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Chapter 10: Pain Lewis et al.: Medical-Surgical Nursing in Canada, 3rd Edition with 100% correct answers 2025

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1. A 45-year-old woman has breast cancer that has spread to her liver and spine. She has been taking oxycodone (Percodan) and amitriptyline (Elavil) for pain control at home, but she now has constant severe pain and is hospitalized for pain control and development of a pain management program. During assessment of the patient, what information related to her pain is most important for the nurse to obtain initially? a. The pattern, area, intensity, and nature of her pain b. Identification of trigger points of pain by palpation of painful areas c. The schedule and total dosages of the drugs she is currently taking and when breakthrough pain occurs d. The presence of a sympathetic response, such as tachycardia, diaphoresis, and a rise in blood pressure - Correct AnswerANS: A Pain is a complex experience involving physiological, sensory (i.e., the perception of pain by the individual that addresses the pain location, intensity, pattern, and quality), affective, behavioural, and cognitive dimensions; therefore, the nurse needs to assess the pattern, area, nature, and intensity of the pain immediately. PTS: 1 DIF: Cognitive Level: Application REF: page 158 OBJ: 5 TOP: Nursing Process: Assessment MSC: CRNE: CH-1 2. The physician plans to titrate narcotic analgesic to provide pain relief for a patient with surgical pain. What does the nurse's role in include? a. Monitoring the effects of continuous intravenous (IV) infusion of narcotic analgesics b. Teaching the patient to try to increase the time between doses of pain medication c. Assisting the patient to plan the use of a specific total dose of analgesic over a 24-hour period d. Determining with the patient the optimal analgesic dosage required for pain relief with attention to the side effects produced - Correct AnswerANS: D The goal of titration is to use the smallest dosage of analgesic that provides effective pain control with the fewest side effects. PTS: 1 DIF: Cognitive Level: Application REF: page 166 OBJ: 6 TOP: Nursing Process: Implementation MSC: CRNE: CH-52 3. It is determined that a step 3 drug as proposed by the World Health Organization (WHO) is necessary for a patient whose cancer pain is unrelieved by step 2 drugs. Which is an appropriate drug and route for this patient? a. Oral codeine b. Oral morphine c. Intramuscular meperidine (Demerol) d. Intravenous oxymorphone (Numorphan) - Correct AnswerANS: B

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Institution
Psychiatric Mental Health Nursing Davis Adv
Course
Psychiatric Mental Health Nursing Davis Adv

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Davis/Townsend - 9th edition - Ch.1 TB -
Mental Health and Mental Illness with
100% correct answers 2025
A nurse is assessing a client who experiences occasional feelings of sadness because
of the recent death of a beloved pet. The client's appetite, sleep patterns, and daily
routine have not changed. How would the nurse interpret the client's behaviors?

1. The client's behaviors demonstrate mental illness in the form of depression.
2. The client's behaviors are inappropriate, which indicates the presence of mental
illness.
3. The client's behaviors are not congruent with cultural norms.
4. The client's behaviors demonstrate no functional impairment, indicating no mental
illness. - Correct Answer4. The client's behaviors demonstrate no functional impairment,
indicating no mental illness.

At which point would the nurse determine that a client is at risk for developing a mental
illness?

1. When thoughts, feelings, and behaviors are not reflective of the criteria for mental
illness.
2. When maladaptive responses to stress are coupled with interference in daily
functioning.
3. When a client communicates significant distress.
4. When a client uses defense mechanisms as ego protection. - Correct Answer2.
When maladaptive responses to stress are coupled with interference in daily
functioning.

A client has been given a diagnosis of HIV. Which statement made by the client does
the nurse recognize as the bargaining stage of grief?

1. "I hate my partner for giving me this disease I will die from!"
2. "If I don't do IV drugs anymore, God won't let me die."
3. "I am going to support groups and learning more about the disease."
4. "Can you please re-draw the test results; I think they may be wrong?" - Correct
Answer2. "If I don't do IV drugs anymore, God won't let me die."

A nurse notes that a client is extremely withdrawn, delusional, and emotionally
exhausted. The nurse assesses the client's anxiety as which level?

1. Mild anxiety
2. Moderate anxiety
3. Severe anxiety
4. Panic anxiety - Correct Answer4. Panic anxiety

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Psychiatric Mental Health Nursing Davis Adv

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