NUR 304 EXAM 1 TESTBANK
QUESTIONS AND CORRECT
ANSWERS
AA2newA2nurseA2reportsA2toA2theA2nurseA2preceptorA2thatA2aA2clientA2requestedA2painA2me
dication,A2andA2when
theA2nurseA2broughtA2it,A2theA2clientA2wasA2soundA2asleep.A2TheA2nurseA2statesA2theA2clie
ntA2cannotA2possibly
sleepA2withA2theA2severeA2painA2theA2clientA2described.A2WhichA2responseA2byA2theA2expe
riencedA2nurseA2is
best?
a.A2"BeingA2ableA2toA2sleepA2doesn'tA2meanA2painA2doesn'tA2exist."
b.A2"HaveA2youA2everA2experiencedA2anyA2typeA2ofA2pain?"
c.A2"TheA2clientA2shouldA2beA2assessedA2forA2drugA2addiction."
d.A2"You'reA2right;A2IA2wouldA2putA2theA2medicationA2back."`A2-A2Ans--ANS:A2A
AA2client'sA2descriptionA2isA2theA2mostA2accurateA2assessmentA2ofA2pain.A2TheA2nurseA2w
ouldA2believeA2the
clientA2andA2provideA2painA2relief.A2PhysiologicA2changesA2dueA2toA2painA2varyA2fromA2clie
ntA2toA2client,A2and
assessmentsA2ofA2themA2wouldA2notA2supersedeA2theA2client'sA2descriptions,A2especiallyA
2ifA2theA2painA2is
chronicA2inA2nature.A2AskingA2ifA2theA2newA2nurseA2hasA2hadA2painA2isA2judgmentalA2andA2
flippantA2andA2does
notA2provideA2usefulA2information.A2ThisA2amountA2ofA2informationA2doesA2notA2warrantA2a
nA2assessment
forA2drugA2addiction.A2PuttingA2theA2medicationA2backA2andA2ignoringA2theA2client'sA2repor
tA2ofA2painA2serves
noA2usefulA2purposeA2andA2isA2unethical.
TheA2nurseA2inA2theA2outpatientA2surgeryA2clinicA2isA2discussingA2anA2upcomingA2surgicalA
2procedureA2withA2a
client.A2WhichA2informationA2providedA2byA2theA2nurseA2isA2mostA2appropriateA2forA2theA2cl
ient'sA2long-term
outcome?
a.A2"AtA2leastA2youA2knowA2thatA2theA2painA2afterA2surgeryA2willA2diminishA2quickly."
b.A2"DiscussA2acceptableA2painA2controlA2afterA2yourA2operationA2withA2theA2surgeon."
c.A2"OpioidsA2oftenA2causeA2nauseaA2butA2youA2won'tA2haveA2toA2takeA2themA2forA2long."
d.A2"TheA2nursingA2staffA2willA2giveA2youA2painA2medicationA2whenA2youA2askA2themA2forA2i
t."A2-A2Ans--ANS:A2B
TheA2bestA2outcomeA2afterA2aA2surgicalA2procedureA2isA2timelyA2andA2satisfactoryA2painA2c
ontrol,A2which
diminishesA2theA2likelihoodA2ofA2chronicA2painA2afterward.A2TheA2nurseA2suggestsA2thatA2t
heA2client
,advocateA2forA2himselfA2orA2herselfA2andA2discussA2acceptableA2painA2controlA2withA2theA2
surgeon.A2Stating
thatA2painA2afterA2surgeryA2isA2usuallyA2shortA2livedA2doesA2notA2provideA2theA2clientA2with
A2optionsA2toA2have
personalizedA2painA2control.A2ToA2preventA2orA2reduceA2nauseaA2andA2otherA2sideA2effect
sA2fromA2opioids,A2a
multimodalA2painA2approachA2isA2desired.A2ForA2acuteA2painA2afterA2surgery,A2givingA2pain
A2medications
aroundA2theA2clockA2insteadA2ofA2waitingA2untilA2theA2clientA2requestsA2itA2isA2aA2betterA2ap
proach.
