A patient who has fibromyalgia tells the nurse, "I feel depressed because I ache too much to play golf." The patient says the pain is usually at a level 7 (0 to 10 scale)
Which patient goal has the highest priority when the nurse is developing the treatment plan?
a. The patient will exhibit fewer signs of depression.
b. The patient will say that the aching has decreased.
c. The patient will state that pain is at a level 2 of 10.
d. The patient will be able to play 1 to 2 rounds of golf.
ANS: D
For chronic pain, patients are encouraged to set functional goals such as being able to perform daily activities and hobbies. The patient has identified playing golf as the desired activity, so a pain level of 2 of 10 or a decrease in aching would be less useful in evaluating successful treatment. The nurse should also assess for depression, but the patient has identified the depression as being due to the inability to play golf, so the goal of being able to play 1 or 2 rounds of golf is the most appropriate.
You might also like to view...
The nurse working in an ambulatory clinic recognizes which of the following patients as possessing a greater risk for the development of hypothyroidism?
A) A 25-year-old male B) A 45-year-old female C) A 50-year-old male D) A 75-year-old female
A client experiencing situational depression after losing a good job tells the nurse, "I am tired of always having to start over." Which actions by the nurse are appropriate based on this data? Select all that apply
A) Ask what the client has done in the past to make "starting over" so successful. B) Suggest the client talk with the physician about medications to help his mood. C) Remind the client that an alcoholic beverage with the evening meal could help with stress. D) Encourage the client to take the time to rest and relax. E) Encourage the client to maintain a consistent exercise plan.
A patient has a poor prognosis after being involved in a motor vehicle accident resulting in a head injury
As the patient's ICP increases and condition worsens, the nurse knows to assess for indications of approaching death. These indications include which of the following? A) Hemiplegia B) Dry mucous membranes C) Signs of internal bleeding D) Loss of brain stem reflexes
A patient newly diagnosed with a cervical disk herniation is receiving health education from the clinic nurse. What conservative management measures should the nurse teach the patient to implement?
A) Perform active ROM exercises three times daily. B) Sleep on a firm mattress. C) Apply cool compresses to the back of the neck daily. D) Wear the cervical collar for at least 2 hours at a time.