A nurse is providing care to a client that has been having pain without a clear etiology. Which nursing diagnosis should the nurse write as most appropriate for this client?
Acute pain manifested by client's report.
Acute pain related to psychosomatic condition.
Acute pain related to unknown etiology.
Acute pain related to unknown factors.
The Correct Answer is C
A. Acute pain manifested by client's report: While this diagnosis reflects the client's report of pain, it does not address the underlying cause or etiology of the pain, which is important for forming an effective care plan.
B. Acute pain related to psychosomatic condition: This diagnosis implies a specific psychosomatic origin for the pain. Since the etiology is unknown, attributing it to a psychosomatic condition may not be accurate.
C. Acute pain related to unknown etiology: This diagnosis is the most appropriate because it acknowledges the presence of acute pain and explicitly notes that the cause is unknown, which aligns with the information provided.
D. Acute pain related to unknown factors: This diagnosis is similar to C, but "unknown factors" is less precise than "unknown etiology." The term "etiology" more accurately describes the underlying cause.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Ask the client to demonstrate walking with the cane: Correct. Evaluation involves assessing the client’s ability to perform the learned skill, which is done by asking the client to demonstrate walking with the cane.
B. Show the client a video about walking with a cane: This is part of the teaching process, not evaluation. It is used to provide information but does not assess the client's understanding or ability.
C. Identify short-term goals for the client: This is part of the planning stage, where goals are set to guide the teaching and learning process, not part of evaluation.
D. Determine the client's readiness to learn: This is an initial assessment step before teaching begins, not part of the evaluation process after teaching has occurred.
Correct Answer is B
Explanation
A. Inhibits release of endorphins: Exercise actually stimulates the release of endorphins, which are chemicals in the brain that help reduce pain and improve mood. Thus, this statement is incorrect.
B. Improves sleep: Exercise is known to enhance sleep quality by promoting better sleep patterns and reducing insomnia. This is a well-documented benefit of regular physical activity.
C. Decreases energy: Exercise typically increases overall energy levels rather than decreasing them. Regular physical activity helps in maintaining stamina and reducing fatigue.
D. Decreases stress: While exercise does help in managing stress, the primary benefit related to the is the improvement in sleep. Stress reduction is also a significant benefit but not the focus here.
E. Increases mood: Exercise can indeed elevate mood through the release of endorphins and other neurochemicals. However, improving sleep is a more direct and specific benefit related to the about exercise's benefits.
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