A patient with paraplegia tells the nurse that paraplegia has ...

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A patient with paraplegia tells the nurse that paraplegia has some advantages. What are some secondary gains to which the patient may be referring? Select all that apply.
 
  1. Attention
  2. Sympathy
  3. Personal services
  4. Disability benefits
  5. Escape from some responsibilities

Question 2

A patient asks a nurse to explain why morphine is used for significant pain. What is the most appropriate response the nurse might make?
 
  1. Morphine is an opioid drug. It affects a pain modulation circuit that contains certain cell structures that bind with morphine and have a significant pain modulating and relief effect.
  2. Morphine is a serotonin-stimulating drug. It affects a pain modulation circuit that contains certain cell structures that bind with morphine and have a significant pain modulating and relief effect.
  3. Morphine is a norepinephrine-stimulating drug. It affects a pain modulation circuit that contains certain cell structures that bind with morphine and have a significant pain modulating and relief effect.
  4. Morphine is a dopamine medication. It affects a pain modulation circuit that contains certain cell structures that bind with morphine and have a significant pain modulating and relief effect.

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Answer to Question 1

Answer: 3, 4, 5
Explanation: Secondary gains are indirect benefits that a person may get from a condition that involves pain and suffering. These indirect benefits may include escape from some responsibilities, disability benefits, and the provision of personal services. Sympathy and attention are some direct or primary benefits that a patient may experience from pain and suffering.

Answer to Question 2

Answer: 1
Explanation: A pathway of particular interest in the discussion of pain is that of the opioid-mediated pain modulation circuit that has opioid peptide receptors with a significant pain modulating and relief effect. Morphine is an opioid analgesic. Serotonin, norepinephrine, and dopamine affect pain modulation and perception through a variety of neural pathways.

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Correct answers!

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