A 60-year-old male client with a long history of back pain has ...

[MGLQZ]

A 60-year-old male client with a long history of back pain has had little success with a variety of analgesic regimens that his family physician has prescribed. He has recently been diagnosed with a chronic pain disorder.
 
  Which of the following teaching points about chronic pain would his physician most likely emphasize to the client?
  A)
  If your pain comes and goes, then we won't characterize it as chronic, and it will require different treatment.
  B)
  You need to remind yourself that this is a purely physical phenomenon that requires physical treatment.
  C)
  Our challenge is to bring you relief but still treat the underlying back problem that your body is telling you about.
  D)
  These pain signals your body is sending likely serve no real, useful, or protective function.

Question 2

Following an injury where a child hit his head from a fall, the CT scan reveals a contusion that the doctor classifies as a moderate brain injury.
 
  Which of the following manifestations will the nurse more than likely assess on this child that support this diagnosis? Select all that apply.
  A)
  Coma with total paralysis
  B)
  Periods of unconsciousness
  C)
  Aphasia at times
  D)
  Nuchal rigidity
  E)
  Weakness or slight paralysis affecting one side of the body

[Joc]

Answer to Question 1

Ans:
D

Feedback:

A hallmark of chronic pain is that it usually does not serve any useful function, and that it is often remote from, or even irrelevant to, the originating cause. Like all pains, chronic pain is a complex and multifaceted phenomenon that supersedes purely physical considerations. Chronic pain need not be continuous and unchanging to be characterized as chronic.

Answer to Question 2

Ans:
B, C, E

Feedback:

Moderate brain injury is characterized by a period of unconsciousness and may be associated with focal manifestations such as hemiparesis (weakness or slight paralysis affecting one side of the body), aphasia, and cranial nerve palsy. Coma with total paralysis is seen in severe brain injury. Nuchal rigidity is a classic sign of meningitis.