Which of these patient scenarios is most indicative of critical thinking?
a. Administering pain relief medication according to what was given last shift
b. Asking a patient what pain relief methods, pharmacological and nonpharmacological, have worked in the past
c. Offering pain relief medication based on physician orders
d. Explaining to the patient that his reports of severe pain are not consistent with the minor procedure that was performed
ANS: B
Asking the patient what pain relief methods have worked in the past is an example of exploring many options for pain relief. Administering medication based on a previous assessment is not practicing according to standards of care. The nurse is to conduct an assessment each shift on his/her patient and intervene accordingly. Nonpharmacological pain relief methods are available, as are medications for pain. Pain is subjective. The nurse should offer pain relief methods based on the patient's reports without being judgmental.
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