A nurse is assessing a client who has impaired mobility.
The nurse should monitor the client for a pressure injury due to which of the following factors?

Choice B rationale:

Acute pain is typically associated with a sudden injury or condition, and it is usually short-term and self-limiting. Phantom limb pain is a chronic condition that is often neuropathic in nature.

Choice C rationale:

Cancer pain is generally associated with the presence of a tumor or cancer-related treatment. Phantom limb pain is not directly related to cancer.

Choice D rationale:

Chronic pain is a broad category that includes various types of long-lasting pain, but in the case of phantom limb pain, it is specifically neuropathic in nature. Neuropathic pain originates from damage or dysfunction of the nervous system and is a common characteristic of phantom limb pain. .

Choice A rationale:

The nurse is demonstrating the concept of disease prevention during a blood pressure screening for a client with a family history of hypertension. Disease prevention involves actions taken to reduce the risk of developing a disease or condition. In this case, the nurse is actively screening for hypertension, a condition that the client may be at risk for due to their family history. By identifying elevated blood pressure early, the nurse can help prevent the progression of hypertension and its associated complications.

Choice B rationale:

Holistic health is a comprehensive approach to healthcare that considers the physical, emotional, social, and spiritual aspects of an individual. While holistic health is an essential aspect of nursing care, the scenario described in the question focuses on a specific action related to blood pressure screening, which is better categorized as disease prevention.

Choice C rationale:

Health promotion involves activities that aim to enhance a person's well-being and quality of life, such as encouraging healthy behaviors and lifestyle choices. While blood pressure screening can be a part of health promotion, the primary goal in the scenario is to identify and prevent hypertension, which aligns more with disease prevention.

Choice D rationale:

Health education refers to the process of providing information and education to individuals to help them make informed decisions about their health. While health education may be a part of the overall nursing care provided to the client, the primary action in the scenario is to perform a blood pressure screening, which is a proactive measure to prevent disease, rather than solely focused on educating the client.