A nurse assesses a patient with chronic cancer pain who is receiving imipramine (Tofranil) in addition to long-acting morphine. Which statement, if made by the patient, indicates to the nurse that the patient is receiving adequate pain control?
a. "I'm not anxious at all."
b. "I sleep 8 hours every night."
c. "I feel much less depressed since I've been taking the Tofranil."
d. "The pain is manageable and I can accomplish my desired activities.
ANS: D
Imipramine is being used in this patient to manage chronic pain and improve functional ability. Although the medication is also prescribed for patients with depression, insomnia, and anxiety, the evaluation for this patient is based on improved pain control and activity level.
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A) Investigator triangulation B) Data triangulation C) Method triangulation D) Research credibility