NURS 234 Final Exam Questions| With
Complete Solutions well written and
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Pain - ✔✔ANSWER✔✔-An unpleasant sensory and
emotional experience associated with actual or potential
tissue damage, or described in terms of such damage
Pain is whatever the experiencing person says it is,
existing whenever he says it does
The patient report is the most reliable indicator of pain
Comfort - ✔✔ANSWER✔✔-A state of having basic human
needs met, allowing for ease, relief, and transcendence
Acute pain - ✔✔ANSWER✔✔-More temporary- anywhere
from a few seconds to three months
Chronic pain - ✔✔ANSWER✔✔-Persistent longer than 3
months
Combination pain - ✔✔ANSWER✔✔-Acute and chronic
pan
Nociceptive pain - ✔✔ANSWER✔✔-Sharp, dull, achy,
crampy
,Somatic Pain - ✔✔ANSWER✔✔-More superficial, can
pinpoint exactly what hurts, skin, muscle, bone
Visceral pain - ✔✔ANSWER✔✔-More internal, more
vague, not easily localized
Referred Pain - ✔✔ANSWER✔✔-Feel pain in left arm,
jaw, and left shoulder, but the actual pain is in the heart,
happens because different ares of the body share the
same dermatomes
Neuropathic pain - ✔✔ANSWER✔✔-Burning, tingling,
numbness
Centrally Generated Pain - ✔✔ANSWER✔✔-Usually a
problem with the brain or spinal cord itself, phantom limb
pain
Peripherally Generated Pain - ✔✔ANSWER✔✔-Damage
specific to peripheral nerves from trauma or disease ,
peripheral neuropathy from diabetes
Mixed Pain Syndrome - ✔✔ANSWER✔✔-Not as easily
categorized, multiple underlying or poorly understood
mechanisms, can't find the reason for pain, idiopathic=
unknown cause, fibromyalgia
What is the subjective assessment for pain? -
✔✔ANSWER✔✔-What the patient says
, Individuals at risk for pain - ✔✔ANSWER✔✔-Acute or
traumatic injury- burns, car accidents
Medical procedures- more invasive they are the more pain
is suspected, intraoperative and postoperative expected
pain
Chronic conditions- bone cancer
Populations at risk for pain - ✔✔ANSWER✔✔-Infants-
looking for external cues (crying)
Children- use parents or caregivers to understand normal
behavior and demeanor, behavior and physiological cues
Adults and older adults
How to assess pain in adults and older adults -
✔✔ANSWER✔✔-Pacing, if their mood if different,
agitation, grimacing, moaning, yelling, crying out,
clenching, tension in face, decreased appetite, decreased
sleep, guarding, sudden resistance for help, may try to
hide it
Why are adults and older adults more at risk for pain -
✔✔ANSWER✔✔-Physical state (body composition,
muscle mass decreased, body fat increases, percentage
of their body water decreases, slower metabolism,
nutrition is more at risk, more chronic conditions, multiple
health conditions that can cause problems with each
other, more fatigue, dementia, just because some is old
does not mean that they have pain