A nurse is caring for a patient who fell on the ice and has connective tissue damage in the wrist and hand. The patient describes the pain as throbbing. Which type of pain does the nurse document in this patient’s medical record?

Peripherally generated pain

Somatic pain

Visceral pain

Centrally generated pain

Answer and Explanation

The Correct Answer is B

Choice A reason: Peripherally generated pain is a broad term encompassing pain from peripheral nerves, including somatic and visceral pain. It is not specific enough to describe throbbing pain from connective tissue damage in the wrist and hand, which aligns with somatic pain’s characteristics. This choice is too vague for accurate documentation.

Choice B reason: Somatic pain arises from musculoskeletal structures like connective tissue, bones, or joints, often described as throbbing or aching. The patient’s wrist and hand injury from a fall matches this, as damaged ligaments or tendons produce localized, somatic pain. This is the most accurate term for documentation in the medical record.

Choice C reason: Visceral pain originates from internal organs and is typically diffuse, cramping, or burning, not throbbing. Wrist and hand connective tissue damage is musculoskeletal, not organ-related. This type does not fit the injury’s location or description, making it incorrect for the patient’s pain documentation.

Choice D reason: Centrally generated pain results from central nervous system dysfunction, like fibromyalgia or post-stroke pain, and is not localized to an injury site. The patient’s throbbing pain from a wrist injury is peripheral and somatic, not central, making this an incorrect choice for the medical record.

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Correct Answer is A

Explanation

Choice A reason: Culturally competent care for marginalized patients prioritizes individualized care, respecting unique cultural, social, and personal needs. This approach addresses disparities by tailoring interventions to patients’ beliefs, values, and experiences, reducing bias and improving outcomes. Individualization ensures equitable, patient-centered care, meeting the primary goal of cultural competence.

Choice B reason: Restoring relationships is not a primary goal of culturally competent care. While relationships may improve through trust, the focus is on delivering equitable, culturally sensitive care. This choice is too narrow and does not encompass the broader aim of addressing systemic barriers for marginalized groups.

Choice C reason: Providing care to surgical patients is unrelated to cultural competence, as it focuses on a clinical context, not cultural needs. Culturally competent care applies across all settings, prioritizing sensitivity to diverse identities. This choice lacks specificity to marginalized patients’ cultural needs, making it incorrect.

Choice D reason: Caring for transgender patients is part of cultural competence but is too specific. The primary goal is broader, encompassing individualized care for all marginalized groups, not just one population. This choice limits the scope of cultural competence, making it less accurate than individualized care.

A. Depression B. Denial C. Bargaining D. Anger

Correct Answer is D

Explanation

Choice A reason: Depression in Kübler-Ross’s stages involves sadness and withdrawal due to loss. Marital discord suggests conflict, not introspective grief. The patient’s relational tension with her terminally ill spouse aligns with anger, not depression, which would manifest as despair or hopelessness rather than active discord.

Choice B reason: Denial involves refusing to accept the reality of death, often early in the dying process. Marital discord indicates engagement with the situation, not avoidance. The patient’s conflict suggests emotional reaction, aligning with anger, not denial, making this an incorrect stage for her behavior.

Choice C reason: Bargaining involves seeking to delay death through promises or deals, often privately. Marital discord reflects externalized emotion, not negotiation. The patient’s conflict with her spouse points to anger, not bargaining, which is less likely to manifest as relational tension, making this incorrect.

Choice D reason: Anger, per Kübler-Ross, involves frustration and resentment, often directed at loved ones, as the patient grapples with mortality. New marital discord with her terminally ill spouse suggests the patient is expressing anger, a common reaction to the unfairness of death, making this the correct stage.

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A nurse is caring for a patient who fell on the ice and has connective tissue damage in the wrist and hand. The patient describes the pain as throbbing. Which type of pain does the nurse document in this patient’s medical record?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which action indicates the nurse is meeting a primary goal of culturally competent care for marginalized patients?

Correct Answer is A

Explanation

During a follow-up visit, a female patient is describing new onset of marital discord with her terminally ill spouse to the hospice nurse. Which Kübler-Ross stage of dying is the patient experiencing?

Correct Answer is D

Explanation

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The nurse is caring for a 4-year-old child who is demonstrating signs of pain. Which technique will the nurse use to best assess pain in this child?