A 35-year-old man who is having problems at work is seeing the nurse at a primary care clinic for chronic low back pain
In the past year, he has been absent from work about once every two weeks, is short-tempered with other workers, feels tired all the time, and is worried about losing his job. The goals for the plan of care should focus on:
A) Increasing pain tolerance and exercise
B) Decrease the need to work and increase sleep to eight hours per night
C) Evaluate other work options to decrease the risk of depression
D) Decrease the time lost from work, to increase the quality of interpersonal relationships and decrease anxiety
Ans: D
Feedback: Chronic pain may affect the patient's quality of life by interfering with work, interpersonal relationships, or sleep (Call-Schmidt & Richardson, 2003). Thus, the best set of goals would be to "decrease time lost from work, to increase the quality of interpersonal relationships, and decrease anxiety." Option A is incorrect; increasing pain tolerance is an unrealistic goal and exercise could help but would not the focus on the plan of care. Option B is incorrect; decreasing the need to work and increasing sleep to eight hours per night are reasonable interventions but not goals. Option C is incorrect; evaluating other work options to decrease the risk of depression is a misdirected diagnosis.
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