Answer to Question 1
Correct Answer: 3
Since pain occurs whenever the experiencing person says it does and is whatever the experiencing person says it is, the nurse should accurately assess and treat the pain with the pain medication if that is what is ordered. Waiting to administer the medication is inappropriate and is an action that appears to negate the client's reports. Administration of only a portion of the ordered medication places the nurse in a position of prescribing medications and is outside the nurse's scope of practice. Notification to the healthcare provider that the patient is faking the pain is inappropriate as there is no evidence of this action.
Answer to Question 2
Correct Answer: 4
People with chronic pain develop their individual coping styles to deal with pain, discomfort, or suffering. Also, physiologic responses may be marked in acute pain but because of central nervous system adaptation, physiologic responses are likely to be absent. Therefore, behavioral and physiologic responses are not good indicators of pain. Determining that the client's condition is improving is beyond the scope of practice for the nurse. The client has stated that she is there for assistance with pain management, and the nurse has not completed the assessment. The plan of care to determine interventions cannot be determined at this point.
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