ATI LPN
Fundamentals of Nursing: The Art and Science of Person-Centered Care Tenth, North American Edition
Chapter 36 Questions
Question 1 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 2 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 3 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.
Question 4 of 5
What other intervention(s) can be implemented for Carla?
Correct Answer: D
Rationale: Nonpharmacologic interventions like imagery and mindfulness (
D) align with Carla's preference to avoid medications and can complement pharmacologic strategies. Waiting to assess medication effects (
A) delays holistic care, placebos (
B) are unethical, and indiscriminate OTC/herbal use (
C) risks interactions and lacks evidence.
Question 5 of 5
How will the nurse and Carla know that the treatment plan has been effective?
Correct Answer: B
Rationale: The treatment plan is effective if Carla achieves her functional goal of completing a walking tour with minimal pain and occasional rest (
B), aligning with her stated goals of 1/10 pain at rest and 3/10 with activity. Complete pain relief with high acetaminophen doses (
A) risks toxicity, ignoring medications (
C) indicates nonadherence, and doubling doses (
D) is unsafe.