AA2nurseA2isA2assessingA2painA2onA2aA2confusedA2olderA2clientA2whoA2hasA2difficultyA2with
A2verbalA2expression.
WhichA2painA2assessmentA2toolA2wouldA2theA2nurseA2chooseA2forA2thisA2assessment?
a.A2NumericA2ratingA2scale
b.A2VerbalA2DescriptorA2Scale
c.A2FACESA2PainA2Scale-Revised
d.A2Wong-BakerA2FACESA2PainA2ScaleA2-A2Ans--ANS:A2C
AllA2areA2validA2painA2ratingA2scales;A2however,A2someA2researchA2hasA2shownA2thatA2the
A2FACESA2Pain
Scale-
RevisedA2isA2preferredA2byA2bothA2cognitivelyA2intactA2andA2cognitivelyA2impairedA2adults.
A2A
confusedA2clientA2withA2difficultyA2speakingA2wouldA2notA2beA2aA2goodA2candidateA2forA2th
eA2numericA2rating
scaleA2orA2theA2verbalA2descriptorA2scale.A2TheA2cartoonA2imagesA2onA2theA2Wong-
BakerA2FACESA2Pain
ScaleA2mayA2notA2beA2appropriateA2forA2anA2adultA2client.
TheA2nurseA2isA2assessingA2aA2client'sA2painA2andA2hasA2elicitedA2informationA2onA2theA2lo
cation,A2quality,
intensity,A2effectA2onA2functioning,A2aggravatingA2andA2relievingA2factors,A2andA2onsetA2an
dA2duration.
WhichA2questionA2byA2theA2nurseA2wouldA2beA2bestA2toA2askA2theA2clientA2forA2completingA
2aA2comprehensive
painA2assessment?
a.A2"AreA2youA2worriedA2aboutA2addictionA2toA2painA2pills?"
b.A2"DoA2youA2attachA2anyA2spiritualA2meaningA2toA2pain?"
c.A2"HowA2highA2wouldA2youA2sayA2yourA2painA2toleranceA2is?"
d.A2"WhatA2painA2ratingA2wouldA2beA2acceptableA2toA2you?"A2-A2Ans--ANS:A2D
AA2comprehensiveA2painA2assessmentA2includesA2theA2itemsA2listedA2inA2theA2questionA2p
lusA2theA2client's
opinionA2onA2aA2comfort-
functionA2outcome,A2suchA2asA2whatA2painA2ratingA2wouldA2beA2acceptableA2toA2him
orA2her.A2AskingA2aboutA2addictionA2isA2notA2warrantedA2inA2anA2initialA2painA2assessment.
A2AskingA2about
,spiritualA2meaningsA2forA2painA2mayA2giveA2theA2nurseA2importantA2information,A2butA2getti
ngA2theA2basics
firstA2isA2moreA2important.A2AskingA2aboutA2painA2toleranceA2mayA2giveA2theA2clientA2theA2i
deaA2thatA2pain
toleranceA2isA2beingA2judged.
AA2nurseA2isA2assessingA2painA2inA2anA2olderA2adult.A2WhichA2actionA2byA2theA2nurseA2isA2
best?
a.A2AskA2onlyA2"yes-or-no"A2questionsA2soA2theA2clientA2doesn'tA2getA2tooA2tired.
b.A2GiveA2theA2clientA2aA2pictureA2ofA2theA2painA2scaleA2andA2comeA2backA2later.
c.A2QuestionA2theA2clientA2aboutA2newA2painA2only,A2notA2normalA2painA2fromA2aging.
d.A2SitA2down,A2askA2oneA2questionA2atA2aA2time,A2andA2allowA2theA2clientA2toA2answer.A2-
A2Ans--ANS:A2D
SomeA2olderA2clientsA2doA2notA2reportA2painA2becauseA2theyA2thinkA2itA2isA2aA2normalA2par
tA2ofA2agingA2or
becauseA2theyA2doA2notA2wantA2toA2beA2aA2bother.A2SittingA2downA2conveysA2time,A2intere
st,A2andA2availability.
