Unit IV (Pain) Flashcards

1
Q

Who said “pain is whatever the person says it is”?

A

Margo McCafferty

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2
Q

Behavioral expressions of pain is _______.

A

learned.

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3
Q

Pain is highly _________.

A

subjective

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4
Q

The patient complains of superficial pain involving the skin and subcutaneous tissues. What type of pain is the patient experiencing?

A

Cutaneous

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5
Q

Cutaneous pain has ______ duration. (Long/Short)

A

Short

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6
Q

The patient has diffused and scattered pain that affects their calf and the tendons. This type of pain is called:

A

Somatic

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7
Q

The patient is complaining of stomach pain that has varied in duration. This type of pain is called:

A

Visceral

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8
Q

The patient has pain that started in the shoulder and has spread to the entire arm. (May be constant or intermittent) This pain is classified as:

A

Radiating

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9
Q

The patient has pain in the shoulders, and has been diagnosed with gall bladder disease. The nurse identifies this type of pain to be:

A

Referred

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10
Q

The patient states they have pain in the foot of the leg that has been amputated. This pain is called:

A

Phantom

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11
Q

The patient is suffering from a pinched nerve. The pain the experience as a result of this is called:

A

Neuropathic

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12
Q

The patient is experiencing severe pain that is not relieved with pain medication during advanced malignancy. This type of pain is called:

A

Intractable

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13
Q

Two patients experience the same surgery, however one patient denies feeling any pain while the other states their pain to be moderate. This level of intensity at which the patient feels pain is called:

A

Pain Threshold

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14
Q

A post-operative patient is having pain, but states it isn’t bad enough to need pain medication. What pain concept does this reflect?

A

Pain Tolerance- level of intensity or duration of pain the person is willing or able to endure.

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15
Q

True/False: Pain tolerance appears to increase with age.

A

True

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16
Q

Acute pain has _______ onset.

A

rapid

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17
Q

Acute pain lasts ______ -term.

A

short

18
Q

What does acute pain signal?

A

Tissue damage has occurred.

19
Q

What classifies as chronic pain?

A

Lasts 6mos or longer.

Persistent to Continuous

20
Q

True/False:

Chronic pain always has an identifiable cause.

A

False, cause may be difficult to pinpoint and treat.

21
Q

What is the best time to assess the location of pain?

A

While the pain is present.

22
Q

How does the nurse identify the site of pain?

A

Ask the patient to point to the site of pain.

23
Q

What does the nurse use to document pain?

A

Body landmarks and anatomical locations.

24
Q

What questions should the nurse ask to assess the duration of pain?

A

How long have you been experiencing pain?
How often does the pain occur?
How long does the pain last?
Continuous or intermittent?

25
Q

Pain that never stops is called:

A

Continuous

26
Q

Pain that comes and goes is called:

A

Intermittent

27
Q

What is used to assess the intensity of pain? Why is it widely used?

A

Verbal Pain Scale (0-10), Quick, easy, and proven reliable.

28
Q

The goal of assessing the intensity of the patients pain experience is to make the patients _______ experience as _______ as possible.

A

subjective experience

objective as possible.

29
Q

The patient rates their pain 1-3. This level is considered:

A

Mild

30
Q

The patient rates their pain as 4-6. This level is considered:

A

Moderate

31
Q

The patient rates their pain as 7-10. This level is considered:

A

Severe.

32
Q

The patient states they have a sharp stabbing pain. What aspect of pain are they describing?

A

Quality. (Example-cramping, burning, dull, annoying)

33
Q

What would the nurse expect the patients vital signs (BP, P, R) to do when the patient is experiencing pain?

A

Increase

34
Q

What would the nurse expect the patient’s skin to look like if the patient is experiencing pain?

A

Pallor and Diaphoretic

35
Q

What does the nurse expect to happen to the patients pupils when they are in pain?

A

Dilate

36
Q

What may happen if the patients pain is unrelieved/untreated?

A

Depression.

37
Q

Somatic pain involves what structures

A

Tendons, ligament, bones, blood vessels, muscles, joints

38
Q

Where is referred pain perceived

A

In areas distant from point of orgin

39
Q

Define pain threshold

A

Level of intensity at which a person feels pain

40
Q

Define pain tolerance

A

Level of intensity or duration of pain the person is willing or able to endure

40
Q

Which type of pain varies with intensity and disappears with treatment

A

Acute