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41755
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Ferrell, B. & McCaffery, M. (2012). The Knowledge and Attitudes Survey Regarding Pain (KASRP). Measurement Instrument Database for the Social Science. Retrieved 12.01.2021, from www.midss.ie. Key references: “Knowledge and Attitudes Survey Regarding Pain” developed by Betty Ferrell, RN, PhD, FAAN and Margo McCaffery, RN, MS, FAAN, (http://prc.coh.org), revised 2012. Ferrell, B. R. (2007). Reducing barriers to pain assessment and management: An institutional perspective. Journal of Palliative Medicine, 10(1S), S15-S18. DOI: 10.1089/jpm.2007.9828. McCaffery, M., Ferrell, B. R., Pasero, C. (2000). Nurses' personal opinions about patients' pain and their effect on recorded assessments and titration of opioid doses. Pain Management Nursing, 1(3): 79-87 Primary use / Purpose: The Knowledge and Attitudes Survey Regarding Pain (KASRP) is a 37-item questionnaire. It contains 21 true or false questions and 16 multiple choice ones. Its purpose is to measure the attitudes and knowledge of caregivers on the subject of pain. It is particularly useful as a pre/post test measure and can be used to rate learning outcomes following educational programs on pain. Background: Chronic pain is a debilitating and often incurable problem for many. Palliative care-givers also routinely meet the need for effective treatment of pain in terminally ill patients. Effective care-giving is important in ensuring the wellbeing of these patients. Without sufficient training caregivers will struggle to meet the demands of dealing with chronic pain patients. The Knowledge and Attitudes Survey Regarding Pain (KASRP) is therefore a useful tool for specifically evaluating the knowledge of caregivers on the subject of pain. Psychometrics: The psychometric properties of the Knowledge and Attitudes Survey Regarding Pain (KASRP) are discussed in the introduction to the scale which is attached below. Digital Object Identifier (DOI): http://dx.doi.org/10.13072/midss.341
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- 12.01.21 12.01.21 -
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Ferrell, B. & McCaffery, M.
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12. Januar 2021
DOI
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Measurement Instrument Database for the Social Science (MIDSS)
The Knowledge and Attitudes Survey Regarding Pain (KASRP)
- StudyEvent: ODM
Ähnliche Modelle
The Knowledge and Attitudes Survey Regarding Pain (KASRP)
- StudyEvent: ODM
Name
Typ
Description | Question | Decode (Coded Value)
Datentyp
Alias
Item Group
Knowledge and Attitudes Survey Regarding Pain - True/False – Circle the correct answer.
C0030193 (UMLS CUI-1)
C0018762 (UMLS CUI-2)
C0018762 (UMLS CUI-2)
Item
Vital signs are always reliable indicators of the intensity of a patient’s pain.
text
C0518766 (UMLS CUI [1,1])
C1522602 (UMLS CUI [1,2])
C0030193 (UMLS CUI [1,3])
C1522602 (UMLS CUI [1,2])
C0030193 (UMLS CUI [1,3])
Code List
Vital signs are always reliable indicators of the intensity of a patient’s pain.
CL Item
True (1)
CL Item
False (2)
Item
Because their nervous system is underdeveloped, children under two years of age have decreased pain sensitivity and limited memory of painful experiences.
text
C0008059 (UMLS CUI [1,1])
C0030193 (UMLS CUI [1,2])
C0030193 (UMLS CUI [1,2])
Code List
Because their nervous system is underdeveloped, children under two years of age have decreased pain sensitivity and limited memory of painful experiences.
CL Item
True (1)
CL Item
False (2)
Item
Patients who can be distracted from pain usually do not have severe pain.
text
C0030193 (UMLS CUI [1,1])
C1369039 (UMLS CUI [1,2])
C1369039 (UMLS CUI [1,2])
Code List
Patients who can be distracted from pain usually do not have severe pain.
CL Item
True (1)
CL Item
False (2)
Item
Patients may sleep in spite of severe pain.
text
C0030193 (UMLS CUI [1,1])
C0037313 (UMLS CUI [1,2])
C0037313 (UMLS CUI [1,2])
CL Item
True (1)
CL Item
False (2)
Item
Aspirin and other nonsteroidal anti-inflammatory agents are NOT effective analgesics for painful bone metastases.
text
C0151825 (UMLS CUI [1,1])
C0153690 (UMLS CUI [1,2])
C0003211 (UMLS CUI [1,3])
C0153690 (UMLS CUI [1,2])
C0003211 (UMLS CUI [1,3])
Code List
Aspirin and other nonsteroidal anti-inflammatory agents are NOT effective analgesics for painful bone metastases.
