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Author Question: A patient is seen talking and laughing in the clinic's waiting room yet complains of excruciating ... (Read 91 times)

tiara099

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on: Jun 25, 2018
A patient is seen talking and laughing in the clinic's waiting room yet complains of excruciating pain. What should the nurse realize this patient is demonstrating?
 
  1. the desire for narcotics
  2. denial
  3. fake pain
  4. inconsistent behavioral response to pain

Question 2

The nurse is assessing a patient's pain perception. What should the nurse use to make this assessment?
 
  1. FACES scale
  2. psychological evaluation tool
  3. PQRST guide
  4. biofeedback rating


deja

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Reply #1 on: Jun 25, 2018
Answer to Question 1

Correct Answer: 4
Behavioral responses to pain may or may not coincide with the patient's report of pain and are not very reliable cues to the pain experience. The nurse needs to manage the pain if the patient verbalizes that it is present, even if the nonverbal signs are not congruent. The nurse cannot decide if the patient's pain is real. No mention is made of the patient requesting narcotics.

Answer to Question 2

Correct Answer: 3
A patient's pain perception can be assessed by using the PQRST technique: P = What precipitated (triggered, stimulated) the pain? Has anything relieved the pain? What is the pattern of the pain? Q = What is the quality and quantity of the pain? Is it sharp, stabbing, aching, burning, stinging, deep, crushing, viselike, or gnawing? R = What is the region (location) of the pain? Does the pain radiate to other areas of the body? S = What is the severity of the pain? And T = What is the timing of the pain? When does it begin, how long does it last, and how is it related to other events in the patient's life? The FACES scale is a pain rating tool. Use of a psychological evaluation tool is not indicated. A biofeedback rating would not address all areas of a pain assessment.


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