CCC1 EXAM 2 LATEST 2024/2025 ACTUAL UPDATED
QUESTIONS AND CORRECT VERIFIED ANSWERS
|GRADED A+
insomnia - ANSWER-difficulty in getting to sleep or staying asleep at night
How are heating pads or ice packs properly used? What are the risks of their use? What patient
populations are most at risk? - ANSWER-Heat: The use of heat-producing equipment may require
a medical order. When applying heat, check the temperature carefully to avoid burning the patient.
Remember that very young and very old patients have skin that is more sensitive to heat damage. In
addition, patients with altered levels of consciousness, impaired movement and feeling, or poor
circulation may not be aware when something is too hot. These patients can suffer severe burns in a
short period. All patients should be closely monitored if heat applications are being used
Ice packs: Cold is most frequently applied in the form of cold or iced compresses. Some patients have
a poor tolerance for cold treatment, so be alert to the patient's response when using cold
applications. Occasionally, patients have an increase rather than a decrease in pain when ice is
applied. To prevent skin damage, ice should be in contact with the skin for only a few minutes at a
time, under direct supervision. Ice packs should be applied with a towel or other barrier between the
pack and the skin and not left in place for more than 15 to 20 minutes.
What is the expected outcome of distraction as a pain management tool? - ANSWER-distraction
assists the patient in focusing on something other than the pain. Distraction may be particularly
helpful while waiting for an administered dose of medication to take effect. the pain will return/
become more noticeable once there is no longer a distraction
· Describe a few reasons for using patient-controlled anesthesia (PCA). - ANSWER-PCA has proven
to greatly reduce patient anxiety about pain by putting the patient in control, and most patients
actually use less rather than more medication.
· Therapeutic communication while assessing pain: how to ask assessment questions, what pitfalls to
avoid - ANSWER-Asking Open-Ended Questions, Restating, Clarifying, Using Touch, Using General
Leads, Offering of Self, Encouraging Elaboration, Providing Patient Education, Looking at Alternatives,
Summarizing.
Avoid: Changing the Subject, Offering False Reassurance, Giving Advice, Using Defensive Comments,
Asking Prying or Probing Questions, Using Clichés, Listening Inattentively.
,· What is the reason for taking a thorough pain history? - ANSWER-Pain is a subjective experience,
and self-report of pain is the most reliable indicator of a patient's experience. we need to make sure
we have all the details of the patient's pain to know how to best treat it. what helps, what makes it
worse.
· When is the best time to assess pain with your patients? - ANSWER-Pain is assessed and findings
are often recorded along with the other vital signs in the medical record. The same version of a
standardized pain scale should be used at each assessment. Follow-up on the assessment findings
and treatment of pain are done according to agency policy
List several concerns for patients with chronic pain controlled by opioids - ANSWER-a high
potential for abuse/ addiction, slowed breathing,
What are the evidence-based pain scales available for assessing pain? For what population(s) is each
pain scale most appropriate for use - ANSWER-When requesting pain medication and when
assessing the degree of relief following the dose, the patient can refer to the numeric scale. For
example, a patient who had an appendectomy this morning may describe their incisional pain as
being 8 on a scale of 0 to 10, or very bad, but not the worst possible pain; 1 hour after receiving
medication, they may describe the pain as being 3, not gone but greatly reduced, allowing them to
move about and rest in reasonable comfort.