CL Item
True (1)
CL Item
False (2)
Item
Respiratory depression rarely occurs in patients who have been receiving stable doses of opioids over a period of months.
text
C0242402 (UMLS CUI [1,1])
C0235063 (UMLS CUI [1,2])
C0235063 (UMLS CUI [1,2])
Code List
Respiratory depression rarely occurs in patients who have been receiving stable doses of opioids over a period of months.
CL Item
True (1)
CL Item
False (2)
Item
Combining analgesics that work by different mechanisms (e.g., combining an NSAID with an opioid) may result in better pain control with fewer side effects than using a single analgesic agent.
text
C0002771 (UMLS CUI [1,1])
C1516710 (UMLS CUI [1,2])
C1516710 (UMLS CUI [1,2])
Code List
Combining analgesics that work by different mechanisms (e.g., combining an NSAID with an opioid) may result in better pain control with fewer side effects than using a single analgesic agent.
CL Item
True (1)
CL Item
False (2)
Item
The usual duration of analgesia of 1-2 mg morphine IV is 4-5 hours.
text
C0026549 (UMLS CUI [1,1])
C3202977 (UMLS CUI [1,2])
C0449238 (UMLS CUI [1,3])
C3202977 (UMLS CUI [1,2])
C0449238 (UMLS CUI [1,3])
Code List
The usual duration of analgesia of 1-2 mg morphine IV is 4-5 hours.
CL Item
True (1)
CL Item
False (2)
Item
Research shows that promethazine (Phenergan) and hydroxyzine (Vistaril) are reliable potentiators of opioid analgesics.
text
C0033405 (UMLS CUI [1,1])
C0086188 (UMLS CUI [1,2])
C0242402 (UMLS CUI [1,3])
C0020404 (UMLS CUI [2,1])
C0086188 (UMLS CUI [2,2])
C0242402 (UMLS CUI [2,3])
C0086188 (UMLS CUI [1,2])
C0242402 (UMLS CUI [1,3])
C0020404 (UMLS CUI [2,1])
C0086188 (UMLS CUI [2,2])
C0242402 (UMLS CUI [2,3])
Code List
Research shows that promethazine (Phenergan) and hydroxyzine (Vistaril) are reliable potentiators of opioid analgesics.
CL Item
True (1)
CL Item
False (2)
Item
Opioids should not be used in patients with a history of substance abuse.
text
C0242402 (UMLS CUI [1,1])
C1301624 (UMLS CUI [1,2])
C0038586 (UMLS CUI [1,3])
C1301624 (UMLS CUI [1,2])
C0038586 (UMLS CUI [1,3])
Code List
Opioids should not be used in patients with a history of substance abuse.
CL Item
True (1)
CL Item
False (2)
Item
Elderly patients cannot tolerate opioids for pain relief.
text
C0242402 (UMLS CUI [1,1])
C0001792 (UMLS CUI [1,2])
C0001792 (UMLS CUI [1,2])
CL Item
True (1)
CL Item
False (2)
Item
Patients should be encouraged to endure as much pain as possible before using an opioid.
text
C0242402 (UMLS CUI [1,1])
C3146298 (UMLS CUI [1,2])
C3146298 (UMLS CUI [1,2])
Code List
Patients should be encouraged to endure as much pain as possible before using an opioid.
CL Item
True (1)
CL Item
False (2)
Item
Children less than 11 years old cannot reliably report pain so clinicians should rely solely on the parent’s assessment of the child’s pain intensity.
text
C0008059 (UMLS CUI [1,1])
C0030193 (UMLS CUI [1,2])
C0220825 (UMLS CUI [1,3])
C0030193 (UMLS CUI [1,2])
C0220825 (UMLS CUI [1,3])
Code List
Children less than 11 years old cannot reliably report pain so clinicians should rely solely on the parent’s assessment of the child’s pain intensity.
