The nurse is caring for a client who denies having pain. The nurse has noticed the client grimacing and clenching his teeth when moving. The client's spouse has asked the nurse why some people deny obvious pain
What response by the nurse is most appropriate? 1. "You should try to find out why your husband is denying the pain."
2. "Have you talked to the healthcare provider about this?"
3. "Some people feel reporting their pain is a sign of weakness."
4. "Maybe we are wrong and pain is not really bad."
3
Rationale 1: The spouse has sought assistance from the nurse. The nurse should attempt to respond to the inquiry.
Rationale 2: The spouse is asking for information that is within the scope of nursing practice. There is no need to refer to the healthcare provider at this time.
Rationale 3: Adult clients may deny the presence of pain. Sometimes the denial is an effort not to appear weak.
Rationale 4: The nonverbal behaviors indicate the presence of pain.
You might also like to view...
Coarse, dry, and brittle hair is associated with which metabolic disorder?
a. Hypothyroidism b. Diabetes mellitus c. Addison disease d. Cushing syndrome
The nurse is caring for a client diagnosed with acute sinusitis. Which of the following symptoms is the client most likely experiencing?
1. Anosmia 2. Fever 3. Halitosis 4. Metallic taste
Which statement BEST articulates the role of the practitioner in hypnosis?
a. adaptive b. directive c. mutual d. passive
A guard tells an inmate diagnosed with schizophrenia to ask the desk officer for a mop and bucket, then get some water from the shower area and mop the kitchen and hall. The inmate does not comply
The guard becomes angry and cancels the inmate's recreation time. Which action by the correctional nurse is most appropriate? a. Document the inmate's response as indicative of resistance and psychopathology. b. Do not intervene. Intervention is not part of a correctional nurse's scope of practice. c. Confer with the prison psychiatrist regarding reevaluation of this inmate's antipsychotic medication regime. d. Explain to the guard that this inmate has difficulty following multiple instructions. Suggest stating one idea at a time.