AskA2onlyA2oneA2questionA2atA2aA2timeA2andA2allowA2theA2clientA2enoughA2timeA2toA2answe
rA2it.A2Yes-or-no
questionsA2areA2anA2exampleA2ofA2poorA2communicationA2technique.A2GivingA2theA2clientA
2aA2painA2scale,
andA2thenA2leaving,A2mightA2giveA2theA2impressionA2thatA2theA2nurseA2doesA2notA2haveA2ti
meA2forA2theA2client.
Also,A2theA2clientA2mayA2notA2knowA2howA2toA2useA2it.A2ThereA2isA2noA2normalA2painA2from
A2aging.
TheA2nurseA2receivesA2aA2hand-
offA2report.A2OneA2clientA2isA2describedA2asA2aA2drugA2seekerA2whoA2isA2obsessed
withA2evenA2tinyA2changesA2inA2physicalA2conditionA2andA2isA2"onA2theA2lightA2constantly"A2
askingA2forA2more
painA2medication.A2WhenA2assessingA2thisA2client'sA2pain,A2whichA2statementA2orA2questi
onA2byA2theA2nurse
isA2mostA2appropriate?
a.A2"HelpA2meA2understandA2howA2painA2isA2affectingA2youA2rightA2now."
b.A2"IA2wishA2IA2couldA2doA2more;A2isA2thereA2anythingA2IA2canA2getA2forA2you?"
c.A2"YouA2cannotA2haveA2moreA2painA2medicationA2forA23A2hours."
d.A2"WhyA2doA2youA2thinkA2theA2medicationA2isA2notA2helpingA2yourA2pain?"A2-A2Ans--
ANS:A2A
AA2clientA2whoA2isA2preoccupiedA2withA2physicalA2symptomsA2andA2isA2"demanding"A2may
A2haveA2some
psychosocialA2impactA2fromA2theA2painA2thatA2isA2notA2beingA2addressed.A2TheA2nurseA2is
A2providingA2the
clientA2theA2chanceA2toA2explainA2theA2emotionalA2effectsA2ofA2painA2inA2additionA2toA2theA2
physicalA2ones.
SayingA2theA2nurseA2wishesA2heA2orA2sheA2couldA2doA2moreA2isA2veryA2empathetic,A2butA2t
hisA2responseA2does
, notA2attemptA2toA2learnA2moreA2aboutA2theA2pain.A2SimplyA2tellingA2theA2clientA2whenA2theA
2nextA2medicationA2is
dueA2alsoA2doesA2notA2helpA2theA2nurseA2understandA2theA2client'sA2situation.A2"Why"A2qu
estionsA2are
probingA2andA2oftenA2makeA2clientsA2defensive,A2plusA2theA2clientA2mayA2notA2haveA2anA2
answerA2forA2this
question.
AA2nurseA2onA2theA2medical-surgicalA2unitA2hasA2receivedA2aA2hand-
offA2report.A2WhichA2clientA2wouldA2the
nurseA2seeA2first?
a.A2ClientA2beingA2dischargedA2laterA2onA2aA2complicatedA2analgesiaA2regimen.
b.A2ClientA2withA2new-onsetA2abdominalA2pain,A2ratedA2asA2anA28A2onA2aA20-10A2scale.
c.A2PostoperativeA2clientA2whoA2receivedA2oralA2opioidA2analgesiaA245A2minutesA2ago.
