In evaluating a client's pain, which of the following would be ...

[2125004343]

In evaluating a client's pain, which of the following would be the last step?
 
  a. Document the pain assessment.
  b. Ensure that the client understands the pain scale used.
  c. Assess for the level of pain.
  d. Use an appropriate pain scale.

Question 2

The patient was recently in an accident that left him paralyzed from the neck down. He is constantly criticizing the nurses. They can do nothing to please him. What is the most appropriate nursing diagnosis for this patient?
 
  a. Ineffective Individual Coping c. Powerlessness
  b. Anxiety d. Altered Role Performance

[livaneabi]

Answer to Question 1

A

Answer to Question 2

C
Powerlessness is manifested by verbalization of dissatisfaction over inability to control the situation, passively giving up, aggressive, hostile behavior, difficulty expressing one self directly, anxiety, resignation, and depression. Ineffective Coping is manifested by the inability to meet basic needs and being unable to ask for help. Anxiety has various physiological, emotional, and cognitive manifestations. This patient will have an Altered Role Performance, however this is not the best diagnosis for the patient at this time.

[2125004343]

Excellent

[nguyenhoanhat]

TYSM