A student nurse asks why several clients are getting more than one type of pain medication instead of very high doses of one medication. What response by the registered nurse is best?
a. "A multimodal approach is the preferred method of control."
b. "Doctors are much more liberal with pain medications now."
c. "Pain is so complex it takes different approaches to control it."
d. "Clients are consumers and they demand lots of pain medicine."
ANS: C
Pain is a complex phenomenon and often responds best to a regimen that uses different types of analgesia. This is called a multimodal approach. Using this terminology, however, may not be clear to the student if the terminology is not understood. Doctors may be more liberal with pain medications, but that is not the best reason for this approach. Saying that clients are consumers who demand medications sounds as if the nurse is discounting their pain experiences.
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