The nurse is assessing a patient with chronic pain and learns the patient is not able to sleep through the night. The nurse realizes this patient is demonstrating which problem?
1. The inability to cope with pain
2. A side effect of chronic pain medication use
3. Sleep deprivation because of poor pain control
4. Lying as a way to be prescribed more pain medication without an identified need
3
Rationale 1: There is no evidence that this patient does not have the ability to cope with pain.
Rationale 2: There is no evidence that this patient is experiencing a side effect of pain medication use.
Rationale 3: Pain has been associated with agitation, decreased mobility, and sleep deprivation.
Rationale 4: The nurse should be nonjudgmental and not assume the patient is attempting to obtain more pain medication without an identified need.
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