NUR 601 EXAM2026 LATEST UPDATE
QUESTIONS AND CORRECT VERIFIED
ANSWERSALREADY GRADED A+
Pain Treatment - Principles - ANS--Patient must always be believed
-Every patient deserves adequate pain management - Joint Commission
-Treatment must be based on the patient's goals
-Treatment plans should use a combination of drug and non-drug therapies
-A multidisciplinary approach is necessary to address all dimensions of pain
-All therapies must be evaluated to ensure that they are meeting the patient's goals
-Drug side effects must be prevented and/or managed
-Patient and family teaching should be a cornerstone of the treatment plan
Different types of pain - ANS-Nociceptive pain tissue
Neuropathic pain
Acute
Chronic
Nociceptive Pain - ANS-Somatic - well localized (aching or throbbing) ex. arthritis, pain from a
surgical incision
Visceral - damage to visceral tissue (internal organs lining of body cavities). ex. Tumor,
obstruction, cardiac ischemia
,Referred -distant from the injured tissue
-Usually responsive to non-opioids as well as opioids
Gerontologic Considerations - ANS-*Chronic pain significant problem in the elderly
*Pain in the elderly often is inadequately assessed and treated
*Often associated with physical disability and psychosocial problems
-Osteoarthritis
-Low back pain
-Previous fracture sites
Pain Scale for Cognitively Impaired - ANS--Emotion - Smiling (0), Anxious/Irritable (1), Almost
in tears(2)
-Movement -No change (0), Slow movement (1), Afraid to move (2)
-Verbal Cues -Denies pain (0), Whimpering, Moaning (1), Screaming, Crying out (2)
-Facial Cues - Relaxed, calm expression (0), Drawn around mouth and eyes (1), Facial
frowning, Wincing (2)
, -Positioning/Guarding - Relaxed body (0), Guarding, Tense (1), Fetal position, Jumps when
touched (2)
-10 point scale.
# If not sure of response, obtain usual
baseline behavior from caregiver
Pain in the elderly - ANS-*Behaviors:
Inactivity/Depression
Immobilization
Combativeness
Sleeping
Confusion
No change in vital signs
Rubbing
Stoicism
Increased health care utilization
Decreased physical and social role
Withdrawal
*Tx:
Listen carefully to the patient and family
Recognize different types of pain behaviors
Start low and go slow
QUESTIONS AND CORRECT VERIFIED
ANSWERSALREADY GRADED A+
Pain Treatment - Principles - ANS--Patient must always be believed
-Every patient deserves adequate pain management - Joint Commission
-Treatment must be based on the patient's goals
-Treatment plans should use a combination of drug and non-drug therapies
-A multidisciplinary approach is necessary to address all dimensions of pain
-All therapies must be evaluated to ensure that they are meeting the patient's goals
-Drug side effects must be prevented and/or managed
-Patient and family teaching should be a cornerstone of the treatment plan
Different types of pain - ANS-Nociceptive pain tissue
Neuropathic pain
Acute
Chronic
Nociceptive Pain - ANS-Somatic - well localized (aching or throbbing) ex. arthritis, pain from a
surgical incision
Visceral - damage to visceral tissue (internal organs lining of body cavities). ex. Tumor,
obstruction, cardiac ischemia
,Referred -distant from the injured tissue
-Usually responsive to non-opioids as well as opioids
Gerontologic Considerations - ANS-*Chronic pain significant problem in the elderly
*Pain in the elderly often is inadequately assessed and treated
*Often associated with physical disability and psychosocial problems
-Osteoarthritis
-Low back pain
-Previous fracture sites
Pain Scale for Cognitively Impaired - ANS--Emotion - Smiling (0), Anxious/Irritable (1), Almost
in tears(2)
-Movement -No change (0), Slow movement (1), Afraid to move (2)
-Verbal Cues -Denies pain (0), Whimpering, Moaning (1), Screaming, Crying out (2)
-Facial Cues - Relaxed, calm expression (0), Drawn around mouth and eyes (1), Facial
frowning, Wincing (2)
, -Positioning/Guarding - Relaxed body (0), Guarding, Tense (1), Fetal position, Jumps when
touched (2)
-10 point scale.
# If not sure of response, obtain usual
baseline behavior from caregiver
Pain in the elderly - ANS-*Behaviors:
Inactivity/Depression
Immobilization
Combativeness
Sleeping
Confusion
No change in vital signs
Rubbing
Stoicism
Increased health care utilization
Decreased physical and social role
Withdrawal
*Tx:
Listen carefully to the patient and family
Recognize different types of pain behaviors
Start low and go slow
