NUR 233 EXAM 2 (pain and immobility) REVIEW QUESTIONS AND CORRECT ANSWERS
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Course
NUR 233
Institution
NUR 233
Neuropathic pain occurs from an abnormal processing of sensory stimuli by the central or peripheral nervous system
Nociceptive pain arises from mechanical, thermal or chemical noxious stimuli (A-delta and C afferent) i; can be somatic or visceral.
Persistent pain chronic pain that has been presen...
NUR 233 EXAM 2 (pain and immobility)
REVIEW QUESTIONS AND CORRECT
ANSWERS
Neuropathic pain ✅occurs from an abnormal processing of sensory stimuli by the
central or peripheral nervous system
Nociceptive pain ✅arises from mechanical, thermal or chemical noxious stimuli (A-
delta and C afferent) i; can be somatic or visceral.
Persistent pain ✅chronic pain that has been present for 3 months or longer
Most common pain complaint from the older adult ✅Low back pain. Followed by
migraine or severe headache
Why does pain go underreported ✅- dont want to be viewed as complainers
- lack the funds to seek treatment
- believe pain is apart of the aging process
Why does pain also end up being overreported ✅to get attention of family members
and health care professionals
Nociceptors are found in ✅- fasciae
- muscles
-joints
- other deep structures
Activation causes painful stimuli
Somatic pain ✅pain in the bone and soft tissue masses, it is well localized and is
described as throbbing or aching
Visceral pain ✅associated with disorders that cause generalized
Neuropathic pain is associated with ✅- diabetic neuropathies
- postherpetic neuralgias
Nueropathic pain feels like ✅sharp, stabbing, tingling or burning with a sudden onset
of high intensity
Pain perceptions in the older adult ✅- reduced sensitivity for thermal pain
- decreased sensitivity for mechanical pain
, Numeric rating scale ✅ask the patient to rate pain on a scale from 1 to 10
Why is the numeric rating scale unreliable for the older adult ✅it is difficult for older
adults who have trouble thinking in abstract terms and the cognitively impaired
Visual analog scale ✅horizontal line with "no pain" on the left and " pain as bad as it
can possibly be" on the right end. Sometimes this scale uses faces with 0 being a smile
and 6 being a crying grimace
Mcgill pain questionnaire ✅78 words categorized into 20 groups, a drawing of the body
and a Present Pain Intensity Scale.
What group does the Mcgill pain questionnaire target ✅persons who are cognitively
normal or impaired
Biofeedback ✅alternative therapy to drugs. It is the process of teaching people to bring
specific body functions under voluntary vontrol
Chiropractic ✅alternative therapy to drugs, it is the use of manipulation or adjustment
of the spine and joints to correct misalignments
Homeopathic remedies ✅alternative therapy to drugs, use dilute forms of biological
material (plants, animals or mineral) that produce symptoms similar to that caused by
the disease or condition
Naturopathy ✅alternative therapy to drugs. It is the use of proper nutrition, pure water,
fresh air, exercise, rest, and other natural means
Osteopathy ✅alternative therapy to drugs. It is a branch of physical medicine that uses
physical therapy, joint manipulation and postural correction
Herbs used to help manage pain ✅- chili pepper oil
- devils claw
- feverfew
- ginger
- tumeric
- valerain
- white willow
Benefits of arachidonic acid ✅primary precursor in the synthesis of omega-6 to
proinflammatory eicsanoids
A deficiency of _______________ vitamins can contribute to pain ✅B complex
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