You are the nurse coming on shift in a rehabilitation unit. You receive information in report about a new patient who has fibromyalgia and has difficulty with her ADLs
The off-going nurse also reports that the patient is withdrawn, refusing visitors, and has been vacillating between tears and anger all afternoon. What do you know about chronic pain syndromes that could account for your new patient's behavior?
A) Fibromyalgia is not a chronic pain syndrome, so further assessment is necessary.
B) The patient is likely frustrated because she has to be in the hospital.
C) The patient likely has an underlying psychiatric disorder.
D) Chronic pain can cause intense emotional responses.
Ans: D
Feedback:
Regardless of how patients cope with chronic pain, pain that lasts for an extended period can result in depression, anger, or emotional withdrawal. Nowhere in the scenario does it indicate the patient is upset about the hospitalization or that she has a psychiatric disorder. Fibromyalgia is closely associated with chronic pain.
You might also like to view...
A patient tells the nurse, "I'm told that I should reduce the stress in my life, but I have no idea where to start.". Which would be the best initial nursing response?
a. "Why not start by learning to meditate? That technique will cover everything.". b. "In cases like yours, physical exercise works to elevate mood and reduce anxiety.". c. "Reading about stress and how to manage it might be a good place to start.". d. "Let's talk about what is going on in your life and then look at possible options.".
A patient on disulfiram should be cautioned to avoid ingesting alcohol used as an ingredient in certain preparations. Which product has hidden alcohol?
a. Cough syrup b. Chocolate candy c. Fruit smoothies d. Lifesavers
A 7-year-old child is brought to a health care facility following a fall from a swing. The nurse notes that surface layers of the skin have been scraped away due to the fall. How should the nurse document this wound?
A) Incision B) Laceration C) Abrasion D) Puncture
The role of the nurse with regard to informed consent is to:
a. Inform the patient about the procedure and have her sign the consent form. b. Act as a patient advocate and help clarify the procedure and the options. c. Call the physician to see the patient. d. Witness the signing of the consent form.