1
Hesi rn comprehensive predictore d d d d
xam 2023.Edited on March 2023 d d d d
100% (score) Quaranteed. d d d
1An oriented patient has recently had surgery. Whicha
d d d d d d d d
ction is best for the nurseto take to assess this
d d d d d d d d d
patient’s pain? d
d a. Assess the patient’s body language.
d d d d d
b. Ask the patient to rate the level of pain.
d d d d d d d d d
d c. Observe the cardiac monitor for increased heart rate.
d d d d d d d d
d. Have the patient describe the effect of pain on the abilityt
d d d d d d d d d d d d
o cope. d
ANS: B d
One of the most subjective and therefore most usefulc
d d d d d d d d d
haracteristics for reporting pain is its severity. d d d d d d
Therefore, the best way to assess a patient’s painis to as
d d d d d d d d d d
k the patient to rate the pain. Nonverbal communication,
d d d d d d d d
such as body language, is not as effective in assessing p
d d d d d d d d d d d
ain, especially when the patientis oriented. Heart rate so
d d d d d d d d d
metimes increases when a patient is in pain, but this is n
d d d d d d d d d d d
ot a symptom that is
d d d d
specific to pain. Pain sometimes affects a patient’s ability
d d d d d d d d
to cope, but assessing the effect of pain on copingassess
d d d d d d d d d d d
es the patient’sability to cope; it does not assess the patie
d d d d d d d d d d
nt’s pain. d
2.A nurse is caring for a patient who recently had abdominals
d d d d d d d d d d d
urgery and is experiencing severe pain. The patient’s bloodpr
d d d d d d d d d
essure is 110/60 mm Hg, d d d d
and heart rate is 60 beats/min. Additionally, the patie
d d d d d d d d
nt does not appear tobe in any distress. Which
d d d d d d d d
, 2
response by the nurse is most therapeutic?
d d d d d d
“Your vitals do not show that you are having pain; can youdescrib
d d d d d d d d d d d d
e
a. your pain?”d
b. “OK, I will go get you some narcotic pain relievers
d d d d d d d d d
immediately.”
c. “What would you like to try to alleviate your pain?”
d d d d d d d d d
d. “You do not look like you are in pain.”
d d d d d d d d
d ANS: Cd
Be sure the patient is a partner in making decisions
d d d d d d d d d
about the best approaches for managing pain. A patient
d d d d d d d d
20d
knows the most about his or her pain and is an important 5 pa
d d d d d d d d d d d d d
rtner in selecting successful pain therapies. The nurse must
d d d d d d d d d
believe that a patient is in pain whenever the
d d d d d d d d
patient reports that he or she is in
d d d d d d d
, 3
pain, even if the patient does not appear to be in pain. The
d d d d d d d d d d d d d
nurse must be careful to not judge the patient basedon vit
d d d d d d d d d d d
al signs or nonverbal communication and must not assum
d d d d d d d d
e that the patient is seeking narcotics. Thepatientis a par
d d d d d d d d d d
tner in pain management, so going to get narcotics to trea
d d d d d d d d d d
t the pain without consulting with the patient first is not a
d d d d d d d d d d d
ppropriate.
3.A nurse teaches the patient about the gate controlt
d d d d d d d d d
heory. Which statement made by a patient reflects a cor
d d d d d d d d d
rect understanding about the relationship
d d d d
between the gate control theory of pain and the use ofm
d d d d d d d d d d d
editation to relievepain? d d
“Meditation controls pain by blocking pain impulses fromc d d d d d d d d
oming
a. through the gate.” d d
“Meditation alters the chemical composition of pain d d d d d d d
neuroregulators,
b. which closes the gate.” d d d
“Meditation will help me sleep through the pain because ito
d d d d d d d d d d
pens the d
c. gate.”
d. “Meditation stops the occurrence of pain stimuli.” d d d d d d
ANS: A d
According to this theory, gating mechanisms located alo
d d d d d d d
ng the central nervoussystem regulate or block painimp
d d d d d d d d
ulses. Pain impulses pass through when a gate is open a
d d d d d d d d d d
nd are blocked when a gate is closed.
d d d d d d d
Nonpharmacologic pain- d
relief measures, such as meditation, work byclosin
d d d d d d
g the gates, which keepspain impulses from coming
d d d d d d d d
dthrough.
Meditation does not open pain gates or stop pain fromo
d d d d d d d d d d
ccurring. Meditationalso does not have an effect on pai
d d d d d d d d
n neuroregulators.
d
4.A nurse is planning care for an older-adult patient who is
d d d d d d d d d d
, 4
experiencing pain. Which statement made by the nurseind
d d d d d d d d
icates the supervising nurse needs to
d d d d d
follow up? d
a. “As adults age, their ability to perceive pain decreases.”“
d d d d d d d d d
Older patients may have low serum albumin in their blood
d d d d d d d d d
, causing
d
b. toxic effects of analgesic drugs.”
d d d d
“Patients who have dementia probably experience pain,
d d d d d d d
and their pain
d d
c. s not always well controlled.”
