What is pain correct answers a personal experience influenced by biological, psychological and
social factors
Biological factors affecting pain correct answers Nociception, Brain function, Source of pain,
Illness, Medical diagnosis, Age, Injury, past or present, Genetic sensitivity, Hormones,
Inflammation, Obesity, Cognitive function
Psychological factors affecting pain correct answers Mood/affect, Fatigue, Stress, Coping,
Trauma, Sleep, Fear, Anxiety, Developmental stage, Meaning of pain, Memory, Attitude, Beliefs,
Emotional status, Expectations
Social factors affecting pain correct answers Culture, Values, Economic, Environment, Social
support, Coping mechanisms, Spirituality, Ethnicity, Education
When is the concept of pain learned correct answers through all stages of life
How is pain a survival response correct answers Motivator to withdraw from dangerous stimuli,
protect the damaged area until healed, and avoid similar stimuli in the future
How has pain been defined correct answers what a person says it is and a person's experience
should be respected
What can pain adversely affect correct answers function, socialization, and psychological well-
being
How can pain be expressed correct answers can be expressed verbally, and through other
methods, just because a person cant talk doesn't mean they are not in pain
Nociceptor correct answers A sensory receptor for painful stimuli.
,Types of nociceptor correct answers thermal nociceptor, mechanical nociceptor, chemical
nociceptor
Thermal nociceptor correct answers activated by noxious heat or cold
Mechanical nociceptor correct answers activated by express pressure or mechanical deformation
Chemical nociceptor correct answers activated by a wide variety of spices commonly used in
cooking
Two types of nociceptor fibers correct answers A-delta fibers and C fibers
A-delta fibers correct answers fast-conducting fibers and associated with the initial sharp,
stinging, or pricking pain sensation
C fibers correct answers slower-conducting fibers and are associated with the secondary
sensation of diffuse, dull, burning, and aching pain
Types of pain correct answers visceral, deep somatic, superficial, and neuropathic pain.
Visceral correct answers diffuse, difficult to locate, and often referred to a distant, usually
superficial, structure. It may be accompanied by nausea and vomiting and may be described as
sickening, deep, squeezing, and dull.
Deep somatic correct answers initiated by stimulation of nociceptors in ligaments, tendons,
bones, blood vessels, fascia, and muscles and is a dull, aching, poorly localized pain.
Superficial pain correct answers initiated by the activation of nociceptors in the skin or other
superficial tissue and is sharp, well-defined, and clearly located.
,neuropathic pain correct answers pain caused by a lesion or disease of the somatosensory
nervous system. It is typically described by patients as "burning" or "like pins and needles."
Referred pain correct answers Pain perceived at a location other than the site of the painful
stimulus. For example, pain from retained gas in the colon can cause pain to be perceived in the
shoulder.
Acute pain correct answers Pain that is limited in duration.
Acute pain correct answers pain associated with a specific cause
Acute pain correct answers causes a physiological response resulting in increased pulse,
respirations, blood pressure, and diaphoresis
Chronic pain correct answers Pain that is ongoing and persistent for longer than six months
Chronic pain correct answers does not cause a change in vital signs or diaphoresis
Chronic pain correct answers may be diffuse and not confined to a specific area of the body
Chronic pain correct answers often affects an individual's psychological, social, and behavioral
responses that can influence daily functioning.
Pain in Children correct answers harder to describe the pain (why we use different pain scales),
behavior that reflects pain (rubbing tummy), can try to be brave (very young can be undertreated)
Pain in Older adults correct answers undertreated, more unlikely to report, may present as
confusion agitation or irritability.
, Special populations at risk for undertreatment correct answers Patients with a history of
addiction (can get labeled as drug seeking), Nonverbal/cognitively impaired, or unconscious
patients, Patients who endure pain without complaining due to cultural or religious beliefs, Non-
English-speaking patients where communicating is a barrier, Uninsured or underinsured patients
where the cost of medications is a barrier
Tolerance correct answers A reduced response to pain medication when the same dose of a drug
has been given repeatedly, requiring a higher dose of the drug to achieve the same level of
response.
Physical dependence correct answers Withdrawal symptoms that occur when chronic pain
medication is suddenly reduced or stopped because of physiological adaptations that occur from
chronic exposure to the medication.
Misuse correct answers Taking prescription pain medications in a manner or dose other than
prescribed; taking someone else's prescription, even if for a medical complaint such as pain; or
taking a medication to feel euphoria (i.e., to get high).
What in the 5th vital sign correct answers pain
What did treatment of the 5th vital sign lead to correct answers led to an associated rise in the
number of deaths from overdose. Organizations began to urge caution about the use of opioids
for pain, including guidelines published in 2016 by the Centers for Disease Control (CDC) on
prescribing opioids for pain
Substance abuse disorder correct answers Significant impairment or distress from a pattern of
substance use (i.e., alcohol, drugs, or misuse of prescription medications).
Symptoms of substance abuse correct answers Use of more of a substance than planned or using
a substance for a longer interval than desired