NU 325 Exam 4
, 4 stages of nociception - CORRECT ANSWERS-- nerve fibers in the peripheral/central
nervous systems are functioning & intact; starts outside the nervous system from
actual/potential tissue damage
1. Transduction: noxious stimulus takes place in periphery
2. Transmission: pain impulse moves from spinal cord to brain
3. Perception: conscious awareness of a painful sensation
4. Modulation: inhibition of pain message
Understand neuropathic pain (NEP) - CORRECT ANSWERS-pain doesn't adhere to
typical predictable phases in NP; implies an abnormal processing of pain message from
an injury to the nerve fibers; most difficult to assess & treat
Visceral pain - CORRECT ANSWERS-originates from larger internal organs, such as
the stomach, intestines, gallbladder, and pancreas. described as dull, deep, squeezing
or cramping.
Deep somatic pain - CORRECT ANSWERS-comes from sources such as blood
vessels, joints, tendons, muscles, and bone; may result from pressure, trauma or
ischemia
Cutaneous pain - CORRECT ANSWERS-superficial pain usually involving the skin or
subQ tissue
Referred pain - CORRECT ANSWERS-pain felt at one site but originates form another
location
Acute pain - CORRECT ANSWERS-short term & self limiting; follows predictable
trajectory pattern
Chronic pain - CORRECT ANSWERS-when pain continues 6 months or longer, doesn't
stop with healing; divided into malignant (tumor cells) & nonmalignant (musculoskeletal
conditions)
Understand developmental variations in pain for the infant & aging adult. - CORRECT
ANSWERS-- infants have same pain capacity as adults; pain sensory developed at 20
weeks gestation, emotional "pain" at 30 weeks gestation.
- developing pain is not a normal process of aging
American Pain Society definition of pain - CORRECT ANSWERS-Pain is an unpleasant
sensory and emotional experience associated with actual or potential tissue damage, or
described in terms of such damage
Pain rating scales - CORRECT ANSWERS-Children: introduced at 4-5 years
- Face pain scale: 6 drawings of faces that show intensity of pain from "no pain" on left
to "very much pain" on right
, 4 stages of nociception - CORRECT ANSWERS-- nerve fibers in the peripheral/central
nervous systems are functioning & intact; starts outside the nervous system from
actual/potential tissue damage
1. Transduction: noxious stimulus takes place in periphery
2. Transmission: pain impulse moves from spinal cord to brain
3. Perception: conscious awareness of a painful sensation
4. Modulation: inhibition of pain message
Understand neuropathic pain (NEP) - CORRECT ANSWERS-pain doesn't adhere to
typical predictable phases in NP; implies an abnormal processing of pain message from
an injury to the nerve fibers; most difficult to assess & treat
Visceral pain - CORRECT ANSWERS-originates from larger internal organs, such as
the stomach, intestines, gallbladder, and pancreas. described as dull, deep, squeezing
or cramping.
Deep somatic pain - CORRECT ANSWERS-comes from sources such as blood
vessels, joints, tendons, muscles, and bone; may result from pressure, trauma or
ischemia
Cutaneous pain - CORRECT ANSWERS-superficial pain usually involving the skin or
subQ tissue
Referred pain - CORRECT ANSWERS-pain felt at one site but originates form another
location
Acute pain - CORRECT ANSWERS-short term & self limiting; follows predictable
trajectory pattern
Chronic pain - CORRECT ANSWERS-when pain continues 6 months or longer, doesn't
stop with healing; divided into malignant (tumor cells) & nonmalignant (musculoskeletal
conditions)
Understand developmental variations in pain for the infant & aging adult. - CORRECT
ANSWERS-- infants have same pain capacity as adults; pain sensory developed at 20
weeks gestation, emotional "pain" at 30 weeks gestation.
- developing pain is not a normal process of aging
American Pain Society definition of pain - CORRECT ANSWERS-Pain is an unpleasant
sensory and emotional experience associated with actual or potential tissue damage, or
described in terms of such damage
Pain rating scales - CORRECT ANSWERS-Children: introduced at 4-5 years
- Face pain scale: 6 drawings of faces that show intensity of pain from "no pain" on left
to "very much pain" on right
