The nurse is caring for a patient with severe congestive heart failure (CHF) who denies pain and is fearful of taking prescribed morphine. Which explanation best works to alleviate the patient's anxiety about risk of addiction?
a. "Many people with CHF use morphine for pain control."
b. "We can treat your pain with aspirin or ibuprofen."
c. "Morphine has properties that help relieve air hunger in CHF patients."
d. "You can refuse to take it."
C
The primary purpose of morphine is its relief of air hunger and anxiety. Nonsteroidal an-ti-inflammatory drugs do not have the same vasodilation properties as morphine. Telling the pa-tient that many CHF patients take morphine provides a generalized statement that does not the-rapeutically address the patient's anxiety or confusion about the medication. Telling the patient that he may refuse is a dismissive, nontherapeutic response.
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