d.A2ClientA2whoA2hasA2returnedA2fromA2physicalA2therapyA2andA2isA2restingA2inA2theA2reclin
er.A2-A2Ans--ANS:A2B
AcuteA2painA2oftenA2servesA2asA2aA2physiologicA2warningA2signalA2thatA2somethingA2isA2wr
ong.A2TheA2client
withA2new-
onsetA2abdominalA2painA2needsA2toA2beA2seenA2first.A2TheA2postoperativeA2clientA2needsA
2atA2least
30A2minutesA2forA2theA2oralA2medicationA2toA2becomeA2effectiveA2andA2wouldA2beA2seenA2
shortlyA2toA2assessA2for
effectiveness.A2TheA2clientA2goingA2homeA2requiresA2teaching,A2whichA2wouldA2beA2doneA
2afterA2theA2first
twoA2clientsA2haveA2beenA2seenA2andA2caredA2for,A2asA2thisA2teachingA2willA2takeA2someA2t
ime.A2TheA2client
restingA2comfortablyA2canA2beA2checkedA2onA2quicklyA2beforeA2spendingA2timeA2teachingA
2theA2clientA2who
isA2goingA2home.
AA2nurseA2usesA2theA2ChecklistA2ofA2NonverbalA2PainA2IndicatorsA2toA2assessA2painA2inA2a
A2nonverbalA2client
withA2advancedA2dementiaA2butA2noA2otherA2medicalA2historyA2exceptA2well-
controlledA2hypertensionA2and
highA2cholesterol.A2TheA2clientA2scoresA2aA2zero.A2WhichA2actionA2byA2theA2nurseA2isA2bes
t?
a.A2AssessA2physiologicA2indicatorsA2andA2vitalA2signs.
b.A2DoA2notA2giveA2painA2medicationA2asA2noA2painA2isA2indicated.
c.A2DocumentA2theA2findingsA2andA2continueA2toA2monitor.
d.A2TryA2aA2smallA2doseA2ofA2analgesicA2medicationA2forA2pain.A2-A2Ans--ANS:A2A
AssessingA2painA2inA2aA2nonverbalA2clientA2isA2difficultA2despiteA2theA2useA2ofA2aA2scaleA2s
pecificallyA2designed
forA2thisA2population.A2TheA2hierarchyA2forA2assessingA2painA2consistsA2ofA2(1)A2obtainingA
2aA2verbalA2report,
QUESTIONS AND CORRECT
ANSWERS
AA2newA2nurseA2reportsA2toA2theA2nurseA2preceptorA2thatA2aA2clientA2requestedA2painA2me
dication,A2andA2when
theA2nurseA2broughtA2it,A2theA2clientA2wasA2soundA2asleep.A2TheA2nurseA2statesA2theA2clie
ntA2cannotA2possibly
sleepA2withA2theA2severeA2painA2theA2clientA2described.A2WhichA2responseA2byA2theA2expe
riencedA2nurseA2is
best?
a.A2"BeingA2ableA2toA2sleepA2doesn'tA2meanA2painA2doesn'tA2exist."
b.A2"HaveA2youA2everA2experiencedA2anyA2typeA2ofA2pain?"
c.A2"TheA2clientA2shouldA2beA2assessedA2forA2drugA2addiction."
d.A2"You'reA2right;A2IA2wouldA2putA2theA2medicationA2back."`A2-A2Ans--ANS:A2A
AA2client'sA2descriptionA2isA2theA2mostA2accurateA2assessmentA2ofA2pain.A2TheA2nurseA2w
ouldA2believeA2the
clientA2andA2provideA2painA2relief.A2PhysiologicA2changesA2dueA2toA2painA2varyA2fromA2clie
ntA2toA2client,A2and
assessmentsA2ofA2themA2wouldA2notA2supersedeA2theA2client'sA2descriptions,A2especiallyA
2ifA2theA2painA2is
chronicA2inA2nature.A2AskingA2ifA2theA2newA2nurseA2hasA2hadA2painA2isA2judgmentalA2andA2
flippantA2andA2does
notA2provideA2usefulA2information.A2ThisA2amountA2ofA2informationA2doesA2notA2warrantA2a
nA2assessment
forA2drugA2addiction.A2PuttingA2theA2medicationA2backA2andA2ignoringA2theA2client'sA2repor
tA2ofA2painA2serves
noA2usefulA2purposeA2andA2isA2unethical.
