NUR 1060 ADULT HEALTH ASSESSMENT FINAL EXAM
QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS
VERIFIED
T/F Pain is the fifth vital sign
True
Where does pain originate from?
The CNS and PNS
Nociceptors
Specialized nerve endings designed to detect painful sensations
-Transmit sensations to central nervous system
What 2 primary sensory nociceptors carry pain by using?
-Afferent
- C fibers
At what level does pain occur?
At cellular level
Phases of Pain
Transduction (pain occurs)
Transmission (Pain transmit from spinal chord to brain)
Perception (Being aware of pain)
Modulation (The reaction to pain)
Types of pain
,-Neuropathic pain
-Visceral Pain
-Deep Somatic Pain
-Cutaneous Pain
-Psychogenic Pain
-Referred Pain
Neuropathic Pain
Abnormal process of pain message (ex.diabetes mellitus, shingels, phatom pain)
-most difficult to assess
-found using electromyography and nerve conduction studies
Visceral Pain
Originate from large internal organs (ex. kidneys, stomach, gallbladder)
-Urethral, acute appendicitis, ulcer pain, etc.
-present with automatic responses like vomiting, nausea, pallor, diaphoresis
Deep Somatic Pain
Deep internal pain coming from blood vessels, joints, tendons, muscles,, & bone
-Injury can result from pressure, trauma, or ischemia
Cutaneous Pain
Superficial pain derived from skin & subcutaneous tissue
-injury superficial with sharp burning sensation
Psychogenic Pain
Linking pain to mental disorder, can't find site of pain
-ex. patient without ovaries says ovaries hurt, false pregnancy
, Referred Pain
pain that is felt in a location other than where the pain originates
-ex. pancreatitis, felt on the back(retroperitoneal)
A patient is experiences pain, what do you do?
1. Assess level of pain
2. Ask patient what works for them best
3. Administer pain medicine
4. Reassess pain level
Classifying pain by duration could either be _____ or _________.
Acute or Chronic pain
Acute Pain
Short term, self- limiting
ex. kidney stones, surgery, trauma
Chronic Pain
Persistant, pain last longer than 6 months
ex. arthritis
Two types of chronic pain
-Malignant (Created by a tumor/cancerous)
-Non- malignant (non-cancerous, associated with arthritis, low back pain, or
fibromyalgia)
T/F Pain is always subjective
True, pain is always subjective!!
Initial Pain questions
QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS
VERIFIED
T/F Pain is the fifth vital sign
True
Where does pain originate from?
The CNS and PNS
Nociceptors
Specialized nerve endings designed to detect painful sensations
-Transmit sensations to central nervous system
What 2 primary sensory nociceptors carry pain by using?
-Afferent
- C fibers
At what level does pain occur?
At cellular level
Phases of Pain
Transduction (pain occurs)
Transmission (Pain transmit from spinal chord to brain)
Perception (Being aware of pain)
Modulation (The reaction to pain)
Types of pain
,-Neuropathic pain
-Visceral Pain
-Deep Somatic Pain
-Cutaneous Pain
-Psychogenic Pain
-Referred Pain
Neuropathic Pain
Abnormal process of pain message (ex.diabetes mellitus, shingels, phatom pain)
-most difficult to assess
-found using electromyography and nerve conduction studies
Visceral Pain
Originate from large internal organs (ex. kidneys, stomach, gallbladder)
-Urethral, acute appendicitis, ulcer pain, etc.
-present with automatic responses like vomiting, nausea, pallor, diaphoresis
Deep Somatic Pain
Deep internal pain coming from blood vessels, joints, tendons, muscles,, & bone
-Injury can result from pressure, trauma, or ischemia
Cutaneous Pain
Superficial pain derived from skin & subcutaneous tissue
-injury superficial with sharp burning sensation
Psychogenic Pain
Linking pain to mental disorder, can't find site of pain
-ex. patient without ovaries says ovaries hurt, false pregnancy
, Referred Pain
pain that is felt in a location other than where the pain originates
-ex. pancreatitis, felt on the back(retroperitoneal)
A patient is experiences pain, what do you do?
1. Assess level of pain
2. Ask patient what works for them best
3. Administer pain medicine
4. Reassess pain level
Classifying pain by duration could either be _____ or _________.
Acute or Chronic pain
Acute Pain
Short term, self- limiting
ex. kidney stones, surgery, trauma
Chronic Pain
Persistant, pain last longer than 6 months
ex. arthritis
Two types of chronic pain
-Malignant (Created by a tumor/cancerous)
-Non- malignant (non-cancerous, associated with arthritis, low back pain, or
fibromyalgia)
T/F Pain is always subjective
True, pain is always subjective!!
Initial Pain questions
