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The nurse is aware that the state at which a person is mentally relaxed free from worry and is physically calm is ___.
Correct Answer: rest
Rationale: When a person is mentally relaxed, free from worry, and is physically calm, he or she is at rest.
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The nurse explains that transcutaneous electric nerve stimulation provides a continuous mild electric current to the skin. How does the TENS unit act to reduce pain?
- A. Distracts the patient.
- B. Blocks endorphin production.
- C. Warms the skin.
- D. Blocks pain impulses.
Correct Answer: D
Rationale: TENS works by blocking pain impulses.
The nurse is giving a backrub to a patient to relieve pain. What pain theory is the nurse using?
- A. Synergism
- B. Gate control
- C. Distraction
- D. Guided imagery
Correct Answer: B
Rationale: The pressure of a backrub will close the gate, according to the gate control theory of pain.
A patient tearfully declares the use of relaxation techniques does not work for her. What is the best action for the nurse to implement?
- A. Give up on the idea.
- B. Encourage the patient to try again.
- C. Assure the patient that not everyone is successful.
- D. Give the patient a sedative.
Correct Answer: B
Rationale: Some alternative approaches to pain control require practice. Encouragement to try again is appropriate.
Which documentation sample is the most helpful to share assessment findings and pain relief interventions?
- A. 1600: Patient reports chest pain. Medicated with morphine sulfate.
- B. 1600: Patient reports sharp chest pain. Morphine sulfate given IM.
- C. 1600: Patient reports sharp pain in left chest radiating to neck. Morphine sulfate 5 mg administered IM in right deltoid.
- D. 1600: Patient requested medication for pain in left chest. Morphine sulfate 10 mg PO given.
Correct Answer: C
Rationale: The nurse should record subjective information relative to the pain, as well as the intervention and administration route.
A patient reports to the nurse that he is experiencing a moderate amount of back pain rated 6 out of 10 on the pain scale. What should the nurse recognize about this assessment?
- A. Pain is objective for the nurse.
- B. Pain is easy to recognize.
- C. Pain is subjective for the patient.
- D. Pain is easily relieved if found early.
Correct Answer: C
Rationale: Pain is subjective. Pain is exactly what the patient says it is.