A client with chronic pain states, "I just want to be pain-free. Do something to make that hap-pen." The most therapeutic response is:

1. "Together we will all work at making your pain tolerable."
2. "I will do everything I can to manage your pain; I promise."
3. "Are you feeling depressed or anxious because of your pain?"
4. "You sound anxious. Would you like something for your nerves?"


ANS: 1
Complete pain relief is not always achievable, but reducing pain to a tolerable level is realistic. The remaining options either address issues other than pain or make promises that may be diffi-cult or impossible to keep.

Nursing

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1. Performing procedures that provide data for diagnosis and assessment. 2. Acting independently to care for clients. 3. Making sure others take care of one's clients. 4. Performing any duty assigned, regardless of experience.

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The nurse selects which time as the best to administer the pancreatic enzyme replacement?

a. Before meals and snacks b. Before bedtime c. Early in the morning d. After meals and snacks

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Which of the following best describes how providers can legally improve their profit under the current reimbursement process?

a. Accept more patients and work more hours so former high income is retained b. Order the cheapest generic medications and treatments possible c. Convince patients that they do not want expensive treatments d. Practice conservatively to earn an incentive payment

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The nurse assesses a 12-year-old boy who has been diagnosed with bipolar disorder. Which behaviors should the nurse most expect to observe in this child? (Select all that apply.)

A) Irritability B) Distractibility C) Screaming D) Rage episodes E) Sleep disturbances

Nursing