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Questions and Answers
A cyclist reports to the nurse that he is experiencing pain in the tendons and ligaments of his left leg, and the pain is worse with ambulation. The nurse will document this type of pain as which of the following?
A cyclist reports to the nurse that he is experiencing pain in the tendons and ligaments of his left leg, and the pain is worse with ambulation. The nurse will document this type of pain as which of the following?
- Phantom pain
- Somatic pain (correct)
- Cutaneous pain
- Visceral pain
Which statement accurately describes pain experienced by the older adult?
Which statement accurately describes pain experienced by the older adult?
- The older client has decreased sensitivity to pain.
- Boredom and depression may affect an older person's perception of pain. (correct)
- A heightened pain tolerance occurs in the older adult.
- Residents in long-term care facilities have a minimal level of pain.
Pet therapy is commonly used in long-term facilities for distraction. If a client is experiencing pain and the pain is temporarily decreased while petting a visiting dog or cat, this is an example of which type of distraction technique?
Pet therapy is commonly used in long-term facilities for distraction. If a client is experiencing pain and the pain is temporarily decreased while petting a visiting dog or cat, this is an example of which type of distraction technique?
- Project distraction
- Auditory distraction
- Visual distraction
- Tactile kinesthetic distraction (correct)
Of the following individuals, who can best determine the experience of pain?
Of the following individuals, who can best determine the experience of pain?
A client who has breast cancer is said to be in remission. What does this term signify?
A client who has breast cancer is said to be in remission. What does this term signify?
Which of the following clients would be classified as having chronic pain?
Which of the following clients would be classified as having chronic pain?
A client has a severe abdominal injury with damage to the liver and colon from a motorcycle crash. What type of pain will predominate?
A client has a severe abdominal injury with damage to the liver and colon from a motorcycle crash. What type of pain will predominate?
A client in the emergency department is diagnosed with a myocardial infarction (heart attack). The client describes pain in his left arm and shoulder. What name is given to this type of pain?
A client in the emergency department is diagnosed with a myocardial infarction (heart attack). The client describes pain in his left arm and shoulder. What name is given to this type of pain?
Why is acute pain said to be protective in nature?
Why is acute pain said to be protective in nature?
A client tells the nurse that she is experiencing stabbing pain in her mouth, gums, teeth, and chin following brushing her teeth. These are symptoms of which of the following pain syndromes?
A client tells the nurse that she is experiencing stabbing pain in her mouth, gums, teeth, and chin following brushing her teeth. These are symptoms of which of the following pain syndromes?
A nurse implements a back massage as an intervention to relieve pain. What theory is the motivation for this intervention?
A nurse implements a back massage as an intervention to relieve pain. What theory is the motivation for this intervention?
A client has been taught relaxation exercises before beginning a painful procedure. What chemicals are believed to be released in the body during relaxation to relieve pain?
A client has been taught relaxation exercises before beginning a painful procedure. What chemicals are believed to be released in the body during relaxation to relieve pain?
How may a nurse demonstrate cultural competence when responding to clients in pain?
How may a nurse demonstrate cultural competence when responding to clients in pain?
Which client would be most likely to have decreased anxiety about, and response to, pain as a result of past experiences?
Which client would be most likely to have decreased anxiety about, and response to, pain as a result of past experiences?
Which misconception is common in clients in pain?
Which misconception is common in clients in pain?
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Study Notes
Pain Types and Experiences
- Somatic Pain: Pain originating from tendons and ligaments, experienced by individuals during movement.
- Older Adult Pain Perception: Boredom and depression may influence how older adults perceive pain, contrasting with the belief in diminished sensitivity.
- Chronic Pain: Characterized by long-lasting conditions, exemplified by those suffering from rheumatoid arthritis.
Pain Definitions and Classifications
- Visceral Pain: Predominates in cases of severe internal injuries, such as damage to the liver and colon.
- Referred Pain: Occurs when pain is felt in a location different from the source, such as left arm and shoulder pain during a heart attack.
- Trigeminal Neuralgia: Specific pain syndrome presenting with stabbing pain in the facial region after mild stimuli like brushing teeth.
Pain Management Techniques
- Tactile Kinesthetic Distraction: Using pet therapy in long-term care to temporarily alleviate pain through engaging with animals.
- Gate Control Theory: Underlying principle for interventions like massage for pain relief, suggesting that stimulation can block pain transmission.
- Endorphins: Natural pain relievers released during relaxation, contributing to pain relief prior to procedures.
Client-Centered Pain Assessment
- Self-Reported Pain: The person experiencing pain is the best authority on their pain experience.
- Cultural Competence in Pain Response: Nurses should avoid stereotypes in pain responses to ensure individualized care.
Protective Nature of Acute Pain
- Protective Function: Acute pain serves as a warning signal indicating potential tissue damage or disease, signaling the need for intervention.
Pain Misconceptions
- Addressing misconceptions in pain management, such as fears of addiction to pain medications, is crucial for effective care.
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