A 49-year-old patient who reports pain in the foot that moves up along the calf says, "My left foot feels like it is on fire." The patient reports that the pain started yesterday, and they have no prior history of injury or falls. Which components of pain assessment has the patient reported?

Aggravating and alleviating factors.

Exacerbation, with associated signs and symptoms.

Intensity, temporal characteristics, and functional impact.

Location, quality, and duration.

Answer and Explanation

The Correct Answer is D

A. Aggravating and alleviating factors: The patient has not identified any factors that worsen or relieve the pain.

B. Exacerbation, with associated signs and symptoms: There is no indication of exacerbating factors or associated symptoms in this description.

C. Intensity, temporal characteristics, and functional impact: The intensity (e.g., 1-10 scale), temporal characteristics (pattern over time), or functional impact on daily activities were not mentioned.

D. Location, quality, and duration. The patient described: Location: The foot and calf. Quality: "Feels like it is on fire" (neuropathic pain). Duration: Pain began yesterday.

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Correct Answer is B

Explanation

A. Additional laboratory tests: While monitoring is essential, at this stage, the priority is comfort, not disease progression.

B. Pain and discomfort: Mrs. Thompson is nearing the end of life and likely experiencing pain due to her advanced metastatic cancer. Pain management should always be a priority in palliative care.

C. Physical therapy: Physical therapy is not typically a priority in the end-of-life stage where the focus is on comfort rather than mobility.

D. Elevated blood pressure: This is unlikely to be the primary concern at this stage. Blood pressure is usually low, and interventions should be focused on comfort and symptom relief.

A. Religion is a personal belief system, while spirituality involves organized practices and rituals. B. Religion is exclusively concerned with personal growth and self-improvement, whereas spirituality focuses on adherence to institutional doctrines. C. Religion and spirituality are synonymous and can be used interchangeably in-patient care assessments. D. Religion often includes organized practices, rituals, and community involvement, whereas spirituality is a more personal and individual experience that may or may not include organized practices.

Correct Answer is D

Explanation

A. Religion is a personal belief system, while spirituality involves organized practices and rituals: This reverses the definitions of religion and spirituality.

B. Religion is exclusively concerned with personal growth and self-improvement, whereas spirituality focuses on adherence to institutional doctrines: This is inaccurate as religion often involves doctrine and spirituality includes personal growth.

C. Religion and spirituality are synonymous and can be used interchangeably in-patient care assessments: They are related but not interchangeable concepts.

D. Religion often includes organized practices, rituals, and community involvement, whereas spirituality is a more personal and individual experience that may or may not include organized practices. Religion is structured and involves established practices, rituals, and communal participation. Spirituality is broader, often focusing on personal meaning, connection, and values, which may exist independently of organized religion.

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A 49-year-old patient who reports pain in the foot that moves up along the calf says, "My left foot feels like it is on fire." The patient reports that the pain started yesterday, and they have no prior history of injury or falls. Which components of pain assessment has the patient reported?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is developing a care plan for Mrs. Thompson who is in the end-of-life stage. After assessing the client, the nurse has identified several potential problems. Which of the following hypotheses should the nurse prioritize when planning care for this client?

Correct Answer is B

Explanation

Correct Answer is D

Explanation

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