The nurse observes the patient during a major abdominal dressing change for signs of pain and discomfort. Which of the following facets of pain can be observed by the nurse during this procedure?

1. pain behaviors
2. nociception
3. pain
4. suffering


1

Rationale: The only facet of pain that can be observed by the nurse is pain behaviors in the patient. The patient must provide subjective data that confirms the presence of nociception, pain, and suffering.

Nursing

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A psychiatrist who embraces the Psychological Recovery Model tells the nurse that a client is in the Growth stage. What should the nurse expect to fine when assessing this client?

1. A client feeling confident about achieving goals in life. 2. A client who is aware of the need to set goals in life. 3. A client who has mobilized personal and external resources. 4. A client who begins to actively take control of his or her life.

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Temporary inadequate blood and oxygen supply to the myocardial tissues is called:

a. angina pectoris c. myocardial ischemia b. cardiac tamponade d. myocarditis

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What would be the most appropriate exercise suggestion for the older adult who wants to build muscle mass?

a. Aerobic class b. Stretching exercises c. Strength training d. Tai chi

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A patient has decided to explore palliative care. After making the decision, the nurse notices that not all of the disciplines of the health care team seem to be supportive of the decision. What action by the nurse is indicated?

1. Develop a plan of care and distribute it to the other disciplines of the healthcare team. 2. Plan a multidisciplinary conference to explore the patient's needs. 3. Contact the physician to report the discrepancies in the plan of care. 4. Advise the patient to contact the social services department.

Nursing