The nurse is performing an admission assessment on a client who has chronic pain. Which statement made by the client causes the most concern?
"I am so depressed living with this pain that I don't know if I can go on anymore."
"At home I take something for pain before it gets too bad."
"I try to pretend that the pain isn't part of me, but it's hard to do."
"I live with pain every day, and it sometimes prevents me from doing the things I love to do."
The Correct Answer is A
This statement raises concern because it suggests that the client is experiencing thoughts of hopelessness and suicidal ideation. Expressions of feeling overwhelmed by pain to the extent of questioning the desire to continue living indicate a need for immediate attention and intervention to address the client's emotional distress and ensure their safety.
B. This statement indicates the client's proactive approach to pain management by taking medication preemptively before pain becomes severe. It reflects an understanding of pain management strategies and a willingness to address pain effectively.
C. Although this statement acknowledges the challenge of coping with pain, it also suggests the client's attempts to cope by mentally dissociating from the pain. While coping mechanisms vary among individuals, this response does not raise immediate concern unless accompanied by more severe signs of distress.
D. This statement acknowledges the chronic nature of the client's pain and its impact on daily activities but does not indicate thoughts of self-harm or severe emotional distress. It reflects the client's adaptation to living with pain and a willingness to engage in activities despite its presence.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. always has a religious connotation: This statement is incorrect. While spirituality can be intertwined with religion for many individuals, it does not always have a religious connotation. Spirituality encompasses a broader sense of connection to something greater than oneself, which may or may not be associated with organized religion.
B. is a narrower concept than religion: This statement is incorrect. Spirituality is often considered a broader concept than religion. While religion typically involves organized beliefs, rituals, and practices within a specific faith tradition, spirituality encompasses a wider range of experiences, beliefs, and practices that relate to the search for meaning, purpose, and connection to the transcendent.
C. does not necessarily include religion: This statement is correct. Spirituality can exist independently of religion. While religion often involves spirituality, spirituality can encompass a wide range of beliefs, experiences, and practices that may or may not be connected to organized religion. Individuals can experience spirituality through various means such as nature, relationships, art, meditation, and personal reflection, regardless of religious affiliation.
D. has been created by humans to define ethical conduct: This statement is incorrect. Spirituality is not solely created by humans to define ethical conduct. While ethical principles and values may be part of spiritual beliefs for many individuals, spirituality encompasses broader aspects of human experience, including the search for meaning, connection, and transcendence, which extend beyond ethical conduct.
Correct Answer is ["A","B","C","E"]
Explanation
A. Spinach: Spinach is an excellent source of potassium. It is a leafy green vegetable that provides a significant amount of potassium, making it a suitable choice for clients who are at risk of potassium loss due to diuretic therapy.
B. Potatoes: Potatoes, particularly when eaten with the skin, are rich in potassium. They are a starchy vegetable that can help replenish potassium levels in individuals experiencing potassium loss from diuretic use.
C. Tomatoes: Tomatoes are another good source of potassium. They are versatile and can be incorporated into various dishes, providing both flavor and nutrients, including potassium, which can help offset potassium depletion caused by diuretics.
D. White rice: White rice is not a significant source of potassium compared to other options listed. While it is a carbohydrate-rich food, it does not contain as much potassium as foods like spinach, potatoes, tomatoes, or avocados.
E. Avocados: Avocados are rich in potassium and are considered a nutrient-dense food. They provide healthy fats along with potassium, making them a beneficial choice for individuals who need to replenish potassium levels depleted by diuretics.
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