A patient with chronic pain tells the nurse that she "rarely sleeps more than 3 hours a night." The nurse recognizes that this patient is at risk for developing which health problem?
1. chronic insomnia
2. depression
3. high pain tolerance
4. adult attention deficit disorder
Correct Answer: 2
Depression is clearly linked to pain, and insomnia is an associated symptom of chronic pain. Serotonin, a neurotransmitter, is involved in the modulation of pain in the central nervous system. In clinically depressed people, serotonin is decreased, which leads to an increase in pain sensations. There is no evidence to support the risk of chronic insomnia or adult attention deficit disorder, or inferences concerning pain tolerance.
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