The nurse knows that when hospitalized adolescents underrate their pain and hide it, they are most likely denying pain for which of the following reasons?

a. They are concerned that taking pain medication will lead to addiction.
b. They hope to get discharged from the hospital quicker.
c. They are afraid that an injection to relieve pain will hurt more than the pain they have.
d. They want to show their strength and maturity by coping with significant pain.


D
Adolescents are eager to demonstrate their maturity and independence; therefore, the most likely reason they would deny pain is because they want to show their strength and maturity by coping with significant pain. They may believe the myth that taking pain medication will lead to addiction. Yet, appropriate management of pain has been shown through research to not lead to addiction. Although they may think they will be discharged from the hospital quicker if they do not complain of pain, this is not a logical reason. They may be afraid that an injection to relieve pain will hurt more than the pain they have. Yet, most pain medications for hospitalized patients are given intravenously and are therefore relatively pain free.

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