A 17-year-old postoperative client is laughing with friends. Soon after they leave, he tells the nurse he is experiencing pain and asks for something for pain. What does the nurse understand about this situation?
a. Teenagers will try to obtain narcotics by faking pain.
b. Distraction reduces pain awareness.
c. Postoperative pain comes on suddenly.
d. Clients who are able to laugh are not really experiencing pain.
B
Distraction directs attention to something else, thus reducing pain awareness and increasing tol-erance. People who are bored or in isolation tend to focus on their pain and thus perceive it more acutely.
It is a myth that teenagers will try to obtain narcotics by faking pain. Pain is subjective. Also, when distraction is removed, awareness of pain returns.
Postoperative pain is not usually sudden, but rather gradual.
Pain is a subjective experience. It is the single most reliable indicator that pain exists. Distraction reduces pain awareness. It works best for short, intense pain lasting a few minutes, such as an invasive procedure or waiting for analgesic to work.
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The nurse is describing the difference between the quality and quantity of sleep. Sleep quality refers to
1. The total time an individual sleeps 2. An individual's ability to stay asleep 3. The sleep-wake cycle that changes through the lifespan 4. How long it takes a person to get to sleep
Which should the nurse address first?
a. Pain b. Hunger c. Decreased self-esteem d. Absence of pulse
The type of research designed to document the effectiveness of health care and nursing services in a broad sense is called:
A) An outcome analysis B) Outcomes research C) An impact analysis D) Methodological research
A male client being followed for premature ejaculation is prescribed the SSRI sertraline to be taken 4 to 8 hours prior to planned sexual intercourse
The client reads the client education leaflet for this medication and then asks you how taking an antidepressant medication will "fix" his problem with premature ejaculation when he isn't depressed. Your explanation is based on the knowledge that sertraline is being used: a. "off label" primarily for its side effect of delayed ejaculation b. to treat a masked depression to resolve his sexual performance disorder c. as a placebo to convince the client that the problem has been medically "fixed" d. for its anxiolytic effect to reduce sexual performance anxiety