NRSG 2220-Exam 1 (Mod 1-5) questions with answers
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General Survey: - CORRECT ANSWERS ✔✔-Provides clues to overall health
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-Begins the moment of contact
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-First impressions
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-Challenges your observational skills |\ |\ |\
-Usually includes vital signs, height and weight. We are focusing on skillful
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observations
What do you look for in skilled observation (general survey)? - CORRECT
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ANSWERS ✔✔-Signs of distress |\ |\ |\
-Stature/Build
-Dressing/Grooming
-Posture/Gait/Coordination
-Eye contact
|\
-Level of consciousness, mood
|\ |\ |\
- Speech patterns
|\ |\
-Vision or hearing problems
|\ |\ |\
-Nutritional state |\
-Significant others accompanying patient |\ |\ |\
Healthy hair= |\
(general survey) - CORRECT ANSWERS ✔✔Healthy protein stores in body
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,Pain is a subjective or objective experience? - CORRECT ANSWERS
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✔✔Subjective
-highly individual |\
-ethnocultural considerations |\
Expression of pain does not = - CORRECT ANSWERS ✔✔degree of pain
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5th vital sign? - CORRECT ANSWERS ✔✔Pain
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How do you care for the patient in pain? - CORRECT ANSWERS ✔✔-Important to
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
believe the pain is real
|\ |\ |\ |\ |\
-Your goal is to reduce/eliminate pain and manage pain so that patient can
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
resume normal lifestyle |\ |\
Best indicator of pain? - CORRECT ANSWERS ✔✔Patient reporting their pain to
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
you
Standards to treat/manage pain as put in place by the Joint Commission -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔These standards uphold the idea that the patient has
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
the right to have their pain managed effectively.
|\ |\ |\ |\ |\ |\ |\
One important standard is to determine a pain rating goal with your patient.
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Their plan of care is set on mutually set goals
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Characteristics of Pain - CORRECT ANSWERS ✔✔COLD ERA |\ |\ |\ |\ |\ |\ |\
,COLD ERA - CORRECT ANSWERS ✔✔C:haracter of the compaint
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O:nset of the symptom
|\ |\ |\
L:ocation of the complaint
|\ |\ |\
D:uration of the problem |\ |\ |\
E:xacerbated by what? |\ |\
R:elieved by what? |\ |\
A:ssociated symptoms problem |\ |\
OLD CARTS - CORRECT ANSWERS ✔✔O:nset
|\ |\ |\ |\ |\
L:ocation
D:uration
C:haracter
A:ggravating factors/associated factors |\ |\
R:elieving factors |\
T:emporal factors |\
S:everity
Duration of pain (3) - CORRECT ANSWERS ✔✔Acute
|\ |\ |\ |\ |\ |\ |\
-rapid onset, varies with intensity, protective in nature
|\ |\ |\ |\ |\ |\ |\
Chronic
, -can be intermittent or persistent, long-standing pain and it interferes with ability
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
to function
|\
Acute on chronic |\ |\
-someone who has chronic pain and then has acute exacerbation of pain on top
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
of chronic pain
|\ |\
Remission of pain - CORRECT ANSWERS ✔✔No symptoms of pain at the time
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
Exacerbation - CORRECT ANSWERS ✔✔Symptoms may reappear and get worse
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Source of Pain (3) - CORRECT ANSWERS ✔✔Cutaneous/Superficial:
|\ |\ |\ |\ |\ |\ |\
-Pain at skin level, tend to be painful because of all nerve endings
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
Somatic: |\
-Pain that comes from tendons, ligaments, bones, vessels, pain tends to be more
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
diffuse, hard to pinpoint |\ |\ |\
Visceral:
-pain originates from organs, poorly localized
|\ |\ |\ |\ |\
Etiology of Pain - CORRECT ANSWERS ✔✔-Referred Pain: Pain perceived in an
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
area distant from where pain is actually originating. (MI, pain in arm not in heart)
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
-Neuropathic Pain: Injury or peripheral or central nerves (crushed vertebrae in
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
neck may result in pain in hands or wherever those nerves innervate)
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