TheA2nurseA2inA2theA2outpatientA2surgeryA2clinicA2isA2discussingA2anA2upcomingA2surgicalA
2procedureA2withA2a
client.A2WhichA2informationA2providedA2byA2theA2nurseA2isA2mostA2appropriateA2forA2theA2cl
ient'sA2long-term
outcome?
a.A2"AtA2leastA2youA2knowA2thatA2theA2painA2afterA2surgeryA2willA2diminishA2quickly."
b.A2"DiscussA2acceptableA2painA2controlA2afterA2yourA2operationA2withA2theA2surgeon."
c.A2"OpioidsA2oftenA2causeA2nauseaA2butA2youA2won'tA2haveA2toA2takeA2themA2forA2long."
d.A2"TheA2nursingA2staffA2willA2giveA2youA2painA2medicationA2whenA2youA2askA2themA2forA2i
t."A2-A2Ans--ANS:A2B
TheA2bestA2outcomeA2afterA2aA2surgicalA2procedureA2isA2timelyA2andA2satisfactoryA2painA2c
ontrol,A2which
diminishesA2theA2likelihoodA2ofA2chronicA2painA2afterward.A2TheA2nurseA2suggestsA2thatA2t
heA2client
,advocateA2forA2himselfA2orA2herselfA2andA2discussA2acceptableA2painA2controlA2withA2theA2
surgeon.A2Stating
thatA2painA2afterA2surgeryA2isA2usuallyA2shortA2livedA2doesA2notA2provideA2theA2clientA2with
A2optionsA2toA2have
personalizedA2painA2control.A2ToA2preventA2orA2reduceA2nauseaA2andA2otherA2sideA2effect
sA2fromA2opioids,A2a
multimodalA2painA2approachA2isA2desired.A2ForA2acuteA2painA2afterA2surgery,A2givingA2pain
A2medications
aroundA2theA2clockA2insteadA2ofA2waitingA2untilA2theA2clientA2requestsA2itA2isA2aA2betterA2ap
proach.
AA2nurseA2isA2assessingA2painA2onA2aA2confusedA2olderA2clientA2whoA2hasA2difficultyA2with
A2verbalA2expression.
WhichA2painA2assessmentA2toolA2wouldA2theA2nurseA2chooseA2forA2thisA2assessment?
a.A2NumericA2ratingA2scale
b.A2VerbalA2DescriptorA2Scale
c.A2FACESA2PainA2Scale-Revised
d.A2Wong-BakerA2FACESA2PainA2ScaleA2-A2Ans--ANS:A2C
AllA2areA2validA2painA2ratingA2scales;A2however,A2someA2researchA2hasA2shownA2thatA2the
A2FACESA2Pain
Scale-
RevisedA2isA2preferredA2byA2bothA2cognitivelyA2intactA2andA2cognitivelyA2impairedA2adults.
A2A
confusedA2clientA2withA2difficultyA2speakingA2wouldA2notA2beA2aA2goodA2candidateA2forA2th
eA2numericA2rating
scaleA2orA2theA2verbalA2descriptorA2scale.A2TheA2cartoonA2imagesA2onA2theA2Wong-
BakerA2FACESA2Pain
ScaleA2mayA2notA2beA2appropriateA2forA2anA2adultA2client.
TheA2nurseA2isA2assessingA2aA2client'sA2painA2andA2hasA2elicitedA2informationA2onA2theA2lo
cation,A2quality,
intensity,A2effectA2onA2functioning,A2aggravatingA2andA2relievingA2factors,A2andA2onsetA2an
dA2duration.
