Fibromyalgia
Fibromyalgia diagnosis is supported by widespread pain in all four quadrants and tenderness in how many of 18 points?
What is 11 tender points?
Pain described as “burning” or “shooting” is most likely what type?
What is neuropathic pain?
This technique uses low-voltage electrical stimulation to reduce pain and is often used in physical therapy.
What is transcutaneous electrical nerve stimulation (TENS)?
These therapies include tai chi, yoga, meditation, and guided imagery and focus on the connection between mental and physical well-being.
What are mind/body therapies?
This type of pain lasts longer than 6 months and often continues beyond the expected healing period.
What is chronic pain?
This type of care focuses on symptom management, emotional support, and quality of life at any stage of serious illness.
What is palliative care?
This process involves addressing disagreements in a way that promotes mutual respect and a positive outcome.
What is conflict resolution?
Which class of medications should be used cautiously in fibromyalgia patients due to the risk of serotonin syndrome when combined with other serotonergic drugs?
What are SSRIs (selective serotonin reuptake inhibitors)?
What is a key advantage of ketorolac (Toradol) over opioids in post-op pain management?
What is it does not cause respiratory depression or constipation?
45 mins after receiving pain medication a patient is grimacing, guarding their abdomen, and giving short, terse answers. What does this likely indicate?
What is unrelieved or underreported pain?
Ms. Ellicott expresses concern about being touched. Which CAM option could the nurse recommend that avoids physical contact?
What is meditation or guided imagery?
This end-of-life nursing responsibility includes helping families understand options and make ethical decisions.
What is providing emotional and informational support?
This document allows patients to express their medical treatment preferences if they become unable to make decisions.
What is an advance directive?
Poor communication, unclear roles, and differing values are all examples of what?
What are contributing factors to conflict?
Which nonpharmacologic interventions are commonly recommended for managing fibromyalgia symptoms?
What are physical therapy, aerobic exercise, cognitive behavioral therapy, and sleep hygiene?
Mrs. Jessup, who has chronic back pain, reports worsening sleep and mood. Which additional intervention is most appropriate?
What is a tricyclic antidepressant (TCA) or referral for cognitive behavioral therapy (CBT)?
Which nonpharmacologic intervention promotes relaxation and is often used alongside medication for pain relief?
What is guided imagery?
A patient wants to take herbal supplements for anxiety and blood pressure. What is the nurse’s best response?
What is “Discuss any supplements with your healthcare provider to prevent interactions with prescribed medications”?
Name two independent nursing interventions to improve sleep hygiene in hospitalized patients.
What are minimizing environmental stimuli and maintaining a regular sleep–wake pattern?
During end-of-life care, what is one of the nurse’s key roles when supporting the family emotionally?
What is active listening and encouraging life reflection or storytelling?
This structured approach to resolving disagreements seeks a “win-win” solution through discussion and compromise.
What is negotiation?
Which symptom reported by fibromyalgia patients is often described as “fibro fog”?
What is difficulty concentrating or cognitive impairment?
In assessing an older adult with chronic pain, the nurse should be aware of which common issue?
What is underreporting of pain due to fear of addiction or being a burden?
Which GI related side effect of opioids is most common and requires proactive nursing management?
What is constipation?
Which factor is most important for the nurse to assess before a patient begins using CAM therapies?
What is current medications and medical history (to check for interactions or contraindications)?
What behavioral signs may indicate discomfort in infants and toddlers?
What are crying, grimacing, guarding, and changes in body posture?
Which physiological signs are commonly observed in a patient who is actively dying?
What are dyspnea, hypotension, altered level of consciousness, and anorexia?
When conflict is avoided and tensions build over time, this negative outcome often results in team dysfunction.
What is unresolved conflict or passive conflict escalation?
This type of antidepressant, sometimes used in fibromyalgia, may help reduce pain and improve sleep.
What are tricyclic antidepressants?
This non-opioid analgesic can cause liver toxicity if taken in high doses.
What is acetaminophen?
A patient with a history of substance misuse reports severe pain. What is the nurse’s priority action?
What is assess the pain thoroughly and administer prescribed analgesics without bias?
St. John’s Wort is an herbal remedy that may interact with which type of prescription medications?
What are antidepressants (especially SSRIs, due to risk of serotonin syndrome)?
Which diagnostic test might be used to evaluate sleep disturbances in a patient with chronic fatigue?
What is a sleep study?
A patient in hospice is given morphine sulfate for pain. The nurse explains this is primarily used for which benefit?
What is to relieve pain and respiratory distress, not to hasten death?
Name two effective tools or strategies used in successful conflict resolution.
What are active listening, assertive communication, mutual respect, or focusing on the issue—not the person?