NURS205 PAIN ASSESSMENT AND
MANAGEMENT QUESTIONS AND
CORRECT ANSWERS
Spiral of pain ✅✅correct answ-tissue damage - chronic risk pain factor - perceived tissue damage
- rest, passive coping - limited activities - weak, tight muscles - physical and psychosocial
reconditioning - withdrawal from social and physical activities - anxiety, depression, anger
When should comprehensive pain assessments be done? ✅✅correct answ-Each encounter
Change in medical condition
Prior to, during and after procedure
Comprehensive pain Assessment on persons with pain ✅✅correct answ-Previous pain history
Current pain symptoms & characteristics
Functional impact
Psychosocial impact
Adapted pain assessment acronym ✅✅correct answ-O - onset
P - provokes, palliates
Q - quality (sharp, dull)
R - region, radiation
S - severity(0-10)
T - timing/treatment
U - understanding/impact
V - values (goals, culturally,
personally)
AND C – communication
What are the 4 types of pain? ✅✅correct answ-Acute nociceptive
Chronic nociceptive
Acute neuropathic
Chronic neuropathic
, Nociceptive pain ✅✅correct answ-Caused by activity
in neural pathways
in response to potentially tissue-damaging stimuli
Acute: fractures, surgical pain, cancer pain, angina
Chronic: headaches, fibromyalgia, arthritis, cancer pain
Neuropathic pain ✅✅correct answ-Pain arising as a direct consequence
of a lesion or dysfunction in the nervous system
Acute: crushed nerve, spinal cord compression, herpes zoster, cancer pain
Chronic: phantom limb, diabetic neuropathy, cancer pain
Measures of pain intensity ✅✅correct answ-Numeric Rating Scale (NRS): 0 to 10
Verbal Rating Scale (VRS): No pain, mild, moderate, severe, very severe
Present Pain Intensity (PPI): No pain, mild, discomforting, distressing, horrible, excruciating
Faces Pain Scale - revised (FPS-R)
Visual analog scale - no pain------------------worst pain ever
Non-pharmacologic nursing approaches ✅✅correct answ-Acceptance and Commitment Therapy
(ACT)
-Identification of values as naturally positive reinforcers
-Shifting perspectives - 'pain scripts' as thoughts not facts
-Challenges notion that one must be free of pain to have a meaningful life
Mindfullness-Based Cognitive Therapy (MBCT)
-In major depressive disorders - suffering is due to avoidance behaviours
-Depressive states have emotional pain - reaction to pain amplifies suffering
-Acceptance of current state as not catastrophic
-Being present in the moment without ruinations of the past or future
MANAGEMENT QUESTIONS AND
CORRECT ANSWERS
Spiral of pain ✅✅correct answ-tissue damage - chronic risk pain factor - perceived tissue damage
- rest, passive coping - limited activities - weak, tight muscles - physical and psychosocial
reconditioning - withdrawal from social and physical activities - anxiety, depression, anger
When should comprehensive pain assessments be done? ✅✅correct answ-Each encounter
Change in medical condition
Prior to, during and after procedure
Comprehensive pain Assessment on persons with pain ✅✅correct answ-Previous pain history
Current pain symptoms & characteristics
Functional impact
Psychosocial impact
Adapted pain assessment acronym ✅✅correct answ-O - onset
P - provokes, palliates
Q - quality (sharp, dull)
R - region, radiation
S - severity(0-10)
T - timing/treatment
U - understanding/impact
V - values (goals, culturally,
personally)
AND C – communication
What are the 4 types of pain? ✅✅correct answ-Acute nociceptive
Chronic nociceptive
Acute neuropathic
Chronic neuropathic
, Nociceptive pain ✅✅correct answ-Caused by activity
in neural pathways
in response to potentially tissue-damaging stimuli
Acute: fractures, surgical pain, cancer pain, angina
Chronic: headaches, fibromyalgia, arthritis, cancer pain
Neuropathic pain ✅✅correct answ-Pain arising as a direct consequence
of a lesion or dysfunction in the nervous system
Acute: crushed nerve, spinal cord compression, herpes zoster, cancer pain
Chronic: phantom limb, diabetic neuropathy, cancer pain
Measures of pain intensity ✅✅correct answ-Numeric Rating Scale (NRS): 0 to 10
Verbal Rating Scale (VRS): No pain, mild, moderate, severe, very severe
Present Pain Intensity (PPI): No pain, mild, discomforting, distressing, horrible, excruciating
Faces Pain Scale - revised (FPS-R)
Visual analog scale - no pain------------------worst pain ever
Non-pharmacologic nursing approaches ✅✅correct answ-Acceptance and Commitment Therapy
(ACT)
-Identification of values as naturally positive reinforcers
-Shifting perspectives - 'pain scripts' as thoughts not facts
-Challenges notion that one must be free of pain to have a meaningful life
Mindfullness-Based Cognitive Therapy (MBCT)
-In major depressive disorders - suffering is due to avoidance behaviours
-Depressive states have emotional pain - reaction to pain amplifies suffering
-Acceptance of current state as not catastrophic
-Being present in the moment without ruinations of the past or future
