A nurse is caring for a patient who is being treated for chronic pain. Which of the following interventions is most appropriate for managing the patient's pain?

Correct Answer: B

Rationale: The correct answer is B because encouraging relaxation and breathing techniques can help manage chronic pain by reducing stress and promoting relaxation. This intervention can assist in lowering the perception of pain without relying solely on medication. It empowers the patient to actively participate in their pain management. Choice A is incorrect because focusing only on medication management may lead to over-reliance on drugs and potential side effects. Choice C is incorrect because pain is not always a necessary part of the healing process and should not be dismissed. Choice D is incorrect as physical activity can actually help manage chronic pain by improving circulation and releasing endorphins.

Correct Answer: A

Rationale: The correct answer is A: Providing a structured environment with clear boundaries. In an acute manic episode, patients may exhibit impulsive and unpredictable behavior. By providing a structured environment with clear boundaries, such as consistent routines and limits, the patient's safety and well-being are prioritized. This intervention helps prevent potential harm to the patient or others and promotes stability. Choice B is incorrect because allowing the patient to engage in risky behavior can be dangerous and reinforce negative behaviors. Choice C is incorrect because during a manic episode, the patient may not have the capacity to make sound decisions. Choice D is incorrect because reassuring the patient that their feelings are normal may not address the urgent need for safety and stability in the situation.

Correct Answer: B

Rationale: The correct answer is B: Monitoring the patient for suicidal ideation, especially early in treatment. This is important because antidepressants can sometimes increase the risk of suicidal thoughts, especially at the beginning of treatment. By monitoring for suicidal ideation, the nurse can intervene promptly if necessary. Choice A is incorrect because abruptly stopping antidepressants can lead to withdrawal symptoms and worsening of the condition. Choice C is incorrect because antidepressants may take several weeks to start improving mood, so immediate improvement is unlikely. Choice D is incorrect because antidepressants are typically taken consistently, not just when feeling depressed, to maintain therapeutic levels in the body.

Correct Answer: C

Rationale: The correct answer is C: Administering pain medication as prescribed and evaluating effectiveness. This is the most appropriate intervention because it directly addresses the patient's chronic pain by providing relief through medication. By following the prescribed dosage, the nurse can ensure the patient's safety and effectiveness of the treatment. Monitoring the patient's response to the medication allows for adjustments if needed. Choice A is incorrect because avoiding exercise may worsen the patient's pain by leading to muscle stiffness and reduced mobility. Choice B, recommending alternative therapies like acupuncture, may be beneficial but it may not address the immediate need for pain relief. Choice D, providing distractions, may offer temporary relief but does not address the underlying cause of the chronic pain.

Correct Answer: B

Rationale: The correct answer is B because providing a safe, supportive environment for the patient to express their feelings is crucial in managing PTSD. This intervention promotes emotional processing and healing, validating the patient's experiences. Encouraging immediate discussion (A) may trigger distress; reassuring symptoms will improve (C) may invalidate the patient's feelings and delay seeking help; telling the patient to avoid thinking (D) can lead to avoidance behaviors worsening symptoms.