PN 111 Ch. 6, 7, 8 Questions With Accurate Answers
2024-2025
Perception of pain is influenced by:
cultural beliefs and patient perception
What type of pain would a client present with if he/she presented with pain after a
trauma to the spinal cord?
chronic neuropathic
What type of client (diagnosis) would most likely present with peripheral neuropathy?
diabetes
Patient A is a quiet and calm individual, recovering from a second abdominal surgery,
while Patient B is vociferating in pain, having undergone the same type of surgery for
the first time and rating pain at much higher levels. What is the best possible reason for
these differences?
Pain tolerance--the length of time or intensity of pain an individual will tolerate before
openly reacting—old vs novel.
•Pain tolerance is diminished by repeated exposure to pain, fatigue, anger, boredom,
and sleep deprivation.
•Tolerance is heightened following intake of alcohol, medications, hypnosis, warmth,
distracting activities, and strong faith-related beliefs.
Therefore, it means that Client B's pain tolerance is not as high as Client A's. This may
be because Client A has had this kind of pain previously.
A patient has a mass in the right upper quadrant at the site of the liver and points to the
area and states that this hurts right here. What type if pain does this represent?
Well localized visceral pain
, Patient is c/o pain to a bone, muscle or tendon. What time of pain is this?
somatic
A person who has severe neuropathic pain from the slightest pressure to an area is
experiencing?
Alldoynia
Acute pain is present for
less that 6 months
Patients in chronic pain may appear alert and oriented, sitting quietly, and able to
answer questions without difficulty with VSS. The patient, when asked to rate the pain,
rates it as 6 out of 10. Why? Chronic pain patients adapt to the pain and often do not
present with physiologic signs of acute pain. What does it mean if a patient is guarding?
they can guard the area through withdrawal or physical protection of the area due to
pain
What are physiological signs of mild-moderate acute pain?
tachycardia
hypertension
diaphoresis
tachypnea
muscle tension
pupillary dilation
decreased GI motility
What are physiological signs of SEVERE acute pain?
pallor
diaphoresis
muscle tension
bradycardia
tachypnea, shallow and irregular
nausea/vomiting
weakness or fatigue
2024-2025
Perception of pain is influenced by:
cultural beliefs and patient perception
What type of pain would a client present with if he/she presented with pain after a
trauma to the spinal cord?
chronic neuropathic
What type of client (diagnosis) would most likely present with peripheral neuropathy?
diabetes
Patient A is a quiet and calm individual, recovering from a second abdominal surgery,
while Patient B is vociferating in pain, having undergone the same type of surgery for
the first time and rating pain at much higher levels. What is the best possible reason for
these differences?
Pain tolerance--the length of time or intensity of pain an individual will tolerate before
openly reacting—old vs novel.
•Pain tolerance is diminished by repeated exposure to pain, fatigue, anger, boredom,
and sleep deprivation.
•Tolerance is heightened following intake of alcohol, medications, hypnosis, warmth,
distracting activities, and strong faith-related beliefs.
Therefore, it means that Client B's pain tolerance is not as high as Client A's. This may
be because Client A has had this kind of pain previously.
A patient has a mass in the right upper quadrant at the site of the liver and points to the
area and states that this hurts right here. What type if pain does this represent?
Well localized visceral pain
, Patient is c/o pain to a bone, muscle or tendon. What time of pain is this?
somatic
A person who has severe neuropathic pain from the slightest pressure to an area is
experiencing?
Alldoynia
Acute pain is present for
less that 6 months
Patients in chronic pain may appear alert and oriented, sitting quietly, and able to
answer questions without difficulty with VSS. The patient, when asked to rate the pain,
rates it as 6 out of 10. Why? Chronic pain patients adapt to the pain and often do not
present with physiologic signs of acute pain. What does it mean if a patient is guarding?
they can guard the area through withdrawal or physical protection of the area due to
pain
What are physiological signs of mild-moderate acute pain?
tachycardia
hypertension
diaphoresis
tachypnea
muscle tension
pupillary dilation
decreased GI motility
What are physiological signs of SEVERE acute pain?
pallor
diaphoresis
muscle tension
bradycardia
tachypnea, shallow and irregular
nausea/vomiting
weakness or fatigue
