NUR 103 EXAM 3 – NURSING STUDY GUIDE, PRACTICE QUESTIONS & EXAM
REVIEW 2026/2027
Age related changes in pain perception - ✔✔*After age 60, the incidence of pain more than doubles
*Decrease in density of peripheral nerves
*Degeneration in norepinephrine and serotonin
*Decrease in neurons in the cerebral cortex
*Pain thresholds increase with age (except with heat)
Alternative techniques for pain control - ✔✔*Natural products (vitamins, minerals, herbals, botanicals
*Capsicum is commonly used
*Acupuncture, massage, meditation, relaxation techniques, yoga, ta'i ch'i
*Hot/Cold therapy
*Imagery
*Progressive relaxation, distraction, music, hypnosis, nerve stimulation, exercise
Assessment of alcohol abuse (screenings tools) - ✔✔CAGE, MAST-G, BMAST . family/friends input
Assessment of alcohol abuse (physical findings) - ✔✔Impaired sensations, poor coordination, stupor,
nystagmus, slurred speech, confusion, facial edema, liver enlargement, jaundice, ascites, trembling
CIWA scale - ✔✔helps determine which medications should be given for safe withdrawal
Lab tests for alcohol abuse - ✔✔liver function, electrolytes, glucose, mag, ECG
CAGE - ✔✔cut down, annoyed, guilty, eye opener
MAST-G - ✔✔Short Michigan Alcohol Screening Tool
CIWA categories - ✔✔N/V, Tremors, Sweats, Anxiety, Agitation, Tactile, disturbances, Auditory
disturbances, Visual disturbances, headache, orientation, 1-7 each category. 67 points possible.
Interventions for Delirium Tremens - ✔✔Assess VS, safe environment, close observation, meds
When do alcohol withdrawal symptoms begin? - ✔✔4-12 hours
When do alcohol withdrawal symptoms peak? - ✔✔48-72 hours
Assessing pain outcomes - ✔✔Patient reports decrease in pain, patient is sleeping better, patients
attitude has improved, activity tolerance
Primary considerations in selecting pain relief methods - ✔✔individualized planning. Patient should be
involved in planning
Assessment of activity in older adults ? - ✔✔What are their hobbies?
REVIEW 2026/2027
Age related changes in pain perception - ✔✔*After age 60, the incidence of pain more than doubles
*Decrease in density of peripheral nerves
*Degeneration in norepinephrine and serotonin
*Decrease in neurons in the cerebral cortex
*Pain thresholds increase with age (except with heat)
Alternative techniques for pain control - ✔✔*Natural products (vitamins, minerals, herbals, botanicals
*Capsicum is commonly used
*Acupuncture, massage, meditation, relaxation techniques, yoga, ta'i ch'i
*Hot/Cold therapy
*Imagery
*Progressive relaxation, distraction, music, hypnosis, nerve stimulation, exercise
Assessment of alcohol abuse (screenings tools) - ✔✔CAGE, MAST-G, BMAST . family/friends input
Assessment of alcohol abuse (physical findings) - ✔✔Impaired sensations, poor coordination, stupor,
nystagmus, slurred speech, confusion, facial edema, liver enlargement, jaundice, ascites, trembling
CIWA scale - ✔✔helps determine which medications should be given for safe withdrawal
Lab tests for alcohol abuse - ✔✔liver function, electrolytes, glucose, mag, ECG
CAGE - ✔✔cut down, annoyed, guilty, eye opener
MAST-G - ✔✔Short Michigan Alcohol Screening Tool
CIWA categories - ✔✔N/V, Tremors, Sweats, Anxiety, Agitation, Tactile, disturbances, Auditory
disturbances, Visual disturbances, headache, orientation, 1-7 each category. 67 points possible.
Interventions for Delirium Tremens - ✔✔Assess VS, safe environment, close observation, meds
When do alcohol withdrawal symptoms begin? - ✔✔4-12 hours
When do alcohol withdrawal symptoms peak? - ✔✔48-72 hours
Assessing pain outcomes - ✔✔Patient reports decrease in pain, patient is sleeping better, patients
attitude has improved, activity tolerance
Primary considerations in selecting pain relief methods - ✔✔individualized planning. Patient should be
involved in planning
Assessment of activity in older adults ? - ✔✔What are their hobbies?
