A client with chronic pain from spinal stenosis has asked the nurse for assistance with pain management. The client is well dressed and composed, with normal vital signs
The nurse observes that the client grimaces when sitting but rates the pain at only a 2. The nurse suspects which of the following? The client: 1. Needs to exercise instead of taking pain medication.
2. Is not in severe pain and does not need treatment.
3. Is getting better.
4. Has adapted to the pain and is able to control behaviors.
4
Rationale 1: The plan of care to determine interventions cannot be determined at this point.
Rationale 2: The client has stated that she is there for assistance with pain management, and the nurse has not completed the assessment.
Rationale 3: Determining that the client's condition is improving is beyond the scope of practice for the nurse.
Rationale 4: People with chronic pain develop their individual coping styles to deal with pain, discomfort, or suffering. Also, physiologic responses may be marked in acute pain but because of central nervous system adaptation, physiologic responses are likely to be absent. Therefore, behavioral and physiologic responses are not good indicators of pain.
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