Children, as well as some adults, may find a numeric scale difficult to use. A picture scale showing
faces in varying degrees of pain also can help assess pain The Face, Legs, Activity, Cry, and
Consolability (FLACC) scale is used for preverbal children or noncommunicative patients. For infants,
one of several scales is used: Neonatal Infant Pain Scale (NIPS); Crying, Requires oxygen to maintain
saturation, Increased vital signs, Expression, and Sleeplessness (CRIES); or Premature Infant Pain
Profile (PIPP). For patients with moderate to severe cognitive deficits or those who have difficulty
communicating verbally, the pain thermometer scale, a discomfort scale, or the Pain Assessment
Checklist for Seniors with Limited Ability to Communicate (PACSLAC) scale may be used
· What medical diagnoses includes neuropathic pain as a common clinical manifestation? -
ANSWER-Diabetes, Guillain-Barré syndrome, multiple sclerosis, cancer, human immunodeficiency
virus (HIV), and nutritional deficiencies are examples of medical conditions associated with
neuropathic pain
For what kinds of patients are opioid patch medications best used? - ANSWER-for severe chronic
pain
, · What are some age-related considerations about how patients report and experience pain? Why do
they often under-report pain? - ANSWER-The older adult may not express pain because they
mistakenly believe it is a logical consequence of aging, because they do not want to be a bother, or
because they have been culturally trained not to complain about pain
neuropathic pain - ANSWER-associated with a dysfunction of the nervous system—specifically, an
abnormality in processing sensations. Pain receptors in the body become sensitive to stimuli and
send pain signals more easily. Nerve endings grow additional branches that send stronger pain
signals to the brain. As the branches grow, they influence touch and warmth receptors, and these
receptors begin to send pain signals. In some cases, the pain signal that normally moves from the
periphery toward the brain reverses and is sent in the opposite direction. These changes in the
nervous system are often associated with medical conditions rather than tissue damage
phantom pain - ANSWER-occurs after the loss of a body part from amputation. The patient may
"feel" pain in the amputated part for years after the amputation has occurred
non-verbal indicators of pain - ANSWER-grimacing, moaning, guarding, or restlessness
Empathy - ANSWER-the ability to place oneself in another's position. It involves being able to see
situations from another person's perspective and perceive them as that person does. If empathy is
present, the other person's feeling is understood. Empathy is different from sympathy. With
sympathy, concern and perhaps sorrow are felt, indicating that the person is experiencing something
difficult. Warmth, a nonjudgmental attitude, and a focus on the patient's feelings are present when
empathy is expressed. Again, be careful when using clichés such as "I know how you feel" or "I
understand what you are going through." No one can really know or feel what someone else is
experiencing. State an interpretation of the patient's feelings and then seek validation that the
interpretation is accurate.
Autonomy - ANSWER-respecting someone's self-determination
· What are the 5 "rights" for delegation of nursing tasks? - ANSWER-Right task.
Right circumstance.
Right person.
Right supervision.
Right direction and communication
QUESTIONS AND CORRECT VERIFIED ANSWERS
|GRADED A+
insomnia - ANSWER-difficulty in getting to sleep or staying asleep at night
How are heating pads or ice packs properly used? What are the risks of their use? What patient
populations are most at risk? - ANSWER-Heat: The use of heat-producing equipment may require
a medical order. When applying heat, check the temperature carefully to avoid burning the patient.
Remember that very young and very old patients have skin that is more sensitive to heat damage. In
addition, patients with altered levels of consciousness, impaired movement and feeling, or poor
circulation may not be aware when something is too hot. These patients can suffer severe burns in a
short period. All patients should be closely monitored if heat applications are being used
Ice packs: Cold is most frequently applied in the form of cold or iced compresses. Some patients have
a poor tolerance for cold treatment, so be alert to the patient's response when using cold
applications. Occasionally, patients have an increase rather than a decrease in pain when ice is
applied. To prevent skin damage, ice should be in contact with the skin for only a few minutes at a
time, under direct supervision. Ice packs should be applied with a towel or other barrier between the
pack and the skin and not left in place for more than 15 to 20 minutes.
What is the expected outcome of distraction as a pain management tool? - ANSWER-distraction
assists the patient in focusing on something other than the pain. Distraction may be particularly
helpful while waiting for an administered dose of medication to take effect. the pain will return/
become more noticeable once there is no longer a distraction
· Describe a few reasons for using patient-controlled anesthesia (PCA). - ANSWER-PCA has proven
to greatly reduce patient anxiety about pain by putting the patient in control, and most patients
actually use less rather than more medication.
· Therapeutic communication while assessing pain: how to ask assessment questions, what pitfalls to
avoid - ANSWER-Asking Open-Ended Questions, Restating, Clarifying, Using Touch, Using General
Leads, Offering of Self, Encouraging Elaboration, Providing Patient Education, Looking at Alternatives,
Summarizing.
Avoid: Changing the Subject, Offering False Reassurance, Giving Advice, Using Defensive Comments,
Asking Prying or Probing Questions, Using Clichés, Listening Inattentively.
