The nurse is caring for a 64-year-old woman 4 hours post-op for ...

[LaDunn]

The nurse is caring for a 64-year-old woman 4 hours post-op for knee replacement. Although she rates her pain at a 6 out of 10, she refuses pain medication and tells the nurse, I can deal with it.
 
   Which of the following is the nurse's best response? a. OK, that's your decision.
  b. You're just being stubborn.
  c. OK, I'll come back later.
  d. What is your concern?

Question 2

The RN has assigned the nursing assistant (NA) a task. The NA becomes angry and begins yelling at the RN. Which of the following is the best approach for the RN to take?
 
  a. Tell the NA that you will let her leave early if she will do this for you.
  b. Ignore her and reassign the task.
  c. Meet with the NA to explore his or her feelings and the reason for resistance.
  d. Call the nursing supervisor and report the NA for insubordination.

[Jsherida]

Answer to Question 1

D
Encouraging the patient to talk about her concerns is the most therapeutic response in order to determine the reason for the refusal of pain medication Option b, although it may be true, is not a therapeutic statement. Option c is not an appropriate response in this case because nothing is done to relieve the patient's pain.

Answer to Question 2

C
Meeting with the NA to explore the reason for resisting the request is the best approach in order to address the underlying issue. Options a and b are negative reinforcement and will likely per-petuate the behavior. Option d should occur if the RN has been unsuccessful in resolving the problem.

[LaDunn]

TYSM

[pangili4]

Gracias!