NURN 153 - Comfort: Pain Management Questions With
Complete Solutions
1. Differentiate between acute versus chronic pain. Correct
Answers
10. Analyze effectiveness of interventions utilized for pain
management. Correct Answers
11. Apply the nursing process in planning care for a client with
acute and chronic pain. Correct Answers
12. Discuss ways to treat pain responsibly in the midst of the
opioid epidemic including current recommendations from
leading nursing organizations including the American Nurses
Association (ANA) and the Hospice & Palliative Care Nurses
Association (HPNA). Correct Answers
2. Identify myths and barriers that interfere with effective pain
management Correct Answers
3. Describe the physiology of pain Correct Answers
4. Discuss the different classifications of pain. Correct Answers
5. Describe factors affecting the pain experience, including
cultural factors. Correct Answers
6. Explain how the physiology of pain relates to selecting
interventions. Correct Answers
,7. Discuss the non-pharmacologic nursing interventions for the
client experiencing acute and chronic pain including
Complementary Alternative Medicines (CAM). Correct
Answers
8. Explain pharmacological interventions for the client
experiencing acute and chronic pain including non-opioid
analgesics, opioid analgesics, and adjuvant analgesics. Correct
Answers
9. Discuss nursing implications for administering analgesics.
Correct Answers
a. Based on the nociceptive step of modulation, list therapies
which could be used or suggested for a client experiencing
nociceptive pain. Correct Answers Laughter, excitement, or
sex. These hormones are released at weird times.
a. Debate the differences in the pain experience between clients
of differing ages. including how they communicate about the
pain (or not), and how they understand the pain. Correct
Answers - Children growing up in different families may learn
to be brave and ignore pain or to use the pain experience to
secure attention and service from family members. Similarly,
children may learn that there are gender differences in pain
expression. It may be acceptable for a little girl to run home
crying with a scraped knee, but a little boy may be told that he
should be brave and not cry
- Adult men and women may hold on to gender expectations
regarding pain communication and incorrectly interpret the
, presence or absence of pain expressions in others. Women are
more comfortable communicating the discomfort associated
with pain, but this ability to verbalize may cause some to view
the pain as emotionally or psychologically based.
a. Define acute pain and chronic pain. Correct Answers Acute
pain - episode of pain that lasts from seconds to less than 6
months.
Chronic pain - episode of pain that lasts for 6 months or longer;
may be intermittent or continuous.
a. Define nociception. Correct Answers NOCICEPTION: the
process by which
information about tissue damage is
conveyed to the central nervous
system.
a. Discuss myths held by clinicians, including how it may
impact the ability to manage a client's pain. Correct Answers
Clinicians:
Myth #1 Pain does not exist in the absence of
physical or behavioral signs: Not true. The client may not have
signs or symptoms.
Myth #2: Narcotic pain medication will lead to
addiction: Not true. 8-12% do develop an opioid disorder.
Myth #3: The client in pain will ask for pain
medication: Not true. The client may see the nurse being busy.
Myth #4: Clients who are asleep are not in pain: Not true. Client
may fall asleep due to exhaustion and wake up again because of
pain.
Complete Solutions
1. Differentiate between acute versus chronic pain. Correct
Answers
10. Analyze effectiveness of interventions utilized for pain
management. Correct Answers
11. Apply the nursing process in planning care for a client with
acute and chronic pain. Correct Answers
12. Discuss ways to treat pain responsibly in the midst of the
opioid epidemic including current recommendations from
leading nursing organizations including the American Nurses
Association (ANA) and the Hospice & Palliative Care Nurses
Association (HPNA). Correct Answers
2. Identify myths and barriers that interfere with effective pain
management Correct Answers
3. Describe the physiology of pain Correct Answers
4. Discuss the different classifications of pain. Correct Answers
5. Describe factors affecting the pain experience, including
cultural factors. Correct Answers
6. Explain how the physiology of pain relates to selecting
interventions. Correct Answers
,7. Discuss the non-pharmacologic nursing interventions for the
client experiencing acute and chronic pain including
Complementary Alternative Medicines (CAM). Correct
Answers
8. Explain pharmacological interventions for the client
experiencing acute and chronic pain including non-opioid
analgesics, opioid analgesics, and adjuvant analgesics. Correct
Answers
9. Discuss nursing implications for administering analgesics.
Correct Answers
a. Based on the nociceptive step of modulation, list therapies
which could be used or suggested for a client experiencing
nociceptive pain. Correct Answers Laughter, excitement, or
sex. These hormones are released at weird times.
a. Debate the differences in the pain experience between clients
of differing ages. including how they communicate about the
pain (or not), and how they understand the pain. Correct
Answers - Children growing up in different families may learn
to be brave and ignore pain or to use the pain experience to
secure attention and service from family members. Similarly,
children may learn that there are gender differences in pain
expression. It may be acceptable for a little girl to run home
crying with a scraped knee, but a little boy may be told that he
should be brave and not cry
- Adult men and women may hold on to gender expectations
regarding pain communication and incorrectly interpret the
, presence or absence of pain expressions in others. Women are
more comfortable communicating the discomfort associated
with pain, but this ability to verbalize may cause some to view
the pain as emotionally or psychologically based.
a. Define acute pain and chronic pain. Correct Answers Acute
pain - episode of pain that lasts from seconds to less than 6
months.
Chronic pain - episode of pain that lasts for 6 months or longer;
may be intermittent or continuous.
a. Define nociception. Correct Answers NOCICEPTION: the
process by which
information about tissue damage is
conveyed to the central nervous
system.
a. Discuss myths held by clinicians, including how it may
impact the ability to manage a client's pain. Correct Answers
Clinicians:
Myth #1 Pain does not exist in the absence of
physical or behavioral signs: Not true. The client may not have
signs or symptoms.
Myth #2: Narcotic pain medication will lead to
addiction: Not true. 8-12% do develop an opioid disorder.
Myth #3: The client in pain will ask for pain
medication: Not true. The client may see the nurse being busy.
Myth #4: Clients who are asleep are not in pain: Not true. Client
may fall asleep due to exhaustion and wake up again because of
pain.