,· What is the reason for taking a thorough pain history? - ANSWER-Pain is a subjective experience,
and self-report of pain is the most reliable indicator of a patient's experience. we need to make sure
we have all the details of the patient's pain to know how to best treat it. what helps, what makes it
worse.
· When is the best time to assess pain with your patients? - ANSWER-Pain is assessed and findings
are often recorded along with the other vital signs in the medical record. The same version of a
standardized pain scale should be used at each assessment. Follow-up on the assessment findings
and treatment of pain are done according to agency policy
List several concerns for patients with chronic pain controlled by opioids - ANSWER-a high
potential for abuse/ addiction, slowed breathing,
What are the evidence-based pain scales available for assessing pain? For what population(s) is each
pain scale most appropriate for use - ANSWER-When requesting pain medication and when
assessing the degree of relief following the dose, the patient can refer to the numeric scale. For
example, a patient who had an appendectomy this morning may describe their incisional pain as
being 8 on a scale of 0 to 10, or very bad, but not the worst possible pain; 1 hour after receiving
medication, they may describe the pain as being 3, not gone but greatly reduced, allowing them to
move about and rest in reasonable comfort.
Children, as well as some adults, may find a numeric scale difficult to use. A picture scale showing
faces in varying degrees of pain also can help assess pain The Face, Legs, Activity, Cry, and
Consolability (FLACC) scale is used for preverbal children or noncommunicative patients. For infants,
one of several scales is used: Neonatal Infant Pain Scale (NIPS); Crying, Requires oxygen to maintain
saturation, Increased vital signs, Expression, and Sleeplessness (CRIES); or Premature Infant Pain
Profile (PIPP). For patients with moderate to severe cognitive deficits or those who have difficulty
communicating verbally, the pain thermometer scale, a discomfort scale, or the Pain Assessment
Checklist for Seniors with Limited Ability to Communicate (PACSLAC) scale may be used
· What medical diagnoses includes neuropathic pain as a common clinical manifestation? -
ANSWER-Diabetes, Guillain-Barré syndrome, multiple sclerosis, cancer, human immunodeficiency
virus (HIV), and nutritional deficiencies are examples of medical conditions associated with
neuropathic pain
For what kinds of patients are opioid patch medications best used? - ANSWER-for severe chronic
pain
, · What are some age-related considerations about how patients report and experience pain? Why do
they often under-report pain? - ANSWER-The older adult may not express pain because they
mistakenly believe it is a logical consequence of aging, because they do not want to be a bother, or
because they have been culturally trained not to complain about pain
neuropathic pain - ANSWER-associated with a dysfunction of the nervous system—specifically, an
abnormality in processing sensations. Pain receptors in the body become sensitive to stimuli and
send pain signals more easily. Nerve endings grow additional branches that send stronger pain
signals to the brain. As the branches grow, they influence touch and warmth receptors, and these
receptors begin to send pain signals. In some cases, the pain signal that normally moves from the
periphery toward the brain reverses and is sent in the opposite direction. These changes in the
nervous system are often associated with medical conditions rather than tissue damage
phantom pain - ANSWER-occurs after the loss of a body part from amputation. The patient may
"feel" pain in the amputated part for years after the amputation has occurred
non-verbal indicators of pain - ANSWER-grimacing, moaning, guarding, or restlessness
Empathy - ANSWER-the ability to place oneself in another's position. It involves being able to see
situations from another person's perspective and perceive them as that person does. If empathy is
present, the other person's feeling is understood. Empathy is different from sympathy. With
sympathy, concern and perhaps sorrow are felt, indicating that the person is experiencing something
difficult. Warmth, a nonjudgmental attitude, and a focus on the patient's feelings are present when
empathy is expressed. Again, be careful when using clichés such as "I know how you feel" or "I
understand what you are going through." No one can really know or feel what someone else is
experiencing. State an interpretation of the patient's feelings and then seek validation that the
interpretation is accurate.
Autonomy - ANSWER-respecting someone's self-determination
· What are the 5 "rights" for delegation of nursing tasks? - ANSWER-Right task.
Right circumstance.
Right person.
Right supervision.
Right direction and communication
