Author Question: Which physician orders would be most likely for a patient with chronic pain? a. Vitals signs ... (Read 64 times)

lindiwe

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Which physician orders would be most likely for a patient with chronic pain?
 
  a. Vitals signs every four hours, PRN narcotic analgesics.
  b. Relaxation techniques and antidepressant medications.
  c. Respond thoroughly and supportively to pain complaints.
  d. Provide respite from daily demands to reduce anxiety.

Question 2

A 42-year-old male client continues to enter into business deals that cause him to lose large amounts of money. He subsequently seeks mental health care for stress-related disorders.
 
  Which characteristic of a successful adult is this client lacking? a. Acceptance of self
  b. Finding a balance between giving and taking
  c. Making sound decisions
  d. Learning from past decisions



Hikerman221

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Answer to Question 1

B
Pain is increased when the patient has muscle tension, and relaxation can diminish the patient's perceptions of the intensity of pain. Antidepressants have also been shown to be helpful in reducing somatization of emotional needs. Otherwise, treatment minimizes secondary gains (so the nurse would intentionally not focus a great deal on recurrent physical complaints, would not take vitals frequently, would not offer PRN narcotic analgesics (which can have a euphoric side effect), convey special support during somatic complaints, or release the patient from his usual responsibilities (e.g., to complete his personal hygiene).

Answer to Question 2

D
Making sound decisions and learning from past decisions describe this client's situation, but learning from past decisions applies the most in that he has made the wrong decision numerous other times in the past. Acceptance of self is not addressed in this scenario, and finding a balance between giving and taking refers to maintaining a balance between caring for others and taking care of oneself.



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