NUR 103 Exam 1 UPDATED Questions and
CORRECT Answers
Age related changes in pain perception - CORRECT ANSWER - *After age 60, the incidence of pain more than
doubles
*Decrease in density of peripheral nerves
*Degeneration in norepinepherine and serotonin
*Decrease in neurons in the cerebral cortex
*Pain thresholds increase with age (except with heat)
Alternative techniques for pain control - CORRECT ANSWER - *Natural products (vitamins, minerals, herbals,
botanicals
*Capsicum is commonly used
*Acupuncture, massage, meditation, relaxation techniques, yoga, ta'i ch'i
*Hot/Cold therapy
*Imagery
*Progressive relaxation, distraction, music, hypnosis, nerve stimulation, exercise
Assessment of alcohol abuse (screenings tools) - CORRECT ANSWER - CAGE, MAST-G, BMAST .
family/friends input
Assessment of alcohol abuse (physical findings) - CORRECT ANSWER - Impaired sensations, poor coordination,
stupor, nystagmus, slurred speech, confusion, facial edema, liver enlargement, jaundice, ascites, trembling
CIWA scale - CORRECT ANSWER - helps determine which medications should be given for safe withdrawal
Lab tests for alcohol abuse - CORRECT ANSWER - liver function, electrolytes, glucose, mag, ECG
CAGE - CORRECT ANSWER - cut down, annoyed, guilty, eye opener
MAST-G - CORRECT ANSWER - Short Michigan Alcohol Screening Tool
CIWA categories - CORRECT ANSWER - N/V, Tremors, Sweats, Anxiety, Agitation, Tactile, disturbances,
Auditory disturbances, Visual disturbances, headache, orientation, 1-7 each category. 67 points possible.
Interventions for Delirium Tremens - CORRECT ANSWER - Assess VS, safe environment, close observation,
meds
When do alcohol withdrawal symptoms begin? - CORRECT ANSWER - 4-12 hours
When do alcohol withdrawal symptoms peak? - CORRECT ANSWER - 48-72 hours
Assessing pain outcomes - CORRECT ANSWER - Patient reports decrease in pain, patient is sleeping better,
patients attitude has improved, activity tolerance
Primary considerations in selecting pain relief methods - CORRECT ANSWER - individualized planning. Patient
should be involved in planning
Assessment of activity in older adults ? - CORRECT ANSWER - What are their hobbies?
Cultural differences in healthcare - CORRECT ANSWER - LEARN model: promote respecting the patients
culture and give them a sense of feeling value; this model provides collaborative way to educate the patient.
Explanatory Model Interview for Pain Assessment - CORRECT ANSWER - -What do you think is causing your
pain?
-Who have you consulted about your pain?
-What treatments do you think will help with your pain?(cultural beliefs)
-Do you tend to believe certain reactions to pain are wrong or right? if so why?
CORRECT Answers
Age related changes in pain perception - CORRECT ANSWER - *After age 60, the incidence of pain more than
doubles
*Decrease in density of peripheral nerves
*Degeneration in norepinepherine and serotonin
*Decrease in neurons in the cerebral cortex
*Pain thresholds increase with age (except with heat)
Alternative techniques for pain control - CORRECT ANSWER - *Natural products (vitamins, minerals, herbals,
botanicals
*Capsicum is commonly used
*Acupuncture, massage, meditation, relaxation techniques, yoga, ta'i ch'i
*Hot/Cold therapy
*Imagery
*Progressive relaxation, distraction, music, hypnosis, nerve stimulation, exercise
Assessment of alcohol abuse (screenings tools) - CORRECT ANSWER - CAGE, MAST-G, BMAST .
family/friends input
Assessment of alcohol abuse (physical findings) - CORRECT ANSWER - Impaired sensations, poor coordination,
stupor, nystagmus, slurred speech, confusion, facial edema, liver enlargement, jaundice, ascites, trembling
CIWA scale - CORRECT ANSWER - helps determine which medications should be given for safe withdrawal
Lab tests for alcohol abuse - CORRECT ANSWER - liver function, electrolytes, glucose, mag, ECG
CAGE - CORRECT ANSWER - cut down, annoyed, guilty, eye opener
MAST-G - CORRECT ANSWER - Short Michigan Alcohol Screening Tool
CIWA categories - CORRECT ANSWER - N/V, Tremors, Sweats, Anxiety, Agitation, Tactile, disturbances,
Auditory disturbances, Visual disturbances, headache, orientation, 1-7 each category. 67 points possible.
Interventions for Delirium Tremens - CORRECT ANSWER - Assess VS, safe environment, close observation,
meds
When do alcohol withdrawal symptoms begin? - CORRECT ANSWER - 4-12 hours
When do alcohol withdrawal symptoms peak? - CORRECT ANSWER - 48-72 hours
Assessing pain outcomes - CORRECT ANSWER - Patient reports decrease in pain, patient is sleeping better,
patients attitude has improved, activity tolerance
Primary considerations in selecting pain relief methods - CORRECT ANSWER - individualized planning. Patient
should be involved in planning
Assessment of activity in older adults ? - CORRECT ANSWER - What are their hobbies?
Cultural differences in healthcare - CORRECT ANSWER - LEARN model: promote respecting the patients
culture and give them a sense of feeling value; this model provides collaborative way to educate the patient.
Explanatory Model Interview for Pain Assessment - CORRECT ANSWER - -What do you think is causing your
pain?
-Who have you consulted about your pain?
-What treatments do you think will help with your pain?(cultural beliefs)
-Do you tend to believe certain reactions to pain are wrong or right? if so why?
