Your client is a 40-year-old who was injured at work and developed chronic, intractable back pain that has forced the client to go on disability.
The client does not want friends to see the client disabled and so refuses to socialize with them. Which of the following nursing diagnoses would be appropriate?
1. Ineffective coping
2. Hopelessness
3. Disturbed body image
4. Chronic pain
Question 2
Your client is suffering from recurrent breast cancer metastatic to multiple skeletal sites. She is experiencing breakthrough pain, which she rates as 9 on a 10-point scale. You treat her with rescue dosing, which means that you:
1. call her physician and request a prescription for a more effective analgesic.
2. give her a one-time extra dose of her analgesic.
3. change the schedule of her analgesic to be more effective.
4. give her as-needed doses of an immediate-release analgesic in response to the breakthrough pain in addition to the scheduled analgesic dosage.
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A sample of work by a Grade 4 student with a specific learning disorder