Pain and Symptom Management

These flashcards cover key concepts on pain and symptom management, focusing on definitions, nursing roles, pain types, assessment strategies, and treatment protocols.

What is the most accurate definition of pain according to the lecture notes?

A) Pain is objectively measurable discomfort that healthcare providers determine.

B) Pain is a psychological phenomenon with no physical basis.

C) Pain is an unpleasant sensory and emotional experience, defined by the person experiencing it, associated with actual or potential tissue damage.

D) Pain is a purely physical sensation resulting from tissue damage.

C) Pain is an unpleasant sensory and emotional experience, defined by the person experiencing it, associated with actual or potential tissue damage.

Which of the following lists accurately represents the different types of pain discussed in the lecture?

A) Acute, Procedural, Chronic, Cancer pain

B) Nociceptive, Neuropathic, Psychogenic, Phantom pain

C) Somatic, Visceral, Referred, Radiating pain

D) Mild, Moderate, Severe, Extreme pain

A) Acute, Procedural, Chronic, Cancer pain.

Which of these duties is not typically part of a nurse's role in pain management?

A) Communicating with the care team to plan interventions.

B) Educating patients about pain management strategies.

C) Prescribing opioid medications independently.

D) Assessing and monitoring pain levels.

C) Prescribing opioid medications independently.

According to the Canadian Pain Task Force Report, approximately how many Canadians live with chronic pain?

A) 1 in 8 Canadians

B) 1 in 3 Canadians

C) 1 in 4 Canadians

D) 1 in 2 Canadians

C) 1 in 4 Canadians.

Which demographic group in Canada has the highest reported prevalence of persistent pain?

A) Individuals living in rural areas

B) The elderly population

C) Indigenous people

D) Visible minority groups

C) Indigenous people.

In which population is chronic pain often underrecognized and undertreated?

A) Athletes

B) The elderly population

C) Working-age adults

D) Children and adolescents

B) The elderly population.

What is the primary role of complementary and alternative therapies in pain management within nursing practice?

A) To replace conventional pharmacological treatments entirely.

B) To only be used when traditional methods have completely failed.

C) To provide a temporary placebo effect for pain relief.

D) To enhance health promotion and illness prevention by treating individuals holistically.

D) To enhance health promotion and illness prevention by treating individuals holistically.

Which of the following is not a component of the OPQRSTUV initial pain assessment framework?

A) Provocative/Palliative

B) Objective signs

C) Onset

D) Values

B) Objective signs.

Which statement best describes nociceptive pain?

A) It is a type of pain that is purely psychological and has no physical origin.

B) It is a normal process from actual or potential tissue damage, often responsive to nonopioid and/or opioid medications.

C) It is characterized by persistent, chronic dull aches that do not respond to medication.

D) It results from damage to the nervous system and is neuropathic in nature.

B) It is a normal process from actual or potential tissue damage, often responsive to nonopioid and/or opioid medications.

A patient with acute shoulder pain is likely to exhibit which of the following characteristics?

A) Pain described as mild, with no signs of distress.

B) Moderate to severe pain, increased heart rate and respiratory rate, diaphoresis, and agitation.

C) Disorientation and slurred speech.

D) Low heart rate and decreased respiratory rate.

B) Moderate to severe pain, increased heart rate and respiratory rate, diaphoresis, and agitation.

How is chronic pain typically characterized?

A) Always sudden in onset and resolves quickly.

B) Primarily a physical problem with no psychological impact.

C) Always constant and severe, with no fluctuations.

D) Persists beyond normal healing time and is often linked to emotional and social challenges.

D) Persists beyond normal healing time and is often linked to emotional and social challenges.

Which of the following is a common physiological response to acute pain?

A) Decreased heart rate and blood pressure.

B) Pupillary constriction and somnolence.

C) Hypothermia and bradycardia.

D) Increased heart rate, respiratory rate, and blood pressure.

D) Increased heart rate, respiratory rate, and blood pressure.

Which of the following is considered a common barrier to effective pain management?

A) Lack of available pain medications.

B) Patient's expectation of immediate and complete pain relief.

C) Over-prescription of pain medication.

D) Fear of addiction, tolerance, or hastening death.

D) Fear of addiction, tolerance, or hastening death.

According to the lecture, which of these is not one of the recognized 'dimensions of pain'?

A) Mechanical and chemical.

B) Physiological and sensory-discriminative.

C) Cognitive-evaluative and sociocultural.

D) Motivational-affective and behavioral.

A) Mechanical and chemical.

Pain modulation refers to:

A) The complete elimination of pain sensation.

B) The classification of pain based on its origin.