CL Item
True (1)
CL Item
False (2)
Item
Patients’ spiritual beliefs may lead them to think pain and suffering are necessary.
text
C0683811 (UMLS CUI [1])
Code List
Patients’ spiritual beliefs may lead them to think pain and suffering are necessary.
CL Item
True (1)
CL Item
False (2)
Item
After an initial dose of opioid analgesic is given, subsequent doses should be adjusted in accordance with the individual patient’s response.
text
C0242402 (UMLS CUI [1,1])
C0178602 (UMLS CUI [1,2])
C0178602 (UMLS CUI [1,2])
Code List
After an initial dose of opioid analgesic is given, subsequent doses should be adjusted in accordance with the individual patient’s response.
CL Item
True (1)
CL Item
False (2)
Item
Giving patients sterile water by injection (placebo) is a useful test to determine if the pain is real.
text
C0030193 (UMLS CUI [1,1])
C0043047 (UMLS CUI [1,2])
C0232920 (UMLS CUI [1,3])
C0043047 (UMLS CUI [1,2])
C0232920 (UMLS CUI [1,3])
Code List
Giving patients sterile water by injection (placebo) is a useful test to determine if the pain is real.
CL Item
True (1)
CL Item
False (2)
Item
Vicodin (hydrocodone 5 mg + acetaminophen 500 mg) PO is approximately equal to 5-10 mg of morphine PO.
text
C0483514 (UMLS CUI [1,1])
C0026549 (UMLS CUI [1,2])
C0026549 (UMLS CUI [1,2])
Code List
Vicodin (hydrocodone 5 mg + acetaminophen 500 mg) PO is approximately equal to 5-10 mg of morphine PO.
CL Item
True (1)
CL Item
False (2)
Item
If the source of the patient’s pain is unknown, opioids should not be used during the pain evaluation period, as this could mask the ability to correctly diagnose the cause of pain.
text
C0030193 (UMLS CUI [1,1])
C0220825 (UMLS CUI [1,2])
C0242402 (UMLS CUI [1,3])
C0220825 (UMLS CUI [1,2])
C0242402 (UMLS CUI [1,3])
Code List
If the source of the patient’s pain is unknown, opioids should not be used during the pain evaluation period, as this could mask the ability to correctly diagnose the cause of pain.
CL Item
True (1)
CL Item
False (2)
Item
Anticonvulsant drugs such as gabapentin (Neurontin) produce optimal pain relief after a single dose.
text
C0451615 (UMLS CUI [1,1])
C0003286 (UMLS CUI [1,2])
C0003286 (UMLS CUI [1,2])
Code List
Anticonvulsant drugs such as gabapentin (Neurontin) produce optimal pain relief after a single dose.
CL Item
True (1)
CL Item
False (2)
Item
Benzodiazepines are not effective pain relievers unless the pain is due to muscle spasm.
text
C0451615 (UMLS CUI [1,1])
C0005064 (UMLS CUI [1,2])
C0005064 (UMLS CUI [1,2])
Code List
Benzodiazepines are not effective pain relievers unless the pain is due to muscle spasm.
CL Item
True (1)
CL Item
False (2)
Item
Narcotic/opioid addiction is defined as a chronic neurobiologic disease, characterized by behaviors that include one or more of the following: impaired control over drug use, compulsive use, continued use despite harm, and craving.
text
C0524662 (UMLS CUI [1])
Code List
Narcotic/opioid addiction is defined as a chronic neurobiologic disease, characterized by behaviors that include one or more of the following: impaired control over drug use, compulsive use, continued use despite harm, and craving.
CL Item
True (1)
CL Item
False (2)
Item Group
Knowledge and Attitudes Survey Regarding Pain - Multiple Choice – Place a check by the correct answer.
