Hesi rn comprehensive predictor e t t t t
xam 2023.Edited on March 2023 t t t t
100% (score) Quaranteed. t t t
1An oriented patient has recently had surgery. Which action
t t t t t t t t
is best for the nurseto take to assess this patient’s pain?
t t t t t t t t t t t
t a. Assess the patient’s body language.
t t t t t
b. Ask the patient to rate the level of pain.
t t t t t t t t
t c. Observe the cardiac monitor for increased heart rate.
t t t t t t t t
d. Have the patient describe the effect of pain on the ability to co
t t t t t t t t t t t t t
pe.
ANS: B t
One of the most subjective and therefore most useful chara
t t t t t t t t t
cteristics for reporting pain is its severity. t t t t t t
Therefore, the best way to assess a patient’s painis to ask t t t t t t t t t t t t
he patient to rate the pain. Nonverbal communication, such
t t t t t t t t
as body language, is not as effective in assessing pain, esp
t t t t t t t t t t t
ecially when the patient is oriented. Heart rate sometimes i
t t t t t t t t t
ncreases when a patient is in pain, but this is not a symptom t t t t t t t t t t t t
that is specific to pain. Pain sometimes affects a patient’s
t t t t t t t t t t t
ability to cope, but assessing the effect of pain on coping as
t t t t t t t t t t t
sesses the patient’sability to cope; it does not assess the p
t t t t t t t t t t
atient’s pain. t
2.A nurse is caring for a patient who recently had abdominal sur
t t t t t t t t t t t
gery and is experiencing severe pain. The patient’s blood press
t t t t t t t t t
ure is 110/60 mm Hg, t t t t
and heart rate is 60 beats/min. Additionally, the patient d
t t t t t t t t t
oes not appear tobe in any distress. Which
t t t t t t t
, response by the nurse is most therapeutic? t t t t t t
“Your vitals do not show that you are having pain; can you des
t t t t t t t t t t t t
cribe
a. your pain?” t
b. “OK, I will go get you some narcotic pain relievers im
t t t t t t t t t t
mediately.”
c. “What would you like to try to alleviate your pain?”
t t t t t t t t t
d. “You do not look like you are in pain.”
t t t t t t t t
t ANS: C t
Be sure the patient is a partner in making decisions
t t t t t t t t t
about the best approaches for managing pain. A patient
t t t t t t t t
20
knows the most about his or her pain and is an important 5 part
t t t t t t t t t t t t t t
ner in selecting successful pain therapies. The nurse must beli
t t t t t t t t t
eve that a patient is in pain whenever the
t t t t t t t t
patient reports that he or she is in
t t t t t t t
,pain, even if the patient does not appear to be in pain. The n
t t t t t t t t t t t t t
urse must be careful to not judge the patient based on vital s
t t t t t t t t t t t t
igns or nonverbal communication and must not assume tha
t t t t t t t t
t the patient is seeking narcotics. Thepatient is a partner in
t t t t t t t t t t t
pain management, so going to get narcotics to treat the pai
t t t t t t t t t t
n without consulting with the patient first is not appropriat
t t t t t t t t t
e.
3.A nurse teaches the patient about the gate control th
t t t t t t t t t
eory. Which statementmade by a patient reflects a corr
t t t t t t t t
ect understanding about the relationship
t t t t
between the gate control theory of pain and the use of medit
t t t t t t t t t t t
ation to relievepain? t t
“Meditation controls pain by blocking pain impulses from comi t t t t t t t t
ng
a. through the gate.” t t
“Meditation alters the chemical composition of pain neur t t t t t t t
oregulators,
b. which closes the gate.” t t t
“Meditation will help me sleep through the pain because it ope t t t t t t t t t t
ns the t
c. gate.”
d. “Meditation stops the occurrence of pain stimuli.” t t t t t t
ANS: A t
According to this theory, gating mechanisms located along
t t t t t t t t
the central nervoussystem regulate or block pain impulses.
t t t t t t t
Pain impulses pass through when a gate is open and are blo
t t t t t t t t t t t t
cked when a gate is closed.
t t t t t
Nonpharmacologic pain- t
relief measures, such as meditation, work byclosing the
t t t t t t t t
gates, which keeps pain impulses from coming through.
t t t t t t t
Meditation does not open pain gates or stop pain from oc t t t t t t t t t t
curring. Meditationalso does not have an effect on pain n
t t t t t t t t t
euroregulators.
4.A nurse is planning care for an older-adult patient who is
t t t t t t t t t t
, experiencing pain.Which statement made by the nurse indi t t t t t t t t
cates the supervising nurse needs to
t t t t t
follow up? t
a. “As adults age, their ability to perceive pain decreases.” “O
t t t t t t t t t
lder patients may have low serum albumin in their blood, c
t t t t t t t t t t
ausing
b. toxic effects of analgesic drugs.”
t t t t
“Patients who have dementia probably experience pain, and
t t t t t t t t
their pain t
c. s not always well controlled.”
t t t t
20
“It is safe to administer
t t t t
5
opioids to older adults as long t t t t t t
as you start with
t t t
xam 2023.Edited on March 2023 t t t t
100% (score) Quaranteed. t t t
1An oriented patient has recently had surgery. Which action
t t t t t t t t
is best for the nurseto take to assess this patient’s pain?
t t t t t t t t t t t
t a. Assess the patient’s body language.
t t t t t
b. Ask the patient to rate the level of pain.
t t t t t t t t
t c. Observe the cardiac monitor for increased heart rate.
t t t t t t t t
d. Have the patient describe the effect of pain on the ability to co
t t t t t t t t t t t t t
pe.
