IHUMAN CASE STUDY WEEK 9: 66-YEAR-
OLD FEMALE WITH ACUTE BACK PAIN –
COMPLETE CLINICAL ANALYSIS & SOAP
NOTE
1.
2. MEET THE CLIENT - CORRECT ANSWERS-An adult female, mother of two, visits the pain
clinic of the regional medical center in her community. She arrives at the pain
management clinic with complaints of back pain rated 6 out of 10. She tells the nurse
"the pain is so bad at times, that I am unable to take care of my children."
3. Pain Assessment
4. During the nurse's initial interview, the client shares information about her home, career,
and family. The nurse evaluates the information to determine psychosocial factors that
may impact pain management.
5. Which information obtained by the nurse is most likely to influence the client's
perception of her pain?
A. Client's younger child is an infant who feeds every 3 hours.
B. Clients 4-year-old enjoys being the "big brother" to his baby sister.
C. Client was a first grade teacher before having children but now stays home.
D. Client's parents live in the same neighborhood and often help with the children. -
CORRECT ANSWERS-CORRECT ANSWER:
A. Client's younger child is an infant who feeds every 3 hours.
6. RATIONAL: Feeding an infant every 3 hours interrupts sleep and results in fatigue.
Fatigue often heightens the perception of pain and impairs coping skills.Jean, G. (2020).
Concepts for Nursing Practice. (pp. 267). Elsevier.
7. WRONG ANSWERS:
B. Clients 4-year-old enjoys being the "big brother" to his baby sister.
8. RATIONAL: This is a normal healthy response by the child and is unlikely to significantly
impact the client's pain perception.
,C. Client was a first grade teacher before having children but now stays home.
9. RATIONAL: Other information is more likely to impact pain perception. No indication
from client that job status is effecting her in anyway.Potter, P. A., RN, MSN, PhD, FAAN,
Perry, A. G., RN, EdD, FAAN, Stockert, P., RN, BS. (2017). Fundamentals of Nursing (9th
ed., pp. 217). Elsevier.
D. Client's parents live in the same neighborhood and often help with the children.
10. RATIONAL:FPartFofFhealthFhistoryF-
FClientFhasFsupportFsystemFinFplace,FwhichFwouldFbeFpositiveFinfluenceFwithFpain.Potter,FP.F
A.,FRN,FMSN,FPhD,FFAAN,FPerry,FA.FG.,FRN,FEdD,FFAAN,FStockert,FP.,FRN,FBS.F(2017).FFundam
entalsFofFNursingF(9thFed.,Fpp.F217).FElsevier.
11. ToFassessFtheFqualityFofFtheFclient'sFpain,FtheFnurseFwouldFaskFwhichFquestion?
12. A.F"OnFaFscaleFofF0FtoF10,FhowFwouldFyouFrateFyourFpain?"
13. B.F"HowFwouldFyouFdescribeFtheFpainFyouFareFexperiencing?"
14. C.F"WhatFactionsFdoFyouFtakeFtoFrelieveFtheFpain?"
15. D.F"WhenFdidFyourFpainFbegin?"F-FFCORRECTFANSWERS-CORRECTFANSWER:F
16. B.F"HowFwouldFyouFdescribeFtheFpainFyouFareFexperiencing?"
17. RATIONAL:FTheFqualityFofFpainFexperiencedFisFtypicallyFaF"descriptiveFtermFsuchFasF'shootin
g'....."Jean,FG.F(2020).FConceptsFforFNursingFPractice.F(pp.F27).FElsevier.
18. WRONGFANSWERS:F
19. A.F"OnFaFscaleFofF0FtoF10,FhowFwouldFyouFrateFyourFpain?"
20. RATIONAL:FThisFquestionFelicitsFinformationFaboutFtheFintensityFofFtheFpain.Jean,FG.F(2020)
.FConceptsFforFNursingFPractice.F(pp.F275).FElsevier.
21. C.F"WhatFactionsFdoFyouFtakeFtoFrelieveFtheFpain?"
22. RATIONAL:FThisFquestionFelicitsFinformationFaboutFtheFreliefFmeasuresFrelatedFtoFtheFpain.
Jean,FG.F(2020).FConceptsFforFNursingFPractice.F(pp.F275).FElsevier.
23. D.F"WhenFdidFyourFpainFbegin?"
24. RATIONAL:FThisFquestionFelicitsFinformationFaboutFtheFonsetFofFtheFpain.Jean,FG.F(2020).FC
onceptsFforFNursingFPractice.F(pp.F275).FElsevier.
25. Submit
26. WhichFbehaviorFdoesFtheFclientFexhibit,FthatFtheFnurseFdocumentsFasFobjectiveFsignsFofFac
uteFpain?
27. A.FStatesFpainFlevelFofF5FoutFofF10.
, 28. B.FComplainsFofFshortnessFofFbreath.
