The patient states, "My pain is awful!" The response that illustrates the use of focusing is:

a. "On a scale of 1 to 10, tell me the number that represents your level of pain."
b. "I am not sure I understand what you're telling me."
c. "You seem to be in considerable pain."
d. "Can you handle the pain you're having?"


ANS: A
Focusing, or asking focused questions, prompts the patient to provide more definitive information. Asking a patient to rate his or her pain on a scale of 1 to 10 exemplifies this definition.

Nursing

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The neonatal special care unit nurse is overseeing the care provided by a nurse new to the unit. Which action requires immediate intervention? The new nurse:

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An elderly client is brought to the emergency department with lethargy, chills, and sharp chest pain with deep breathing. Pulse oximeter shows 93% on room air and respirations are 24/min. What is the nurse's initial action?

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