d d d d
20
“It is safe to administer
d d d d
5
opioids to older adults asl d d d d d
ong as you start with
d d d d
Hesi rn comprehensive predictore d d d d
xam 2023.Edited on March 2023 d d d d
100% (score) Quaranteed. d d d
1An oriented patient has recently had surgery. Whicha
d d d d d d d d
ction is best for the nurseto take to assess this
d d d d d d d d d
patient’s pain? d
d a. Assess the patient’s body language.
d d d d d
b. Ask the patient to rate the level of pain.
d d d d d d d d d
d c. Observe the cardiac monitor for increased heart rate.
d d d d d d d d
d. Have the patient describe the effect of pain on the abilityt
d d d d d d d d d d d d
o cope. d
ANS: B d
One of the most subjective and therefore most usefulc
d d d d d d d d d
haracteristics for reporting pain is its severity. d d d d d d
Therefore, the best way to assess a patient’s painis to as
d d d d d d d d d d
k the patient to rate the pain. Nonverbal communication,
d d d d d d d d
such as body language, is not as effective in assessing p
d d d d d d d d d d d
ain, especially when the patientis oriented. Heart rate so
d d d d d d d d d
metimes increases when a patient is in pain, but this is n
d d d d d d d d d d d
ot a symptom that is
d d d d
specific to pain. Pain sometimes affects a patient’s ability
d d d d d d d d
to cope, but assessing the effect of pain on copingassess
d d d d d d d d d d d
es the patient’sability to cope; it does not assess the patie
d d d d d d d d d d
nt’s pain. d
2.A nurse is caring for a patient who recently had abdominals
d d d d d d d d d d d
urgery and is experiencing severe pain. The patient’s bloodpr
d d d d d d d d d
essure is 110/60 mm Hg, d d d d
and heart rate is 60 beats/min. Additionally, the patie
d d d d d d d d
nt does not appear tobe in any distress. Which
d d d d d d d d
, 2
response by the nurse is most therapeutic?
d d d d d d
“Your vitals do not show that you are having pain; can youdescrib
d d d d d d d d d d d d
e
a. your pain?”d
b. “OK, I will go get you some narcotic pain relievers
d d d d d d d d d
immediately.”
c. “What would you like to try to alleviate your pain?”
d d d d d d d d d
d. “You do not look like you are in pain.”
d d d d d d d d
d ANS: Cd
Be sure the patient is a partner in making decisions
d d d d d d d d d
about the best approaches for managing pain. A patient
d d d d d d d d
20d
knows the most about his or her pain and is an important 5 pa
d d d d d d d d d d d d d
rtner in selecting successful pain therapies. The nurse must
d d d d d d d d d
believe that a patient is in pain whenever the
d d d d d d d d
patient reports that he or she is in
d d d d d d d
, 3
pain, even if the patient does not appear to be in pain. The
d d d d d d d d d d d d d
nurse must be careful to not judge the patient basedon vit
d d d d d d d d d d d
al signs or nonverbal communication and must not assum
d d d d d d d d
e that the patient is seeking narcotics. Thepatientis a par
d d d d d d d d d d
tner in pain management, so going to get narcotics to trea
d d d d d d d d d d
t the pain without consulting with the patient first is not a
d d d d d d d d d d d
ppropriate.
3.A nurse teaches the patient about the gate controlt
d d d d d d d d d
heory. Which statement made by a patient reflects a cor
d d d d d d d d d
rect understanding about the relationship
d d d d
between the gate control theory of pain and the use ofm
d d d d d d d d d d d
editation to relievepain? d d
“Meditation controls pain by blocking pain impulses fromc d d d d d d d d
oming
a. through the gate.” d d
“Meditation alters the chemical composition of pain d d d d d d d
neuroregulators,
b. which closes the gate.” d d d
“Meditation will help me sleep through the pain because ito
d d d d d d d d d d
pens the d
c. gate.”
d. “Meditation stops the occurrence of pain stimuli.” d d d d d d
ANS: A d
According to this theory, gating mechanisms located alo
d d d d d d d
ng the central nervoussystem regulate or block painimp
d d d d d d d d
ulses. Pain impulses pass through when a gate is open a
d d d d d d d d d d
nd are blocked when a gate is closed.
d d d d d d d
Nonpharmacologic pain- d
relief measures, such as meditation, work byclosin
d d d d d d
g the gates, which keepspain impulses from coming
d d d d d d d d
dthrough.
Meditation does not open pain gates or stop pain fromo
d d d d d d d d d d
ccurring. Meditationalso does not have an effect on pai
d d d d d d d d
n neuroregulators.
d
4.A nurse is planning care for an older-adult patient who is
d d d d d d d d d d
, 4
experiencing pain. Which statement made by the nurseind
d d d d d d d d
icates the supervising nurse needs to
d d d d d
follow up? d
a. “As adults age, their ability to perceive pain decreases.”“
d d d d d d d d d
Older patients may have low serum albumin in their blood
d d d d d d d d d
, causing
d
b. toxic effects of analgesic drugs.”
d d d d
“Patients who have dementia probably experience pain,
d d d d d d d
and their pain
d d
c. s not always well controlled.”
d d d d
20
“It is safe to administer
d d d d
5
opioids to older adults asl d d d d d
ong as you start with
d d d d