C0030193 (UMLS CUI-1)
C0018762 (UMLS CUI-2)
C0018762 (UMLS CUI-2)
Item
The recommended route of administration of opioid analgesics for patients with persistent cancer-related pain is
text
C0596240 (UMLS CUI [1,1])
C0205322 (UMLS CUI [1,2])
C0013153 (UMLS CUI [1,3])
C0205322 (UMLS CUI [1,2])
C0013153 (UMLS CUI [1,3])
Code List
The recommended route of administration of opioid analgesics for patients with persistent cancer-related pain is
CL Item
intravenous (1)
CL Item
intramuscular (2)
CL Item
subcutaneous (3)
CL Item
oral (4)
CL Item
rectal (5)
Item
The recommended route administration of opioid analgesics for patients with brief, severe pain of sudden onset such as trauma or postoperative pain is
text
C0184567 (UMLS CUI [1,1])
C0242402 (UMLS CUI [1,2])
C0013153 (UMLS CUI [1,3])
C0242402 (UMLS CUI [1,2])
C0013153 (UMLS CUI [1,3])
Code List
The recommended route administration of opioid analgesics for patients with brief, severe pain of sudden onset such as trauma or postoperative pain is
CL Item
intravenous (1)
CL Item
intramuscular (2)
CL Item
subcutaneous (3)
CL Item
oral (4)
CL Item
rectal (5)
Item
Which of the following analgesic medications is considered the drug of choice for the treatment of prolonged moderate to severe pain for cancer patients?
text
C0596240 (UMLS CUI [1,1])
C0278139 (UMLS CUI [1,2])
C0278140 (UMLS CUI [1,3])
C0002771 (UMLS CUI [1,4])
C0278139 (UMLS CUI [1,2])
C0278140 (UMLS CUI [1,3])
C0002771 (UMLS CUI [1,4])
Code List
Which of the following analgesic medications is considered the drug of choice for the treatment of prolonged moderate to severe pain for cancer patients?
CL Item
codeine (1)
CL Item
morphine (2)
CL Item
meperidine (3)
CL Item
tramadol (4)
Item
Which of the following IV doses of morphine administered over a 4 hour period would be equivalent to 30 mg of oral morphine given q 4 hours?
text
C0026549 (UMLS CUI [1,1])
C0178602 (UMLS CUI [1,2])
C0178602 (UMLS CUI [1,2])
Code List
Which of the following IV doses of morphine administered over a 4 hour period would be equivalent to 30 mg of oral morphine given q 4 hours?
CL Item
Morphine 5 mg IV (1)
CL Item
Morphine 10 mg IV (2)
CL Item
Morphine 30 mg IV (3)
CL Item
Morphine 60 mg IV (4)
Item
Analgesics for post-operative pain should initially be given
text
C0030193 (UMLS CUI [1,1])
C2112579 (UMLS CUI [1,2])
C0002771 (UMLS CUI [1,3])
C2112579 (UMLS CUI [1,2])
C0002771 (UMLS CUI [1,3])
Code List
Analgesics for post-operative pain should initially be given
CL Item
around the clock on a fixed schedule (1)
CL Item
only when the patient asks for the medication (2)
CL Item
only when the nurse determines that the patient has moderate or greater discomfort (3)
Item
A patient with persistent cancer pain has been receiving daily opioid analgesics for 2 months. Yesterday the patient was receiving morphine 200 mg/hour intravenously. Today he has been receiving 250 mg/hour intravenously. The likelihood of the patient developing clinically significant respiratory depression in the absence of new comorbidity is
text
C0596240 (UMLS CUI [1,1])
C0026549 (UMLS CUI [1,2])
C0235063 (UMLS CUI [1,3])
C0026549 (UMLS CUI [1,2])
C0235063 (UMLS CUI [1,3])
Code List
A patient with persistent cancer pain has been receiving daily opioid analgesics for 2 months. Yesterday the patient was receiving morphine 200 mg/hour intravenously. Today he has been receiving 250 mg/hour intravenously. The likelihood of the patient developing clinically significant respiratory depression in the absence of new comorbidity is
CL Item
less than 1% (1)
CL Item
1-10% (2)
CL Item
11-20% (3)
CL Item
21-40% (4)
CL Item
> 41% (5)
Item
The most likely reason a patient with pain would request increased doses of pain medication is
text
C0002771 (UMLS CUI [1,1])
C0178602 (UMLS CUI [1,2])
C0178602 (UMLS CUI [1,2])
Code List
The most likely reason a patient with pain would request increased doses of pain medication is
CL Item
The patient is experiencing increased pain. (1)
CL Item
The patient is experiencing increased anxiety or depression. (2)
CL Item
The patient is requesting more staff attention. (3)
CL Item
The patient’s requests are related to addiction. (4)
Item
Which of the following is useful for treatment of cancer pain?
