Nursing Diagnosis and Planning Related to Pain Management Week 13 Questions with Verified Answers
Common nursing diagnoses directly associated with
... [Show More] pain are: - CORRECT ANSWER Acute Pain
Chronic Pain
Ineffective Coping
Anxiety
Disturbed Sleep Pattern
Readiness for Enhanced Comfort
Acute pain - CORRECT ANSWER Related to long-bone fracture as evidenced by reported pain of 10 of 10, pain with movement, and request for pain medication.
Chronic pain - CORRECT ANSWER Related to deformity of joints as evidenced by limited mobility, inability to manage activities of daily living, and feelings of helplessness.
Ineffective coping - CORRECT ANSWER Related to severe pain as evidenced by inability to ask for help, lack of appetite, and poor concentration.
Anxiety - CORRECT ANSWER Related to fear of increasing pain levels as evidenced by restlessness, quivering voice, and increased blood pressure.
Disturbed sleep pattern - CORRECT ANSWER Related to pain from chronic illness as evidenced by verbal complaints of inability to sleep, dark circles under the eyes, and frequent yawning.
Readiness for enhanced comfort - CORRECT ANSWER Evidenced by inquiry regarding use of decreasing dosage of pain medication for comfort and by pain rating of 2 of 10.
When planning care, the nurse complies with ethical and legal aspects of pain management as stated in: - CORRECT ANSWER The American Nurses Association (ANA) standards of practice
The Code of Ethics for Nurses
The Joint Commission regulatory standards
The most commonly encountered ethical dilemmas related to pain management are: - CORRECT ANSWER Under treatment of pain, especially among elderly patients
Thorough management of pain
Collaboration is an important aspect of pain management: - CORRECT ANSWER The patient with pain requires collaboration among multidisciplinary health care team members, beginning with the nurse.
Other members may include providers, music therapists, massage therapists, physical therapists, pain management specialists, muscle manipulation specialists, and other specialists who provide complementary therapies to manage pain in addition to medication.
The goal of collaboration is progression of the patient toward the desired outcome of pain relief.
Even though the nurse maintains ultimate responsibility for overseeing the implementation and proper completion of all pain related care,
some nonpharmacological pain management activities may be delegated to unlicensed assistive personnel (UAP), including: - CORRECT ANSWER Administering back rubs
Repositioning the patient
Performing oral hygiene
Changing the linens
Talking to the patient
Darkening the room
Examples of patient goals or outcomes include: - CORRECT ANSWER Comfort
Tolerance
Cognition
Anxiety
Sleep
Readiness
Comfort - CORRECT ANSWER Patient will report a pain level of less than 3 of 10 within 5 postoperative days.
Tolerance - CORRECT ANSWER Patient will perform activities of daily living, reporting a pain level of 3 or less within 1 week of starting prescribed pain medication.
Cognition - CORRECT ANSWER Patient will report increased ability to concentrate on routine activities within 2 hours of starting prescribed dose of analgesia.
Anxiety - CORRECT ANSWER Patient will report decreased anxiety, with no signs of restlessness, within 3 days of hospitalization.
Sleep - CORRECT ANSWER Patient will state being able to sleep for 6 to 8 hours each night within 3 days of hospitalization.
Readiness - CORRECT ANSWER Patient will meet with a pain specialist to outline a plan for decreasing analgesia dosage within the next 2 weeks. [Show Less]