ANS: B t
One of the most subjective and therefore most useful chara
t t t t t t t t t
cteristics for reporting pain is its severity. t t t t t t
Therefore, the best way to assess a patient’s painis to ask t t t t t t t t t t t t
he patient to rate the pain. Nonverbal communication, such
t t t t t t t t
as body language, is not as effective in assessing pain, esp
t t t t t t t t t t t
ecially when the patient is oriented. Heart rate sometimes i
t t t t t t t t t
ncreases when a patient is in pain, but this is not a symptom t t t t t t t t t t t t
that is specific to pain. Pain sometimes affects a patient’s
t t t t t t t t t t t
ability to cope, but assessing the effect of pain on coping as
t t t t t t t t t t t
sesses the patient’sability to cope; it does not assess the p
t t t t t t t t t t
atient’s pain. t
2.A nurse is caring for a patient who recently had abdominal sur
t t t t t t t t t t t
gery and is experiencing severe pain. The patient’s blood press
t t t t t t t t t
ure is 110/60 mm Hg, t t t t
and heart rate is 60 beats/min. Additionally, the patient d
t t t t t t t t t
oes not appear tobe in any distress. Which
t t t t t t t
, response by the nurse is most therapeutic? t t t t t t
“Your vitals do not show that you are having pain; can you des
t t t t t t t t t t t t
cribe
a. your pain?” t
b. “OK, I will go get you some narcotic pain relievers im
t t t t t t t t t t
mediately.”
c. “What would you like to try to alleviate your pain?”
t t t t t t t t t
d. “You do not look like you are in pain.”
t t t t t t t t
t ANS: C t
Be sure the patient is a partner in making decisions
t t t t t t t t t
about the best approaches for managing pain. A patient
t t t t t t t t
20
knows the most about his or her pain and is an important 5 part
t t t t t t t t t t t t t t
ner in selecting successful pain therapies. The nurse must beli
t t t t t t t t t
eve that a patient is in pain whenever the
t t t t t t t t
patient reports that he or she is in
t t t t t t t
,pain, even if the patient does not appear to be in pain. The n
t t t t t t t t t t t t t
urse must be careful to not judge the patient based on vital s
t t t t t t t t t t t t
igns or nonverbal communication and must not assume tha
t t t t t t t t
t the patient is seeking narcotics. Thepatient is a partner in
t t t t t t t t t t t
pain management, so going to get narcotics to treat the pai
t t t t t t t t t t
n without consulting with the patient first is not appropriat
t t t t t t t t t
e.
3.A nurse teaches the patient about the gate control th
t t t t t t t t t
eory. Which statementmade by a patient reflects a corr
t t t t t t t t
ect understanding about the relationship
t t t t
between the gate control theory of pain and the use of medit
t t t t t t t t t t t
ation to relievepain? t t
“Meditation controls pain by blocking pain impulses from comi t t t t t t t t
ng
a. through the gate.” t t
“Meditation alters the chemical composition of pain neur t t t t t t t
oregulators,
b. which closes the gate.” t t t
“Meditation will help me sleep through the pain because it ope t t t t t t t t t t
ns the t
c. gate.”
d. “Meditation stops the occurrence of pain stimuli.” t t t t t t
ANS: A t
According to this theory, gating mechanisms located along
t t t t t t t t
the central nervoussystem regulate or block pain impulses.
t t t t t t t
Pain impulses pass through when a gate is open and are blo
t t t t t t t t t t t t
cked when a gate is closed.
t t t t t
Nonpharmacologic pain- t
relief measures, such as meditation, work byclosing the
t t t t t t t t
gates, which keeps pain impulses from coming through.
t t t t t t t
Meditation does not open pain gates or stop pain from oc t t t t t t t t t t
curring. Meditationalso does not have an effect on pain n
t t t t t t t t t
euroregulators.
4.A nurse is planning care for an older-adult patient who is
t t t t t t t t t t
, experiencing pain.Which statement made by the nurse indi t t t t t t t t
cates the supervising nurse needs to
t t t t t
follow up? t
a. “As adults age, their ability to perceive pain decreases.” “O
t t t t t t t t t
lder patients may have low serum albumin in their blood, c
t t t t t t t t t t
ausing
b. toxic effects of analgesic drugs.”
t t t t
“Patients who have dementia probably experience pain, and
t t t t t t t t
their pain t
c. s not always well controlled.”
t t t t
20
“It is safe to administer
t t t t
5
opioids to older adults as long t t t t t t
as you start with
t t t