text
C0596240 (UMLS CUI [1,1])
C0002771 (UMLS CUI [1,2])
C0002771 (UMLS CUI [1,2])
CL Item
Ibuprofen (Motrin) (1)
CL Item
Hydromorphone (Dilaudid) (2)
CL Item
Gabapentin (Neurontin) (3)
CL Item
All of the above (4)
Item
The most accurate judge of the intensity of the patient’s pain is
text
C1320357 (UMLS CUI [1,1])
C0022423 (UMLS CUI [1,2])
C0022423 (UMLS CUI [1,2])
Code List
The most accurate judge of the intensity of the patient’s pain is
CL Item
the treating physician (1)
CL Item
the patient’s primary nurse (2)
CL Item
the patient (3)
CL Item
the pharmacist (4)
CL Item
the patient’s spouse or family (5)
Item
Which of the following describes the best approach for cultural considerations in caring for patients in pain
text
C0030193 (UMLS CUI [1,1])
C1822157 (UMLS CUI [1,2])
C1822157 (UMLS CUI [1,2])
Code List
Which of the following describes the best approach for cultural considerations in caring for patients in pain
CL Item
There are no longer cultural influences in the U.S. due to the diversity of the population. (1)
CL Item
Cultural influences can be determined by an individual’s ethnicity (e.g., Asians are stoic, Italians are (2)
CL Item
expressive, etc). (expressive, etc).)
CL Item
Patients should be individually assessed to determine cultural influences. (3)
CL Item
Cultural influences can be determined by an individual’s socioeconomic status (e.g., blue collar workers report more pain than white collar workers). (4)
Item
How likely is it that patients who develop pain already have an alcohol and/or drug abuse problem?
text
C0030193 (UMLS CUI [1,1])
C0038586 (UMLS CUI [1,2])
C0038586 (UMLS CUI [1,2])
Code List
How likely is it that patients who develop pain already have an alcohol and/or drug abuse problem?
CL Item
< 1% (1)
CL Item
5 – 15% (2)
CL Item
25 - 50% (3)
CL Item
75 - 100% (4)
Item
The time to peak effect for morphine given IV is
text
C0026549 (UMLS CUI [1,1])
C0348016 (UMLS CUI [1,2])
C0678778 (UMLS CUI [1,3])
C0348016 (UMLS CUI [1,2])
C0678778 (UMLS CUI [1,3])
CL Item
15 min (1)
CL Item
45 min (2)
CL Item
1 hour (3)
CL Item
2 hours (4)
Item
The time to peak effect for morphine given orally is
text
C0026549 (UMLS CUI [1,1])
C0001563 (UMLS CUI [1,2])
C0678778 (UMLS CUI [1,3])
C0001563 (UMLS CUI [1,2])
C0678778 (UMLS CUI [1,3])
Code List
The time to peak effect for morphine given orally is
CL Item
5 min. (1)
CL Item
30 min (2)
CL Item
1 – 2 hours (3)
CL Item
3 hours (4)
Item
Following abrupt discontinuation of an opioid, physical dependence is manifested by the following
text
C0242402 (UMLS CUI [1,1])
C0087169 (UMLS CUI [1,2])
C0087169 (UMLS CUI [1,2])
Code List
Following abrupt discontinuation of an opioid, physical dependence is manifested by the following
CL Item
sweating, yawning, diarrhea and agitation with patients when the opioid is abruptly discontinued (1)
CL Item
Impaired control over drug use, compulsive use, and craving (2)
CL Item
The need for higher doses to achieve the same effect. (3)
CL Item
a and b (4)
Item Group
Case Studies - Patient A: Andrew is 25 years old and this is his first day following abdominal surgery. As you enter his room, he smiles at you and continues talking and joking with his visitor. Your assessment reveals the following information: BP = 120/80; HR = 80; R = 18; on a scale of 0 to 10 (0 = no pain/discomfort, 10 = worst pain/discomfort) he rates his pain as 8.
