answers rated A+ 2025/2026
What are consequences of untreated pain? - correct answer ✔- weight loss
- increased RR
- increased HR
- stroke
- glucose intolerance
- HTN
- fluid imbalances
What are the five dimensions of pain? - correct answer ✔1. Physiological- genetic, anatomic, and
physical determinants
2. Affective- emotional responses of pain
3. Cognitive- beliefs, attitudes, and memories
4. Behavioral- observable actions, agitation
5. Sociocultural- culture, age, gender, cultural norms
Nocioceptive pain - correct answer ✔The pain produced from activation of peripheral nociceptors
Somatic pain - correct answer ✔skin pain, tissue pain, or muscle pain
visceral pain - correct answer ✔pain in the organs.
- sensitive to stretch, ischemia, and inflammation
neuropathic pain - correct answer ✔caused by damage to peripheral nerves in the CNS
,- burning, shooting, shock-like
What is the difference between acute and chronic pain? - correct answer ✔acute- sharp in quality,
resolves in 3 months
chronic-
*onset, duration, cause of pain, course of pain, typical behavioral manifestations, usual goals of
treatment
What is sciatica? - correct answer ✔Nerve pain along the sciatic nerve (down back and legs)
How will a newborn express their pain? - correct answer ✔-crying
-brows lowered and drawn together, eyes tightly closed
-mouth open
-generalized body response of thrashing
-possible with local reflexes drawn
How will an infant express their pain? - correct answer ✔-crying
-deliberate withdrawal from what is causing pain
-expression of anger
How will a young child express pain? - correct answer ✔-crying/screaming
-verbal expression
-restless or irritable
How will a school aged child express their pain? - correct answer ✔-crying/screaming
,-verbal expression
-restless or irritable
-time wasting ("wait a min")
- clenched fist
How will an adolescent express pain? - correct answer ✔- less vocal
- "it hurts", "you're hurting me"
- muscle tension
Why is documentation of pain assessment and treatment such a big deal in nursing? - correct answer
✔-Pt has right to have pain controlled
-to ensure safe, effective communication through interprofessional team members
When should pain be reassessed? - correct answer ✔-before and after pain meds are given
-depends on pain severity, physical and psychosocial condition, type of intervention, and risks of adverse
effects, and institutional policy
What do we need to include in our evaluation of pain interventions? - correct answer ✔assess the
patient's sense of personal control about managing pain and increase copin skills
What are some potential nursing diagnoses that could be used by a client in pain? - correct answer ✔-
impaired physical mobility
-risk for isolation
What is an example of a realistic and measurable outcome for pain? - correct answer ✔"patient will
report decreased feelings of pain by the end of my shift"
**nursing diagnosis & outcome needs to be realistic and outcome
, Who might we collaborate with as we manage our client's pain? - correct answer ✔-pharmacist
-primary care provider
-pain management
-patient
-PT/OT
- psychology
What are the 10 basic principles of pain treatment? - correct answer ✔1. follow principles of pain
assessment
2. holistic approach to pain management
3. every patient deserves adequate pain management
4. base treatment plan on patient goals
5. use drug and non drug therapies
6. multimodal approach --> 2 different categories (NSAIDS and opioids)
7. address pain using an interprofessional approach
8. evaluate effectiveness of all therapies to ensure they are meeting patient goals
9. prevent/manage med side effects (ABCs- respiratory depression, addiction)
10. incorporate patient/caregiver teaching throughout assessment and treatment
What is a multimodal approach to analgesic therapy? - correct answer ✔employs the use of 2+ classes
of analgesic agents to take advantage of the various mechanisms of action (ex. opioids & NSAIDs)
What are barriers to effective pain management? - correct answer ✔- concern about side effects
- fear of tolerance
- desire to be "good" patient