A client with a history of malingering pain tells the nurse that ...

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A client with a history of malingering pain tells the nurse that he needs a prescription for pain medication. Which of the following should the nurse do first to assist this client?
 
  1. Ask the physician for a pain medication prescription for the client.
  2. Remind the client that he does not have pain but just wants the medication.
  3. Thoroughly assess the client for pain.
  4. Suggest the client seek counseling for his pain medication-seeking behavior.

Question 2

A nurse is filling the role of circulator during a surgical procedure. Which of the following will this nurse do to provide care to the client during the case?
 
  1. Maintain the sterile field.
  2. Assist the surgeon.
  3. Serve as the client advocate.
  4. Assist with the administration of anesthesia.

[jgranad15]

Answer to Question 1

3
Pain of a psychological origin is when an individual seeks treatment for pain when no actual pain exists. This is also referred to as malingering or pretending pain. The nurse should not assume that the pain does not exist but rather should conduct a thorough pain assessment to rule out an actual physiological problem. The nurse should not immediately ask the physician for pain medication. The nurse should not remind the client that he does not have pain but just wants the medication. The nurse should also not suggest the client seek counseling for pain medication-seeking behavior.

Answer to Question 2

3
The circulating nurse serves as the client advocate while the client is least able to care for himself. Maintaining the sterile field is a responsibility of the scrub nurse. Assisting the surgeon is an activity of the registered nurse first assistant. Assisting with the administration of anesthesia is an activity of the nurse anesthetist.

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Gracias!

[softEldritch]

TYSM