You are the nurse coming on shift in a rehabilitation hospital. 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The off-going nurse also reports that the patient is withdrawn, refusing visitors, and has been vacillating between tears and anger all afternoon.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 you would not know what is causing the patient's behavior.
B) The patient is upset because she has to be in the hospital.
C) The patient really has a psychiatric disorder.
D) Chronic pain can cause depression, anger, and fatigue.
Ans: D
Feedback: Regardless of how patients cope with chronic pain, pain that lasts for an extended period can result in disability. Patients with a number of chronic pain syndromes report depression, anger, and fatigue. Patients may be unable to continue the activities and interpersonal relationships they engaged in before the pain began. Disabilities may range from an impaired ability to participate in physical activities to an inability to take care of personal needs, such as dressing or eating. Option A is incorrect; fibromyalgia is a chronic pain syndrome and it could cause the patient to behave the way she is behaving. Options B and C are incorrect; nowhere in the scenario does it indicate the patient is upset about the hospitalization or that she has a psychiatric disorder.
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