for grieving process
• Identify expected behaviors (crying, anxiety, etc.)
• Use therapeutic communication
• Use active listening
• Use silence and personal space
• Assist the grieving individual to accept the reality of the loss
• Support efforts to “move on”
• Encourage the building of new relationships
• Provide continuing support
• Assess for evidence of ineffective coping
• Share information about mourning and grieving
• Encourage attendance at support groups
• Refer to psychotherapy for patient’s having a more difficult time with
  the grief

Question 16

Core Services

Answer 16

Chaplaincy, nursing, social services, medicine

Question 17

Expanded services

Answer 17

Psychosocial support, care coordination, rehabilitation services, expressive therapies, volunteers