WhichA2questionA2byA2theA2nurseA2wouldA2beA2bestA2toA2askA2theA2clientA2forA2completingA
2aA2comprehensive
painA2assessment?
a.A2"AreA2youA2worriedA2aboutA2addictionA2toA2painA2pills?"
b.A2"DoA2youA2attachA2anyA2spiritualA2meaningA2toA2pain?"
c.A2"HowA2highA2wouldA2youA2sayA2yourA2painA2toleranceA2is?"
d.A2"WhatA2painA2ratingA2wouldA2beA2acceptableA2toA2you?"A2-A2Ans--ANS:A2D
AA2comprehensiveA2painA2assessmentA2includesA2theA2itemsA2listedA2inA2theA2questionA2p
lusA2theA2client's
opinionA2onA2aA2comfort-
functionA2outcome,A2suchA2asA2whatA2painA2ratingA2wouldA2beA2acceptableA2toA2him
orA2her.A2AskingA2aboutA2addictionA2isA2notA2warrantedA2inA2anA2initialA2painA2assessment.
A2AskingA2about
,spiritualA2meaningsA2forA2painA2mayA2giveA2theA2nurseA2importantA2information,A2butA2getti
ngA2theA2basics
firstA2isA2moreA2important.A2AskingA2aboutA2painA2toleranceA2mayA2giveA2theA2clientA2theA2i
deaA2thatA2pain
toleranceA2isA2beingA2judged.
AA2nurseA2isA2assessingA2painA2inA2anA2olderA2adult.A2WhichA2actionA2byA2theA2nurseA2isA2
best?
a.A2AskA2onlyA2"yes-or-no"A2questionsA2soA2theA2clientA2doesn'tA2getA2tooA2tired.
b.A2GiveA2theA2clientA2aA2pictureA2ofA2theA2painA2scaleA2andA2comeA2backA2later.
c.A2QuestionA2theA2clientA2aboutA2newA2painA2only,A2notA2normalA2painA2fromA2aging.
d.A2SitA2down,A2askA2oneA2questionA2atA2aA2time,A2andA2allowA2theA2clientA2toA2answer.A2-
A2Ans--ANS:A2D
SomeA2olderA2clientsA2doA2notA2reportA2painA2becauseA2theyA2thinkA2itA2isA2aA2normalA2par
tA2ofA2agingA2or
becauseA2theyA2doA2notA2wantA2toA2beA2aA2bother.A2SittingA2downA2conveysA2time,A2intere
st,A2andA2availability.
AskA2onlyA2oneA2questionA2atA2aA2timeA2andA2allowA2theA2clientA2enoughA2timeA2toA2answe
rA2it.A2Yes-or-no
questionsA2areA2anA2exampleA2ofA2poorA2communicationA2technique.A2GivingA2theA2clientA
2aA2painA2scale,
andA2thenA2leaving,A2mightA2giveA2theA2impressionA2thatA2theA2nurseA2doesA2notA2haveA2ti
meA2forA2theA2client.
Also,A2theA2clientA2mayA2notA2knowA2howA2toA2useA2it.A2ThereA2isA2noA2normalA2painA2from
A2aging.
TheA2nurseA2receivesA2aA2hand-
offA2report.A2OneA2clientA2isA2describedA2asA2aA2drugA2seekerA2whoA2isA2obsessed
withA2evenA2tinyA2changesA2inA2physicalA2conditionA2andA2isA2"onA2theA2lightA2constantly"A2
askingA2forA2more
painA2medication.A2WhenA2assessingA2thisA2client'sA2pain,A2whichA2statementA2orA2questi
onA2byA2theA2nurse
isA2mostA2appropriate?
a.A2"HelpA2meA2understandA2howA2painA2isA2affectingA2youA2rightA2now."
b.A2"IA2wishA2IA2couldA2doA2more;A2isA2thereA2anythingA2IA2canA2getA2forA2you?"
c.A2"YouA2cannotA2haveA2moreA2painA2medicationA2forA23A2hours."
d.A2"WhyA2doA2youA2thinkA2theA2medicationA2isA2notA2helpingA2yourA2pain?"A2-A2Ans--
ANS:A2A
AA2clientA2whoA2isA2preoccupiedA2withA2physicalA2symptomsA2andA2isA2"demanding"A2may
A2haveA2some
psychosocialA2impactA2fromA2theA2painA2thatA2isA2notA2beingA2addressed.A2TheA2nurseA2is
A2providingA2the
clientA2theA2chanceA2toA2explainA2theA2emotionalA2effectsA2ofA2painA2inA2additionA2toA2theA2
physicalA2ones.
