The patient with low back pain confesses that he drinks heavily each night to help him sleep and control pain. This would be an example of:
1. alternate pain control methods.
2. coping with a chronic condition.
3. a social coping mechanism.
4. maladaptive coping.
4
This behavior is an example of maladaptive coping. Drinking is not an appropriate means of coping with chronic pain.
PTS: 1 DIF: Cognitive Level: Application REF: 1241
OBJ: 6 TOP: Coping with Illness
KEY: Nursing Process Step: N/A MSC: NCLEX: Psychosocial Integrity
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1. Cranial nerve III. 2. Cranial nerve V. 3. Cranial nerve VII. 4. Cranial nerve VI.
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The nurse notes that after surgery, a client is unable to achieve pain relief from the analgesics prescribed. A review of the client's medical records reveals a history of alcohol abuse. What inferences can the nurse make?
1. The client has an unreported addiction to the pain medication being prescribed. 2. The client has a history of using this medication at home. 3. The client is likely cross-tolerant to the prescribed analgesic. 4. The client has a dual diagnosis relating to alcohol and drug addiction.