A client is surprised to learn of the diagnosis of a heart attack when there was no chest pain experienced but only some left shoulder pain. The nurse should explain that the client experienced which type of pain?
1. Phantom pain
2. Referred pain
3. Visceral pain
4. Chronic pain
Correct Answer: 2
Rationale 1: Phantom pain is that which is experienced in a limb after an amputation.
Rationale 2: Referred pain appears to arise in different areas of the body, as may occur with cardiac pain.
Rationale 3: Visceral pain originates in an organ.
Rationale 4: Chronic pain is that which is felt for months after the pain experience should have ended.
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The nurse is planning to conduct a physical assessment with a client from a different culture. What is the best way for the nurse to show cultural sensitivity when addressing the personal questions required of the nursing history?
1. Break the assessment into shorter intervals and discuss general topics first. 2. Thoroughly explain the reason for asking many questions before beginning the assessment. 3. Pick a time when the family is present and can help with the admission assessment questions. 4. Wait until the nurse–client relationship has been established.
Which of the following would prohibit an elderly client from wanting to obtain and use a hearing aid?
1. Fears sounds will be too loud 2. Thinks not necessary for a temporary problem 3. Fears the cost 4. Prefers silence