Ouch!
John's Visit to see the Nurse
Pain
Problems
How can I help you?
Approach the Pain
100

This type of pain is usually of recent onset and commonly associated with a specific injury, trauma, or painful medical procedures.

What is acute pain?

100

John visits his general physician on Monday because he was feeling sick over the weekend. When he is called back from the waiting room, the nurse on staff takes his temperature, heart rate, and blood pressure. She then asks John a series of questions about how he's been feeling lately. This is which component of the nursing process?

What is assessment?

100

This pain assessment tool is commonly used for measuring pain intensity and is well validated. It is scored from 0–10 (0 meaning no pain and 10 meaning the worst pain imaginable).

What is the numeric pain intensity scale?

100

Before initiating a teaching/learning program, the nurse assesses the patient's ____ to learn.

What is readiness?

100

Stool softeners are often given along with opioid pain medication due to the potential risk for _________.

What is constipation?
200

This type of pain is persistent or intermittent and lingers beyond expected healing time.

What is chronic pain?

200

John is prescribed a blood pressure medication and takes it as recommended. One week later, he has a day where he feels especially sick and calls the doctor's office. The nurse explains that the medication could cause nausea as a side-effect and advises John to drink Ginger-Ale and avoid any foods that generally upset his stomach. John continues taking the medication and goes to the gym four times during the two-week period. Once the two weeks has passed, he returns to the doctor's office for his follow-up appointment. This is what component of the nursing process?

What is implementation?

200

This pain scale shows a series of faces ranging from a happy face at 0, or "no hurt", to a crying face at 10, which represents "hurts like the worst pain imaginable."

What is the Wong-Baker FACES Pain Rating scale?

200

Health _____ focuses on the pereson's potential for wellness and encourages appropriate alterations in personal habits, lifestyle, and environment in ways that reduce risks and enhance health and well-being.

What is promotion?

200

A patient who receives opioids by any route must be assessed frequently for changes in _____ status.

What is respiratory?

300

This type of pain occurs when nerves in internal organs are stimulated. 

What is visceral pain?

300

When John returns, the nurse asks him a series of questions about how he's been feeling. John replies that he has been having an easier time breathing and feels significantly less tired since exercising and taking the medication. The nurse marks "Patient's Condition Improved" on his official medical records and congratulates John on his well being. This is what component of the nursing process?

What is evaluation?

300

Mr. Smith complains of 3/10 low back pain. You give him an ice pack as a pain intervention, per his request. After implementing this intervention, what should you do to ensure your intervention was effective?

What is re-evaluate/assess his pain?

300

Health _____ is the degree to which an individual has the capacity to obtain, communicate, process, and understand basic health information and services to make appropriate health decisions. 

What is literacy?

300

True or false. Even if the patient pushes the PCA button multiple times in rapid succession, no additional doses are released.

What is true?

400

This type of pain is experienced in the muscles, skin, or bones.

What is somatic pain? 

400

The nurse looks over John's symptoms and notes that his heart rate is higher than average and his blood pressure is elevated. She also considers that he has experienced fatigue and shortness of breath before when his cholesterol levels were very high. The nurse is concerned that John is at risk for heart disease. This is what component of the nursing process?

What is diagnosis?

400

The need for increasing doses of opioids to achieve the same therapeutic effect.

What is tolerance?

400

An individual’s ______ can affect his or her viewpoint in many ways, such as the meaning of a diagnosis, the expectation of reporting symptoms, how much information is desired, how death and dying will be managed, gender roles, family participation, and decision making.

What is culture?

400

Massage, distraction, and music therapy are types of ______ pain interventions. 

What is non-pharmacologic?

500

This type of pain occurs in a part of the body that has been removed.

What is phantom pain?

500

The nurse sits down with John and explains his cholesterol levels and high blood pressure. She suggests that John adheres to the blood pressure medication the doctor prescribed to help lower these numbers and recommends he exercise at least twice a week. The nurse also tells John he should stay away from salty foods and eat less red meat. John agrees with the nurse, and they setup a follow-up appointment two weeks later. This is what component of the nursing process?

What is planning?

500

This pain assessment instrument consists of a 10cm line, with two end points representing 0 ('no pain') and 10 ('pain as bad as it could possibly be').

What is the visual analogues scale (VAS)?

500

True or false. An important predictor of patient adherence to a therapeutic regimen is concordance of the patient’s and providers’ perception of their health.

What is true?
500

The use of _____ in combination with opioids relieves pain more effectively than the use of opioids alone.

What is NSAIDs?