A patient with osteoarthritis comes to the clinic because he is not able to control the pain. The patient asks the nurse why it hurts so bad. What would be the nurse's best response?
A) "Don't worry about why it hurts, let's just concentrate on taking away the pain."
B) "You are hurting because you aren't following your treatment regimen."
C) "The pain you are feeling is psychological. What is going on in your life to make you hurt so bad?"
D) "You are experiencing pain from irritated nerve endings and muscle spasms."
Ans: D
Feedback: The pain is caused by an inflamed synovium, stretching of the joint capsule or ligaments, irritation of nerve endings in the periosteum over osteophytes (bone spurs), trabecular microfracture, intraosseous hypertension, bursitis, tendinitis, and muscle spasm. Option A is incorrect because it does not answer the patient's question. Nowhere in the scenario does it say the patient is not following their treatment regimen. Option C is incorrect because no information you are given indicates psychological problems with the patient.
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