A nurse assesses a client who recently experienced a traumatic ...

[piesebel]

A nurse assesses a client who recently experienced a traumatic spinal cord injury. Which assessment data should the nurse obtain to assess the client's coping strategies? (Select all that apply.)
 
  a. Spiritual beliefs
  b. Level of pain
  c. Family support
  d. Level of independence
  e. Annual income
  f.
  Previous coping strategies

Question 2

A nurse assesses the health history of a client who is prescribed ziconotide (Prialt) for chronic back pain.
 
  Which assessment question should the nurse ask?
  a.
  Are you taking a nonsteroidal anti-inflammatory drug?
  b.
  Do you have a mental health disorder?
  c.
  Are you able to swallow medications?
  d.
  Do you smoke cigarettes or any illegal drugs?

[cassie_ragen]

Answer to Question 1

ANS: A, C, D, F
Information about the client's preinjury psychosocial status, usual methods of coping with illness, difficult situations, and disappointments should be obtained. Determine the client's level of independence or dependence and his or her comfort level in discussing feelings and emotions with family members or close friends. Clients who are emotionally secure and have a positive self-image, a supportive family, and financial and job security often adapt to their injury. Information about the client's spiritual and religious beliefs or cultural background also assists the nurse in developing the plan of care. The other options do not supply as much information about coping.

Answer to Question 2

ANS: B
Clients who have a mental health or behavioral health problem should not take ziconotide. The other questions do not identify a contraindication for this medication.