Exam (elaborations)
NUR170 Exam 1 – Questions & Proper Answers (A+)
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NUR170 Exam 1 – Questions & Proper Answers (A+)
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NUR170 Exam 1 – Questions & Proper Answers (A+)Impact of unrelieved pain on quality of life Right Ans - Interferes with
ADLS
Causes anxiety, depression, dear, anger
impairs family, work, and social relationships
financal Impact of unrelieved pain Right Ans - Increased length of hospital
stay
lost income and productivity
Physiologic Impact of unrelieved pain Right Ans - • Prolongs stress
response
• Increases heart rate, blood pressure, and oxygen demand
• Decreases GI motility
• Causes immobility
• Decreases immune response
• Delays healing
• Poorly managed acute pain increases risk for development of chronic pain
Pain Right Ans - Unpleasant sensory and emotional experience associated
with actual or potential tissue damage
Categories of pain Right Ans - acute and chronic
Characteristics of acute pain Right Ans - < 3 months
usually well-defined cause
decreases with healing
usually reversible
initially serves a biologic purpose
when prolonged has no use
ranges from mild to severe
may come with anxiety and restlessness
when unrelieved can increase morbidity
Characteristics of chronic pain Right Ans - Lasts longer than 3 months
may not be well-defined cause
, usually begins gradually
no useful purpose
often accompanies by quality-of-life effects
can impact quality of life of family and friends
Nociceptive pain Right Ans - pain from a normal process that results in
noxious stimuli being perceived as painful
Nocioceptive processing Right Ans - 1. Transduction
2. Transmission
3. Perception
Somatic pain (nociceptive) Right Ans - Originates from
integumentary(localized sharp& throbbing pain)/ musculoskeletal(dull,
aching, cramping) systems
visceral nociceptive pain Right Ans - Arises from internal organs/ in
abdomen- often from compression or distention of organs; difficult to localize,
often radiates or is referred; often described as cramping or aching; lesion in
brain or spinal cord
comprehensive pain assessment Right Ans - 1. location (where does it
hurt)
2. intensity (pain scale)
3. quality (stabbing, aching, etc)
4. onset/duration (since when, how long)
5. pattern (constant, made worse/better by...)
6. contributing symptoms (depression, sleeplessness)
7. effects of pain (how does it effect)
8. comfort/function
psychosocial assessment Right Ans - an evaluation of an individual's
mental health and social well-being.
psychosocial assessment components Right Ans - history, general
appearance and motor behavior, mood and affect, thought process and
content, sensorium and cognitive abilities, sensory-perceptual alterations,
judgment and insight, self-concept, roles and relationships, physiologic and
self-care concerns
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