Exam 2: NR226 NR 226 Latest

Exam 2: NR226 / NR 226 (Latest

Update 2025 / 2026) Fundamentals:

Patient Care | Questions and Answers | Grade A | 100% Correct – Chamberlain

Question:

Behavioral responses for pain

Answer:

-Clenching the teeth, facial grimacing, holding or guarding the painful part, and bent posture are common indications of acute pain

• Chronic pain affects a patient's activity

• Lack of pain expression does not indicate that a patient is not experiencing

pain

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Question:

What are physiological factors that influence pain?

Answer:

• Age
• Fatigue
• Genetics
• Neurological function
• Change in vital signs

Question:

What social factors influence pain?

Answer:

• Previous experience with pain
• Family/ support group
• Spiritual beliefs
• Risk for isolation

• / 4

Question:

What psychological factors influence pain?

Answer:

• Attention given to the pain

• Anxiety and fear

• Coping or ability to deal with pain

Question:

What cultural factors influence pain?

Answer:

• Spiritual beliefs

• Culture impacts pain perception, adaptation and expression

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Question:

Acute Pain

Answer:

• Protective, temporary and usually self limiting
• Increase in vital signs in response to stress and increase cortisol levels.

Increase in blood pressure

• Diaphoretic, nausea vomiting
• Sleep deprivation
• Guarding, flinching, moaning, grimacing
• Can lead to chronic pain if not relieved

Question:

Chronic Pain

Answer:

• Not protective, ongoing occurs frequently 3-6 months
• Vital signs remain the same
• Mental and physical fatigue
• insomnia
• Depression
• Decreased level of functioning

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