A patient has had arthritic pain in her hips for several years since a hip fracture. She is able to move around in her room and has not offered any complaints so far this morning. However, when asked, she states that her pain is "bad this morning" and
rates it at an 8 on a 1-to-10 scale. What does the nurse suspect? The patient:
a.
Is addicted to her pain medications and cannot obtain pain relief.
b.
Does not want to trouble the nursing staff with her complaints.
c.
Is not in pain but rates it high to receive pain medication.
d.
Has experienced chronic pain for years and has adapted to it.
ANS: D
Persons with chronic pain typically try to give little indication that they are in pain and, over time, adapt to the pain. As a result, they are at risk for underdetection.
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Nursing intervention for pregnant women with diabetes is based on the knowledge that the need for insulin:
a. increases throughout pregnancy and the postpartum period. b. decreases throughout pregnancy and the postpartum period. c. varies depending on the stage of gestation. d. should not change because the fetus produces its own insulin.
Informed consent is not obtained when:
A) The researcher pays the subjects a stipend B) The researcher collects information covertly C) The risk/benefit ratio is low D) The study is not reviewed by an IRB
A community health nurse has scheduled a hypertension clinic. This service would be an example of which type of health care?
A) Tertiary prevention B) Secondary prevention C) Primary prevention D) Disease prevention
After teaching a group of students about the different levels of prevention, the instructor determines a need for additional teaching when the students identify which of the following as an activity at the tertiary prevention level in community-based
health care? A) Teaching women to take folic acid supplements to prevent neural tube defects B) Working with women who are victims of domestic violence C) Working with clients at an HIV clinic to provide nutritional and CAM therapies D) Teaching hypertensive clients to monitor blood pressure