Author Question: The nurse is identifying diagnoses appropriate for a client experiencing pain. The client has had ... (Read 30 times)

pragya sharda · **on:** Jul 23, 2018

The nurse is identifying diagnoses appropriate for a client experiencing pain. The client has had previous episodes of uncontrolled pain in the past, and is worried about the current pain pattern.

Which diagnosis would be appropriate for the nurse to include for this client?
1. Anxiety.
2. Ineffective Coping.
3. Deficient Knowledge.
4. Hopelessness.

Question 2

A client tells the nurse that an ice pack works well to reduce the intensity of back pain. The nurse realizes that the client is implementing:

1. A placebo.
2. Distraction.
3. Guided imagery.
4. The gate control theory of pain.

kxciann · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 1
Rationale 1: The diagnosis of Anxiety would be appropriate for the client, since the client has past experiences of poor pain control and is anticipating pain.
Rationale 2: The diagnosis of Ineffective Coping would be applicable if the client were experiencing prolonged pain because of ineffective pain management.
Rationale 3: The diagnosis of Deficient Knowledge would be applicable if the client had a lack of exposure to information regarding pain management.
Rationale 4: The diagnosis of Hopelessness would be appropriate if the client were experiencing continuous pain.

Answer to Question 2

Correct Answer: 4
Rationale 1: The application of ice is not a placebo.
Rationale 2: The application of ice is not a distraction.
Rationale 3: The application of ice not a use of guided imagery.
Rationale 4: In the gate control theory, signals of noxious stimuli are carried to the dorsal horn, where they are modified according to the balance of the substantia gelatinosa. By using ice, the substantia gelatinosa is calmed, reducing the pain.