Answer to Question 1
ANS: B
Because the nurse is interested in knowing whether the patient's pain is affecting mobility, the priority assessment question is to ask the patient how the pain affects his or her ability to participate in normal activities of daily living. Although a physical therapist is a good resource to have, especially if pain is severely affecting mobility, considering working with a physical therapist does not describe the effect of pain on the patient's mobility. Assessing quality of pain and effectiveness of pain medication does not help the nurse to understand how it is affecting the patient's mobility.
Answer to Question 2
ANS: B
In providing effective pain management, it is important to understand the patient's history, what drugs the patient has already tried, and what interventions work best or have negative actions. It is not the nurse's responsibility to judge or question a patient's pain or label her as a drug seeker. Nurses need to avoid labeling patients as drug seekers because this term is poorly defined and creates bias and prejudice among other health care providers. Although certain recreational drugs do have pharmaceutical counterparts, this is not the sole purpose of assessing drug use. The nurse needs more information beyond a patient's medical and medication history to determine whether a patient needs teaching about drug abstinence.