NSG-316 Topic 3 Exam Questions All
Solutions Verified Update
Nociceptors - Answer- ✔✔-specialized nerve endings designed to detect painful
sensations
-carry pain signal to central nervous system
pain - Answer- ✔✔a highly complex and subjective experience that originates from the
central nervous system (CNS), the peripheral nervous system (PNS), or both
neurotransmitters - Answer- ✔✔serotonin; norepinephrine; neurotensin; γ-aminobutyric
acid (GABA); and our own endogenous opioids, β-endorphins, enkephalins, and
dynorphins
four phases of nociception - Answer- ✔✔transduction, transmission, perception,
modulation
transduction - Answer- ✔✔noxious stimuli
transmission - Answer- ✔✔pain impulse moves from level of spinal cord to brain
perception - Answer- ✔✔conscious awareness of painful sensation
modulation - Answer- ✔✔pain message is inhibited
visceral pain - Answer- ✔✔larger interior organs
deep somatic pain - Answer- ✔✔blood vessels, joints, tendons, muscles, and bone
injury
cutaneous pain - Answer- ✔✔skin surface and subcutaneous tissues
referred pain - Answer- ✔✔felt at a particular site but originates from another location
pain - Answer- ✔✔classified by its duration
chronic pain - Answer- ✔✔episode of pain that lasts for 6 months or longer; may be
intermittent or continuous
acute pain - Answer- ✔✔is diagnosed when pain continues for 6 months or longer
It can last 5, 15, or 20 years and beyond
, neuropathic pain - Answer- ✔✔abnormal processing of pain message; burning, shooting
in nature
breakthrough pain - Answer- ✔✔pain that escalates or reoccurs prior to next schedule
of analgesia
malignant and nonmalignant - Answer- ✔✔2 types of chronic pain
malignant pain - Answer- ✔✔1.parallels pathology created by tumor cells
2.fluctuates within the course of the disease
3.tissue necrosis or stretching of an organ by growing tumor
nonmalignant pain - Answer- ✔✔often associated with musculoskeletal conditions, such
as arthritis, low back pain, or fibromyalgia
pain - Answer- ✔✔is patients self report
nonmalignant - Answer- ✔✔-pain does not stop when the injury heals
-outlasts its protective purpose
-pain intensity does not correspond with the physical findings
-originates from abnormal processing of pain fibers from peripheral or central sites
2 - Answer- ✔✔A patient is crying and says, "Please get me something to relieve this
pain." What should the nurse do next?
1.Verify that the patient has an order for pain medications and administer order as
directed.
2.Assess the level of pain and ask patient what usually works for his or her pain,
administer pain medication as needed, then reassess pain level.
3.Assess the level of pain and give medications according to pain level, and then
reassess pain.
4.Reposition the patient, then reassess the pain after intervention.
True - Answer- ✔✔T/F No evidence exists to suggest that older individuals perceive
pain to a lesser degree or that sensitivity is diminished
not normal - Answer- ✔✔Although pain is common experience among individuals 65
years of age and older,
-it is ____________ process of aging; it indicates pathology or injury
-Pain should never be considered something to tolerate or accept in one's later years
aggressive treatment - Answer- ✔✔Unfortunately, many clinicians and older adults
wrongfully assume pain should be expected in aging, which leads to less _______.
mcc of pain in elderly - Answer- ✔✔•arthritis, osteoarthritis, osteoporosis,
•peripheral vascular disease, peripheral neuropathies,
Solutions Verified Update
Nociceptors - Answer- ✔✔-specialized nerve endings designed to detect painful
sensations
-carry pain signal to central nervous system
pain - Answer- ✔✔a highly complex and subjective experience that originates from the
central nervous system (CNS), the peripheral nervous system (PNS), or both
neurotransmitters - Answer- ✔✔serotonin; norepinephrine; neurotensin; γ-aminobutyric
acid (GABA); and our own endogenous opioids, β-endorphins, enkephalins, and
dynorphins
four phases of nociception - Answer- ✔✔transduction, transmission, perception,
modulation
transduction - Answer- ✔✔noxious stimuli
transmission - Answer- ✔✔pain impulse moves from level of spinal cord to brain
perception - Answer- ✔✔conscious awareness of painful sensation
modulation - Answer- ✔✔pain message is inhibited
visceral pain - Answer- ✔✔larger interior organs
deep somatic pain - Answer- ✔✔blood vessels, joints, tendons, muscles, and bone
injury
cutaneous pain - Answer- ✔✔skin surface and subcutaneous tissues
referred pain - Answer- ✔✔felt at a particular site but originates from another location
pain - Answer- ✔✔classified by its duration
chronic pain - Answer- ✔✔episode of pain that lasts for 6 months or longer; may be
intermittent or continuous
acute pain - Answer- ✔✔is diagnosed when pain continues for 6 months or longer
It can last 5, 15, or 20 years and beyond
, neuropathic pain - Answer- ✔✔abnormal processing of pain message; burning, shooting
in nature
breakthrough pain - Answer- ✔✔pain that escalates or reoccurs prior to next schedule
of analgesia
malignant and nonmalignant - Answer- ✔✔2 types of chronic pain
malignant pain - Answer- ✔✔1.parallels pathology created by tumor cells
2.fluctuates within the course of the disease
3.tissue necrosis or stretching of an organ by growing tumor
nonmalignant pain - Answer- ✔✔often associated with musculoskeletal conditions, such
as arthritis, low back pain, or fibromyalgia
pain - Answer- ✔✔is patients self report
nonmalignant - Answer- ✔✔-pain does not stop when the injury heals
-outlasts its protective purpose
-pain intensity does not correspond with the physical findings
-originates from abnormal processing of pain fibers from peripheral or central sites
2 - Answer- ✔✔A patient is crying and says, "Please get me something to relieve this
pain." What should the nurse do next?
1.Verify that the patient has an order for pain medications and administer order as
directed.
2.Assess the level of pain and ask patient what usually works for his or her pain,
administer pain medication as needed, then reassess pain level.
3.Assess the level of pain and give medications according to pain level, and then
reassess pain.
4.Reposition the patient, then reassess the pain after intervention.
True - Answer- ✔✔T/F No evidence exists to suggest that older individuals perceive
pain to a lesser degree or that sensitivity is diminished
not normal - Answer- ✔✔Although pain is common experience among individuals 65
years of age and older,
-it is ____________ process of aging; it indicates pathology or injury
-Pain should never be considered something to tolerate or accept in one's later years
aggressive treatment - Answer- ✔✔Unfortunately, many clinicians and older adults
wrongfully assume pain should be expected in aging, which leads to less _______.
mcc of pain in elderly - Answer- ✔✔•arthritis, osteoarthritis, osteoporosis,
•peripheral vascular disease, peripheral neuropathies,
