PN 111 exam questions and answers
Types of tissue damage ✔✔mechanical: edema, stone, tumor
chemical: perforated organ, appendix
thermal: burn, lose skin layers, sensitive
electrical: burn
other meanings associated with pain ✔✔punishment
threat
loss
a challenge
factors increasing pain ✔✔the more attention focused on pain, the more intense the perception
USE distraction to divert attention
Anxiety and fatigue
client anxious about disease process my report more intense pain before than after they know diagnosis
and treatment
previous experience ✔✔may influence response
health history ✔✔pain is subjective
history questions about pain are symptoms to analyze
assess ✔✔emotional reaction to pain
how they react emotionally to pain
, how it affects their lives
Health assessment questions ✔✔Chronic pain or illnesses? Do they cause pain?
describe pain
do you take any medications? what and how often?
do they relieve your pain
allergic to any medications? what kind of reaction do you have?
Pain: assessment ✔✔where is the pain? (point to the location)
Quality--what does it feel like?
Pain Assessment 2 ✔✔Quantity--severity describe intensity, strength on scale of 0-10 or Wong baker
at what level do you take medication for pain
Pain assessment 3 ✔✔chronology: onset and duration
when does the pain occur? during activity?
occur suddenly or gradually
Pain Assessment 4 ✔✔setting: where are you when pain occurs?
does it change if you change? any factors in environment that contribute to pain?
Pain: assessment—"PQRST" ✔✔"PQRST"
What Provokes the pain?
What is the Quality of the pain?
Does the pain Radiate?
Types of tissue damage ✔✔mechanical: edema, stone, tumor
chemical: perforated organ, appendix
thermal: burn, lose skin layers, sensitive
electrical: burn
other meanings associated with pain ✔✔punishment
threat
loss
a challenge
factors increasing pain ✔✔the more attention focused on pain, the more intense the perception
USE distraction to divert attention
Anxiety and fatigue
client anxious about disease process my report more intense pain before than after they know diagnosis
and treatment
previous experience ✔✔may influence response
health history ✔✔pain is subjective
history questions about pain are symptoms to analyze
assess ✔✔emotional reaction to pain
how they react emotionally to pain
, how it affects their lives
Health assessment questions ✔✔Chronic pain or illnesses? Do they cause pain?
describe pain
do you take any medications? what and how often?
do they relieve your pain
allergic to any medications? what kind of reaction do you have?
Pain: assessment ✔✔where is the pain? (point to the location)
Quality--what does it feel like?
Pain Assessment 2 ✔✔Quantity--severity describe intensity, strength on scale of 0-10 or Wong baker
at what level do you take medication for pain
Pain assessment 3 ✔✔chronology: onset and duration
when does the pain occur? during activity?
occur suddenly or gradually
Pain Assessment 4 ✔✔setting: where are you when pain occurs?
does it change if you change? any factors in environment that contribute to pain?
Pain: assessment—"PQRST" ✔✔"PQRST"
What Provokes the pain?
What is the Quality of the pain?
Does the pain Radiate?