-Intractable Pain: Pain that is resistant to interventions, regardless of what we do
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
we cannot get to goal pain
|\ |\ |\ |\ |\
|\ |\ |\ |\ |\ |\ |\
General Survey: - CORRECT ANSWERS ✔✔-Provides clues to overall health
|\ |\ |\ |\ |\ |\ |\ |\ |\
-Begins the moment of contact
|\ |\ |\ |\
-First impressions
|\
-Challenges your observational skills |\ |\ |\
-Usually includes vital signs, height and weight. We are focusing on skillful
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
observations
What do you look for in skilled observation (general survey)? - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔-Signs of distress |\ |\ |\
-Stature/Build
-Dressing/Grooming
-Posture/Gait/Coordination
-Eye contact
|\
-Level of consciousness, mood
|\ |\ |\
- Speech patterns
|\ |\
-Vision or hearing problems
|\ |\ |\
-Nutritional state |\
-Significant others accompanying patient |\ |\ |\
Healthy hair= |\
(general survey) - CORRECT ANSWERS ✔✔Healthy protein stores in body
|\ |\ |\ |\ |\ |\ |\ |\ |\
,Pain is a subjective or objective experience? - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
✔✔Subjective
-highly individual |\
-ethnocultural considerations |\
Expression of pain does not = - CORRECT ANSWERS ✔✔degree of pain
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
5th vital sign? - CORRECT ANSWERS ✔✔Pain
|\ |\ |\ |\ |\ |\
How do you care for the patient in pain? - CORRECT ANSWERS ✔✔-Important to
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
believe the pain is real
|\ |\ |\ |\ |\
-Your goal is to reduce/eliminate pain and manage pain so that patient can
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
resume normal lifestyle |\ |\
Best indicator of pain? - CORRECT ANSWERS ✔✔Patient reporting their pain to
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
you
Standards to treat/manage pain as put in place by the Joint Commission -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔These standards uphold the idea that the patient has
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
the right to have their pain managed effectively.
|\ |\ |\ |\ |\ |\ |\
One important standard is to determine a pain rating goal with your patient.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
Their plan of care is set on mutually set goals
|\ |\ |\ |\ |\ |\ |\ |\ |\
Characteristics of Pain - CORRECT ANSWERS ✔✔COLD ERA |\ |\ |\ |\ |\ |\ |\
,COLD ERA - CORRECT ANSWERS ✔✔C:haracter of the compaint
|\ |\ |\ |\ |\ |\ |\ |\
O:nset of the symptom
|\ |\ |\
L:ocation of the complaint
|\ |\ |\
D:uration of the problem |\ |\ |\
E:xacerbated by what? |\ |\
R:elieved by what? |\ |\
A:ssociated symptoms problem |\ |\
OLD CARTS - CORRECT ANSWERS ✔✔O:nset
|\ |\ |\ |\ |\
L:ocation
D:uration
C:haracter
A:ggravating factors/associated factors |\ |\
R:elieving factors |\
T:emporal factors |\
S:everity
Duration of pain (3) - CORRECT ANSWERS ✔✔Acute
|\ |\ |\ |\ |\ |\ |\
-rapid onset, varies with intensity, protective in nature
|\ |\ |\ |\ |\ |\ |\
Chronic
, -can be intermittent or persistent, long-standing pain and it interferes with ability
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
to function
|\
Acute on chronic |\ |\
-someone who has chronic pain and then has acute exacerbation of pain on top
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
of chronic pain
|\ |\
Remission of pain - CORRECT ANSWERS ✔✔No symptoms of pain at the time
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
Exacerbation - CORRECT ANSWERS ✔✔Symptoms may reappear and get worse
|\ |\ |\ |\ |\ |\ |\ |\ |\
Source of Pain (3) - CORRECT ANSWERS ✔✔Cutaneous/Superficial:
|\ |\ |\ |\ |\ |\ |\
-Pain at skin level, tend to be painful because of all nerve endings
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
Somatic: |\
-Pain that comes from tendons, ligaments, bones, vessels, pain tends to be more
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
diffuse, hard to pinpoint |\ |\ |\
Visceral:
-pain originates from organs, poorly localized
|\ |\ |\ |\ |\
Etiology of Pain - CORRECT ANSWERS ✔✔-Referred Pain: Pain perceived in an
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
area distant from where pain is actually originating. (MI, pain in arm not in heart)
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
-Neuropathic Pain: Injury or peripheral or central nerves (crushed vertebrae in
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
neck may result in pain in hands or wherever those nerves innervate)
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
-Intractable Pain: Pain that is resistant to interventions, regardless of what we do
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
we cannot get to goal pain
|\ |\ |\ |\ |\