C) The brain's influence on pain perception, often involving endogenous opioids.

D) The initial transmission of pain signals from the site of injury.

C) The brain's influence on pain perception, often involving endogenous opioids.

According to the WHO Analgesic Ladder, which medications are typically prescribed for moderate to severe pain?

A) Only adjuvant medications.

B) NSAIDs only.

C) Opioids, often combined with nonopioids and adjuvant medications.

D) Acetaminophen and local anesthetics.

C) Opioids, often combined with nonopioids and adjuvant medications.

What is the primary goal of conducting a pain assessment?

A) To compare the patient's pain to objective medical standards.

B) To immediately administer the strongest available pain relief.

C) To describe the patient's overall pain experience to implement effective pain management.

D) To determine if the patient is fabricating their pain.

C) To describe the patient's overall pain experience to implement effective pain management.

When a patient is on opioid therapy, which of the following is a crucial parameter to monitor?

A) Muscle strength and joint mobility.

B) Skin turgor and capillary refill.

C) Respiratory rate, blood pressure, pain ratings, and signs of sedation.

D) Urine output and daily weight.

C) Respiratory rate, blood pressure, pain ratings, and signs of sedation.

How can healthcare professionals ensure culturally sensitive care in pain management?

A) Adhering strictly to standard medical protocols regardless of cultural background.

B) Treating all patients exactly the same way to avoid bias.

C) Relying solely on objective pain scales.

D) Acknowledging and understanding historical social issues, especially for vulnerable populations.

D) Acknowledging and understanding historical social issues, especially for vulnerable populations.

What defines 'adjuvant analgesics'?

A) Medications used as the sole treatment for severe pain.

B) Non-pharmacological therapies like massage or heat packs.

C) Medications that directly block all pain signals in the brain.

D) Medications used in conjunction with opioids and nonopioids to enhance pain relief.

D) Medications used in conjunction with opioids and nonopioids to enhance pain relief.

According to Canadian statistics, what percentage of women and men reported having a pain-related disability?

A) 10% of women and 10% of men.

B) 20% of women and 15% of men.

C) 12% of women and 17% of men.

D) 17% of women and 12% of men.

D) 17% of women and 12% of men.

Why is teaching caregivers important in pain management?

A) To document pain levels without patient input.

B) Because they are responsible for administering all medications.

C) To shift the entire responsibility of pain management to them.

D) For ongoing support and reinforcement of pain management strategies at home.

D) For ongoing support and reinforcement of pain management strategies at home.

If not managed properly, untreated acute pain can progress to which of the following?

A) Spontaneous remission.

B) Psychosomatic illness.

C) Persistent pain.

D) Immediate surgical need.

C) Persistent pain.

How are non-pharmacological therapies typically integrated into pain management?

A) They are primarily for psychological conditions, not physical pain.

B) They replace pharmacological treatments entirely.

C) They are used in conjunction with pharmacological treatments to enhance overall pain management.

D) They are used as a last resort when all other treatments fail.

C) They are used in conjunction with pharmacological treatments to enhance overall pain management.

Which of the following is a reason for the undertreatment of pain?

A) Patient's exaggerated pain reports.

B) Excessive availability of pain medications.

C) Over-reliance on non-pharmacological methods.

D) Inadequate skills in pain assessment, misconceptions about pain, and inaccurate information about addiction.

D) Inadequate skills in pain assessment, misconceptions about pain, and inaccurate information about addiction.

In the analgesic pain ladder, what is the role of opioids?

A) They are primarily used for mild pain management.

B) They are prescribed for moderate to severe pain, especially when nonopioids are ineffective.

C) They are used for all pain types.

D) They are only used for terminal cancer patients.

B) They are prescribed for moderate to severe pain, especially when nonopioids are ineffective.

What assessment is essential before administering morphine?

A) Level of consciousness.

B) Pain level.

C) Blood pressure.

D) Respiratory rate.

D) Respiratory rate.

When considering opioid therapy for patients with substance use disorders, what is the key consideration?

A) Opioid therapy should always be avoided.

B) They have the right to effective pain management but require careful assessment and treatment to avoid withdrawal.

C) Such patients should only receive non-pharmacological interventions.

D) Patients with substance use disorders do not require effective pain management.

B) They have the right to effective pain management but require careful assessment and treatment to avoid withdrawal.

Which of the following is a common adverse effect of narcotics?

A) Hypertension.

B) Increased appetite.

C) Diarrhea.

D) Nausea, vomiting, constipation, sedation, and respiratory depression.

D) Nausea, vomiting, constipation, sedation, and respiratory depression.