29. C.FDifficultyFconcentrating.
30. D.FFrequentFgrimacing.F-FFCORRECTFANSWERS-CORRECTFANSWER:F
31. D.FFrequentFgrimacing.
32. RATIONAL:FGrimacingFisFanFobservableFindicatorFofFpain.Jean,FG.F(2020).FConceptsFforFNurs
ingFPractice.F(pp.16).FElsevier.
33. WRONGFANSWERS:F
34. A.FStatesFpainFlevelFofF5FoutFofF10.
35. RATIONAL:FStatementsFofFpainFindicateFself-
reportedFdata.Jean,FG.F(2020).FConceptsFforFNursingFPractice.F(pp.F16).FElsevier.
36. B.FComplainsFofFshortnessFofFbreath.
37. RATIONAL:FThisFindicatesFself-
reportedFdata.Jean,FG.F(2020).FConceptsFforFNursingFPractice.F(pp.F16).FElsevier.
38. C.FDifficultyFconcentrating.
39. RATIONAL:FThisFbehaviorFisFmoreFtypicalFofFanxietyFcausedFbyFpain.Jean,FG.F(2020).FConcep
tsFforFNursingFPractice.F(pp.F272).FElsevier.
40. TheFnurseFwouldFpredictFwhatFphysiologicalFeffectsFofFtheFclient'sFpain?F(SelectFallFthatFapp
ly.FOne,Fsome,ForFallFoptionsFmayFbeFcorrect.)
41. SelectFallFthatFapply
42. A.FTachycardia
43. B.FHyperthermia
44. C.FDecreasedForFslowerFmovement.
45. D.FIncreasedFbloodFpressure.F-FFCORRECTFANSWERS-CORRECTFANSWER:F
46. A.FTachycardia
47. RATIONAL:FAutonomaicFmetabolicFresponseFrelatedFtoFtheFstressFcausedFbyFpain.Jean,FG.F(
2020).FConceptsFforFNursingFPractice.F(pp.273).FElsevier.
48. C.FDecreasedForFslowerFmovement.
49. RATIONAL:FPainFcausesFguardingFofFtheFeffectedFareaFandFthereforeFdecreasedFmobility.Je
an,FG.F(2020).FConceptsFforFNursingFPractice.F(pp.F273).FElsevier.
50. D.FIncreasedFbloodFpressure.
51. RATIONAL:FAutonomaicFmetabolicFresponseFrelatedFtoFtheFstressFcausedFbyFpain.Jean,FG.F(
2020).FConceptsFforFNursingFPractice.F(pp.273).FElsevier.
OLD FEMALE WITH ACUTE BACK PAIN –
COMPLETE CLINICAL ANALYSIS & SOAP
NOTE
1.
2. MEET THE CLIENT - CORRECT ANSWERS-An adult female, mother of two, visits the pain
clinic of the regional medical center in her community. She arrives at the pain
management clinic with complaints of back pain rated 6 out of 10. She tells the nurse
"the pain is so bad at times, that I am unable to take care of my children."
3. Pain Assessment
4. During the nurse's initial interview, the client shares information about her home, career,
and family. The nurse evaluates the information to determine psychosocial factors that
may impact pain management.
5. Which information obtained by the nurse is most likely to influence the client's
perception of her pain?
A. Client's younger child is an infant who feeds every 3 hours.
B. Clients 4-year-old enjoys being the "big brother" to his baby sister.
C. Client was a first grade teacher before having children but now stays home.
D. Client's parents live in the same neighborhood and often help with the children. -
CORRECT ANSWERS-CORRECT ANSWER:
A. Client's younger child is an infant who feeds every 3 hours.
6. RATIONAL: Feeding an infant every 3 hours interrupts sleep and results in fatigue.
Fatigue often heightens the perception of pain and impairs coping skills.Jean, G. (2020).
Concepts for Nursing Practice. (pp. 267). Elsevier.
7. WRONG ANSWERS:
B. Clients 4-year-old enjoys being the "big brother" to his baby sister.
8. RATIONAL: This is a normal healthy response by the child and is unlikely to significantly
impact the client's pain perception.
,C. Client was a first grade teacher before having children but now stays home.
9. RATIONAL: Other information is more likely to impact pain perception. No indication
from client that job status is effecting her in anyway.Potter, P. A., RN, MSN, PhD, FAAN,
Perry, A. G., RN, EdD, FAAN, Stockert, P., RN, BS. (2017). Fundamentals of Nursing (9th
ed., pp. 217). Elsevier.
D. Client's parents live in the same neighborhood and often help with the children.
10. RATIONAL:FPartFofFhealthFhistoryF-
FClientFhasFsupportFsystemFinFplace,FwhichFwouldFbeFpositiveFinfluenceFwithFpain.Potter,FP.F
A.,FRN,FMSN,FPhD,FFAAN,FPerry,FA.FG.,FRN,FEdD,FFAAN,FStockert,FP.,FRN,FBS.F(2017).FFundam
entalsFofFNursingF(9thFed.,Fpp.F217).FElsevier.
