ATI LPN
Fundamentals of Nursing: The Art and Science of Person-Centered Care Tenth, North American Edition
Chapter 36 : Comfort and Pain Management Questions
Question 1 of 5
A nurse on an adult surgical floor enters a patient room and observes a family member pressing the button to administer a dose of PCA via the infusion pump. What response by the nurse is most appropriate?
Correct Answer: B
Rationale: PCA by proxy (family administering doses) risks overdose, oversedation, and respiratory depression (
B). Only the patient should press the PCA button, regardless of safeguards (
D) or patient requests (
C), and option A ignores the safety issue.
Question 2 of 5
Students in a leadership class are discussing how social determinants of health affect pain management. Which statement is correct and should be included in the discussion?
Correct Answer: C
Rationale: Social determinants impact pain management; minority patients often delay seeking treatment due to access barriers, cultural factors, or mistrust (
C). Outcomes vary by income (
A), minority patients often receive less medication (
B), and social determinants are related to pain management (
D).
Question 3 of 5
Based on this opening description of pain, what other information would be helpful in determining the plan of care? Select all that apply.
Correct Answer: B,C,D,E
Rationale:
To develop an effective plan of care, the nurse needs Carla's wife's perspective on pain progression (
B), triggers for the pain (
C), past interventions and their effectiveness (
D), and associated symptoms (E). Assessing the endocrinologist's care quality (
A) is irrelevant to the immediate pain management plan.
Question 4 of 5
Based on the objective and subjective assessment of this patient, where should the nurse focus the initial efforts of the interprofessional team?
Correct Answer: C
Rationale: The priority is addressing Carla's functional pain goals (
C) to improve her quality of life, as her pain impacts her daily functioning and stress affects her diabetes management. While glucose control (
A) and psychiatric consultation (
B) are relevant, pain management is the immediate focus. Education on complications (
D) is secondary to addressing current pain.
Question 5 of 5
Based on this information, the provider decides to add pharmacologic strategies to the plan of care. Which interventions are the priority for Carla? Select all that apply.
Correct Answer: A,D,E
Rationale: Priority interventions include educating about a multimodal pain regimen (
A), teaching about adjuvant medications like gabapentin for neuropathic pain (
D), and integrating biopsychosocial elements (E) to address Carla's chronic pain holistically. Focusing on high-dose opioid side effects (
B) or addiction risks (
C) is less relevant, as Carla prefers avoiding pain medications and no high-dose opioids are indicated.