PN 111 Ch. 6, 7, 8 EXAM QUESTIONS AND ANSWERS WITH
COMPLETE SOLUTIONS 100% ALREADY PASSED
Perception of pain is influenced by:
cultural beliefs and patient perception
What type of pain would a patient who presented with pain after a trauma to the
spinal cord?
chronic neuropathic
What type of client (diagnosis) would likely present with peripheral neuropathy?
diabetes
Patient A is recovering from a second abdominal surgery and is relatively calm
and quiet. Patient B is also recovering from the same surgery, but for the first
time, and is crying out in pain and rating the pain at a much higher level that
Patient A. What is the best possible reason for the differences in their behavior?
Pain tolerance--the duration or intensity of pain a person will endure before
outwardly responding—experienced before vs new.
•Pain tolerance decreases with repeated exposure to pain, fatigue, anger, boredom,
and sleep deprivation.
•Tolerance increases after alcohol consumption, medications, hypnosis, warmth,
distracting activities, and strong faith-related beliefs.
, Therefore, the pain tolerance for Client B is lower than that of Client A. This is
likely due to Client A having experienced this type of pain before.
A patient has a mass in the right upper quadrant (RUQ) at the site of the liver. The
patient points to the area and says it hurts right here. What kind if pain is this?
well localized visceral pain
Patient is c/o pain to a bone, muscle or tendon. What time of pain is this?
somatic
A person who has severe neuropathic pain from the slightest pressure to an area
is experiencing?
Alldoynia
Acute pain is present for
less that 6 months
Patients with chronic pain may present as alert and oriented, sitting quietly, able
to answer questions without difficulty and with VSS. When asked to rate the pain
the patient rates it as 6 out of 10. Why?
Patient with chronic pain tend to adapt to the pain and may not show physiological signs
of acute pain.
What dose it mean when a patient is guarding?
they may guard the area by pulling away or physically shielding the area due to pain
What are physiological signs of mild-moderate acute pain?
increased heart rate
increased blood pressure
diaphoresis
COMPLETE SOLUTIONS 100% ALREADY PASSED
Perception of pain is influenced by:
cultural beliefs and patient perception
What type of pain would a patient who presented with pain after a trauma to the
spinal cord?
chronic neuropathic
What type of client (diagnosis) would likely present with peripheral neuropathy?
diabetes
Patient A is recovering from a second abdominal surgery and is relatively calm
and quiet. Patient B is also recovering from the same surgery, but for the first
time, and is crying out in pain and rating the pain at a much higher level that
Patient A. What is the best possible reason for the differences in their behavior?
Pain tolerance--the duration or intensity of pain a person will endure before
outwardly responding—experienced before vs new.
•Pain tolerance decreases with repeated exposure to pain, fatigue, anger, boredom,
and sleep deprivation.
•Tolerance increases after alcohol consumption, medications, hypnosis, warmth,
distracting activities, and strong faith-related beliefs.
, Therefore, the pain tolerance for Client B is lower than that of Client A. This is
likely due to Client A having experienced this type of pain before.
A patient has a mass in the right upper quadrant (RUQ) at the site of the liver. The
patient points to the area and says it hurts right here. What kind if pain is this?
well localized visceral pain
Patient is c/o pain to a bone, muscle or tendon. What time of pain is this?
somatic
A person who has severe neuropathic pain from the slightest pressure to an area
is experiencing?
Alldoynia
Acute pain is present for
less that 6 months
Patients with chronic pain may present as alert and oriented, sitting quietly, able
to answer questions without difficulty and with VSS. When asked to rate the pain
the patient rates it as 6 out of 10. Why?
Patient with chronic pain tend to adapt to the pain and may not show physiological signs
of acute pain.
What dose it mean when a patient is guarding?
they may guard the area by pulling away or physically shielding the area due to pain
What are physiological signs of mild-moderate acute pain?
increased heart rate
increased blood pressure
diaphoresis
