PrepU Chapter 9-Pain verified questions and solution A+ grade
The nurse is assessing the pain of an older adult client who is recovering from a right hip open
reduction procedure. What element would the nurse know it is important to review to best
understand the patient's pain?
Sleep patterns Family history Genetic history Elimination pattern - -sleep patterns
When assessing pain in older adults, the nurse should be sure to also review the effects of pain
on diet, sleep, and mood. Unrelieved pain may lead to insomnia or depression and seriously
affect the client's quality of life. It would not be necessary to assess the family history, genetic
history, or elimination pattern to gain insight into the client's pain level.
A patient recovering from abdominal surgery is complaining of pain. The nurse realizes that the
patient is most likely experiencing which type of pain?
Psychogenic Idiopathic Neuropathic Somatic - -Somatic pain
Somatic pain is caused by tissue damage, which would occur after abdominal surgery.
Psychogenic pain relates to factors that influence the patient's report of pain such as anxiety
and depression. Idiopathic pain does not have an identified cause. Neuropathic pain results
from direct injury to the peripheral or central nervous system.
The patient comes to the emergency department reporting indigestion and left arm pain. The
physician orders an EKG along with drawing of cardiac enzymes. When the results are back, the
patient is informed of the diagnosis of heart attack. The indigestion and arm pain are examples
of which of the following?
Visceral pain Referred pain Cutaneous pain Somatic pain - -Referred pain
, Referred pain originates from a specific site, but the person feels the pain at another site site
along the innervated spinal nerve. An example is cardiac pain that the person experiences as
arm pain and indigeston. Visceral pain originates from abdominal organs. Cutaneous pain
derives from the dermis, epidermis, and subcutaneous tissues. Somatic pain originates from
skin, muscles, bones, and joints.
A nurse is caring for a client with dull ache in her abdomen. On the way to the health care
facility, the client vomits and shows symptoms of pallor. What kind of pain is the client
experiencing?
Visceral pain Cutaneous pain Somatic pain Neuropathic pain - -The client is experiencing
visceral pain, which is associated with disease or injury. It is sometimes referred or poorly
localized as it is not experienced in the exact site where an organ is located. In cutaneous pain,
the discomfort originates at the skin level, and is a commonly experienced sensation resulting
from some form of trauma. Somatic pain develops from injury to structures such as muscles,
tendons, and joints. Neuropathic pain is experienced days, weeks, or even months after the
source of the pain has been treated and resolved.
How may a nurse demonstrate cultural competence when responding to patients in pain?
Treat every patient exactly the same, regardless of culture.
Be knowledgeable and skilled in medication administration.
Know the action and side effects of all pain medications.
Avoid stereotyping responses to pain by patients. - -Avoid stereotyping responses to pain
by patients.
Culture influences an individual's response to pain. It is particularly important to avoid
stereotyping responses to pain because the nurse frequently encounters patients who are in
pain or anticipating it will develop. A form of pain expression that is frowned on in one culture
may be desirable in another cultural group.
The nurse is assessing the pain of an older adult client who is recovering from a right hip open
reduction procedure. What element would the nurse know it is important to review to best
understand the patient's pain?
Sleep patterns Family history Genetic history Elimination pattern - -sleep patterns
When assessing pain in older adults, the nurse should be sure to also review the effects of pain
on diet, sleep, and mood. Unrelieved pain may lead to insomnia or depression and seriously
affect the client's quality of life. It would not be necessary to assess the family history, genetic
history, or elimination pattern to gain insight into the client's pain level.
A patient recovering from abdominal surgery is complaining of pain. The nurse realizes that the
patient is most likely experiencing which type of pain?
Psychogenic Idiopathic Neuropathic Somatic - -Somatic pain
Somatic pain is caused by tissue damage, which would occur after abdominal surgery.
Psychogenic pain relates to factors that influence the patient's report of pain such as anxiety
and depression. Idiopathic pain does not have an identified cause. Neuropathic pain results
from direct injury to the peripheral or central nervous system.
The patient comes to the emergency department reporting indigestion and left arm pain. The
physician orders an EKG along with drawing of cardiac enzymes. When the results are back, the
patient is informed of the diagnosis of heart attack. The indigestion and arm pain are examples
of which of the following?
Visceral pain Referred pain Cutaneous pain Somatic pain - -Referred pain
, Referred pain originates from a specific site, but the person feels the pain at another site site
along the innervated spinal nerve. An example is cardiac pain that the person experiences as
arm pain and indigeston. Visceral pain originates from abdominal organs. Cutaneous pain
derives from the dermis, epidermis, and subcutaneous tissues. Somatic pain originates from
skin, muscles, bones, and joints.
A nurse is caring for a client with dull ache in her abdomen. On the way to the health care
facility, the client vomits and shows symptoms of pallor. What kind of pain is the client
experiencing?
Visceral pain Cutaneous pain Somatic pain Neuropathic pain - -The client is experiencing
visceral pain, which is associated with disease or injury. It is sometimes referred or poorly
localized as it is not experienced in the exact site where an organ is located. In cutaneous pain,
the discomfort originates at the skin level, and is a commonly experienced sensation resulting
from some form of trauma. Somatic pain develops from injury to structures such as muscles,
tendons, and joints. Neuropathic pain is experienced days, weeks, or even months after the
source of the pain has been treated and resolved.
How may a nurse demonstrate cultural competence when responding to patients in pain?
Treat every patient exactly the same, regardless of culture.
Be knowledgeable and skilled in medication administration.
Know the action and side effects of all pain medications.
Avoid stereotyping responses to pain by patients. - -Avoid stereotyping responses to pain
by patients.
Culture influences an individual's response to pain. It is particularly important to avoid
stereotyping responses to pain because the nurse frequently encounters patients who are in
pain or anticipating it will develop. A form of pain expression that is frowned on in one culture
may be desirable in another cultural group.