C0030193 (UMLS CUI-1)
C0868928 (UMLS CUI-2)
C0868928 (UMLS CUI-2)
Item
On the patient’s record you must mark his pain on the scale below. Circle the number that represents your assessment of Andrew’s pain. (0 = no pain/discomfort; 10 = Worst pain/discomfort)
text
C0030193 (UMLS CUI [1,1])
C0220825 (UMLS CUI [1,2])
C0220825 (UMLS CUI [1,2])
Code List
On the patient’s record you must mark his pain on the scale below. Circle the number that represents your assessment of Andrew’s pain. (0 = no pain/discomfort; 10 = Worst pain/discomfort)
CL Item
0 (1)
CL Item
1 (2)
CL Item
2 (3)
CL Item
3 (4)
CL Item
4 (5)
CL Item
5 (6)
CL Item
6 (7)
CL Item
7 (8)
CL Item
8 (9)
CL Item
9 (10)
CL Item
10 (11)
Item
Your assessment, above, is made two hours after he received morphine 2 mg IV. Half hourly pain ratings following the injection ranged from 6 to 8 and he had no clinically significant respiratory depression, sedation, or other untoward side effects. He has identified 2/10 as an acceptable level of pain relief. His physician’s order for analgesia is “morphine IV 1-3 mg q1h PRN pain relief.” Check the action you will take at this time.
text
C0030193 (UMLS CUI [1,1])
C0441472 (UMLS CUI [1,2])
C0441472 (UMLS CUI [1,2])
Code List
Your assessment, above, is made two hours after he received morphine 2 mg IV. Half hourly pain ratings following the injection ranged from 6 to 8 and he had no clinically significant respiratory depression, sedation, or other untoward side effects. He has identified 2/10 as an acceptable level of pain relief. His physician’s order for analgesia is “morphine IV 1-3 mg q1h PRN pain relief.” Check the action you will take at this time.
CL Item
Administer no morphine at this time. (1)
CL Item
Administer morphine 1 mg IV now. (2)
CL Item
Administer morphine 2 mg IV now. (3)
CL Item
Administer morphine 3 mg IV now. (4)
Item Group
Case Studies - Patient B: Robert is 25 years old and this is his first day following abdominal surgery. As you enter his room, he is lying quietly in bed and grimaces as he turns in bed. Your assessment reveals the following information: BP = 120/80; HR = 80; R = 18; on a scale of 0 to 10 (0 = no pain/discomfort, 10 = worst pain/discomfort) he rates his pain as 8.
C0030193 (UMLS CUI-1)
C0868928 (UMLS CUI-2)
C0868928 (UMLS CUI-2)
Item
On the patient’s record you must mark his pain on the scale below. Circle the number that represents your assessment of Robert’s pain. (0 = no pain/discomfort; 10 = Worst pain/discomfort)
text
C0030193 (UMLS CUI [1,1])
C0220825 (UMLS CUI [1,2])
C0220825 (UMLS CUI [1,2])
Code List
On the patient’s record you must mark his pain on the scale below. Circle the number that represents your assessment of Robert’s pain. (0 = no pain/discomfort; 10 = Worst pain/discomfort)
CL Item
0 (1)
CL Item
1 (2)
CL Item
2 (3)
CL Item
3 (4)
CL Item
4 (5)
CL Item
5 (6)
CL Item
6 (7)
CL Item
7 (8)
CL Item
8 (9)
CL Item
9 (10)
CL Item
10 (11)
Item
Your assessment, above, is made two hours after he received morphine 2 mg IV. Half hourly pain ratings following the injection ranged from 6 to 8 and he had no clinically significant respiratory depression, sedation, or other untoward side effects. He has identified 2/10 as an acceptable level of pain relief. His physician’s order for analgesia is “morphine IV 1-3 mg q1h PRN pain relief.” Check the action you will take at this time.
text
C0030193 (UMLS CUI [1,1])
C0441472 (UMLS CUI [1,2])
C0441472 (UMLS CUI [1,2])
Code List
Your assessment, above, is made two hours after he received morphine 2 mg IV. Half hourly pain ratings following the injection ranged from 6 to 8 and he had no clinically significant respiratory depression, sedation, or other untoward side effects. He has identified 2/10 as an acceptable level of pain relief. His physician’s order for analgesia is “morphine IV 1-3 mg q1h PRN pain relief.” Check the action you will take at this time.
CL Item
Administer no morphine at this time. (1)
CL Item
Administer morphine 1 mg IV now. (2)
CL Item
Administer morphine 2 mg IV now. (3)
CL Item
Administer morphine 3 mg IV now. (4)