SayingA2theA2nurseA2wishesA2heA2orA2sheA2couldA2doA2moreA2isA2veryA2empathetic,A2butA2t
hisA2responseA2does
, notA2attemptA2toA2learnA2moreA2aboutA2theA2pain.A2SimplyA2tellingA2theA2clientA2whenA2theA
2nextA2medicationA2is
dueA2alsoA2doesA2notA2helpA2theA2nurseA2understandA2theA2client'sA2situation.A2"Why"A2qu
estionsA2are
probingA2andA2oftenA2makeA2clientsA2defensive,A2plusA2theA2clientA2mayA2notA2haveA2anA2
answerA2forA2this
question.
AA2nurseA2onA2theA2medical-surgicalA2unitA2hasA2receivedA2aA2hand-
offA2report.A2WhichA2clientA2wouldA2the
nurseA2seeA2first?
a.A2ClientA2beingA2dischargedA2laterA2onA2aA2complicatedA2analgesiaA2regimen.
b.A2ClientA2withA2new-onsetA2abdominalA2pain,A2ratedA2asA2anA28A2onA2aA20-10A2scale.
c.A2PostoperativeA2clientA2whoA2receivedA2oralA2opioidA2analgesiaA245A2minutesA2ago.
d.A2ClientA2whoA2hasA2returnedA2fromA2physicalA2therapyA2andA2isA2restingA2inA2theA2reclin
er.A2-A2Ans--ANS:A2B
AcuteA2painA2oftenA2servesA2asA2aA2physiologicA2warningA2signalA2thatA2somethingA2isA2wr
ong.A2TheA2client
withA2new-
onsetA2abdominalA2painA2needsA2toA2beA2seenA2first.A2TheA2postoperativeA2clientA2needsA
2atA2least
30A2minutesA2forA2theA2oralA2medicationA2toA2becomeA2effectiveA2andA2wouldA2beA2seenA2
shortlyA2toA2assessA2for
effectiveness.A2TheA2clientA2goingA2homeA2requiresA2teaching,A2whichA2wouldA2beA2doneA
2afterA2theA2first
twoA2clientsA2haveA2beenA2seenA2andA2caredA2for,A2asA2thisA2teachingA2willA2takeA2someA2t
ime.A2TheA2client
restingA2comfortablyA2canA2beA2checkedA2onA2quicklyA2beforeA2spendingA2timeA2teachingA
2theA2clientA2who
isA2goingA2home.
AA2nurseA2usesA2theA2ChecklistA2ofA2NonverbalA2PainA2IndicatorsA2toA2assessA2painA2inA2a
A2nonverbalA2client
withA2advancedA2dementiaA2butA2noA2otherA2medicalA2historyA2exceptA2well-
controlledA2hypertensionA2and
highA2cholesterol.A2TheA2clientA2scoresA2aA2zero.A2WhichA2actionA2byA2theA2nurseA2isA2bes
t?
a.A2AssessA2physiologicA2indicatorsA2andA2vitalA2signs.
b.A2DoA2notA2giveA2painA2medicationA2asA2noA2painA2isA2indicated.
c.A2DocumentA2theA2findingsA2andA2continueA2toA2monitor.
d.A2TryA2aA2smallA2doseA2ofA2analgesicA2medicationA2forA2pain.A2-A2Ans--ANS:A2A
AssessingA2painA2inA2aA2nonverbalA2clientA2isA2difficultA2despiteA2theA2useA2ofA2aA2scaleA2s
pecificallyA2designed
forA2thisA2population.A2TheA2hierarchyA2forA2assessingA2painA2consistsA2ofA2(1)A2obtainingA
2aA2verbalA2report,