11. ToFassessFtheFqualityFofFtheFclient'sFpain,FtheFnurseFwouldFaskFwhichFquestion?
12. A.F"OnFaFscaleFofF0FtoF10,FhowFwouldFyouFrateFyourFpain?"
13. B.F"HowFwouldFyouFdescribeFtheFpainFyouFareFexperiencing?"
14. C.F"WhatFactionsFdoFyouFtakeFtoFrelieveFtheFpain?"
15. D.F"WhenFdidFyourFpainFbegin?"F-FFCORRECTFANSWERS-CORRECTFANSWER:F
16. B.F"HowFwouldFyouFdescribeFtheFpainFyouFareFexperiencing?"
17. RATIONAL:FTheFqualityFofFpainFexperiencedFisFtypicallyFaF"descriptiveFtermFsuchFasF'shootin
g'....."Jean,FG.F(2020).FConceptsFforFNursingFPractice.F(pp.F27).FElsevier.
18. WRONGFANSWERS:F
19. A.F"OnFaFscaleFofF0FtoF10,FhowFwouldFyouFrateFyourFpain?"
20. RATIONAL:FThisFquestionFelicitsFinformationFaboutFtheFintensityFofFtheFpain.Jean,FG.F(2020)
.FConceptsFforFNursingFPractice.F(pp.F275).FElsevier.
21. C.F"WhatFactionsFdoFyouFtakeFtoFrelieveFtheFpain?"
22. RATIONAL:FThisFquestionFelicitsFinformationFaboutFtheFreliefFmeasuresFrelatedFtoFtheFpain.
Jean,FG.F(2020).FConceptsFforFNursingFPractice.F(pp.F275).FElsevier.
23. D.F"WhenFdidFyourFpainFbegin?"
24. RATIONAL:FThisFquestionFelicitsFinformationFaboutFtheFonsetFofFtheFpain.Jean,FG.F(2020).FC
onceptsFforFNursingFPractice.F(pp.F275).FElsevier.
25. Submit
26. WhichFbehaviorFdoesFtheFclientFexhibit,FthatFtheFnurseFdocumentsFasFobjectiveFsignsFofFac
uteFpain?
27. A.FStatesFpainFlevelFofF5FoutFofF10.
, 28. B.FComplainsFofFshortnessFofFbreath.
29. C.FDifficultyFconcentrating.
30. D.FFrequentFgrimacing.F-FFCORRECTFANSWERS-CORRECTFANSWER:F
31. D.FFrequentFgrimacing.
32. RATIONAL:FGrimacingFisFanFobservableFindicatorFofFpain.Jean,FG.F(2020).FConceptsFforFNurs
ingFPractice.F(pp.16).FElsevier.
33. WRONGFANSWERS:F
34. A.FStatesFpainFlevelFofF5FoutFofF10.
35. RATIONAL:FStatementsFofFpainFindicateFself-
reportedFdata.Jean,FG.F(2020).FConceptsFforFNursingFPractice.F(pp.F16).FElsevier.
36. B.FComplainsFofFshortnessFofFbreath.
37. RATIONAL:FThisFindicatesFself-
reportedFdata.Jean,FG.F(2020).FConceptsFforFNursingFPractice.F(pp.F16).FElsevier.
38. C.FDifficultyFconcentrating.
39. RATIONAL:FThisFbehaviorFisFmoreFtypicalFofFanxietyFcausedFbyFpain.Jean,FG.F(2020).FConcep
tsFforFNursingFPractice.F(pp.F272).FElsevier.
40. TheFnurseFwouldFpredictFwhatFphysiologicalFeffectsFofFtheFclient'sFpain?F(SelectFallFthatFapp
ly.FOne,Fsome,ForFallFoptionsFmayFbeFcorrect.)
41. SelectFallFthatFapply
42. A.FTachycardia
43. B.FHyperthermia
44. C.FDecreasedForFslowerFmovement.
45. D.FIncreasedFbloodFpressure.F-FFCORRECTFANSWERS-CORRECTFANSWER:F
46. A.FTachycardia
47. RATIONAL:FAutonomaicFmetabolicFresponseFrelatedFtoFtheFstressFcausedFbyFpain.Jean,FG.F(
2020).FConceptsFforFNursingFPractice.F(pp.273).FElsevier.
48. C.FDecreasedForFslowerFmovement.
49. RATIONAL:FPainFcausesFguardingFofFtheFeffectedFareaFandFthereforeFdecreasedFmobility.Je
an,FG.F(2020).FConceptsFforFNursingFPractice.F(pp.F273).FElsevier.
50. D.FIncreasedFbloodFpressure.
51. RATIONAL:FAutonomaicFmetabolicFresponseFrelatedFtoFtheFstressFcausedFbyFpain.Jean,FG.F(
2020).FConceptsFforFNursingFPractice.F(pp.273).FElsevier.
