The nurse is caring for a patient and is focusing on modifiable factors that contribute to pain. Which areas does the nurse focus on with this patient?

Culture and ethnicity.

Previous pain experiences and cognitive abilities.

Age and gender.

Anxiety and fear.

Answer and Explanation

The Correct Answer is D

Choice A reason: Culture and ethnicity influence pain perception but are not easily modifiable. They shape attitudes toward pain expression, not pain itself. Focusing on these risks overlooking modifiable factors like anxiety, which directly amplify pain. Interventions targeting modifiable psychological factors are more effective in reducing pain intensity and improving patient coping strategies.

Choice B reason: Previous pain experiences and cognitive abilities are relatively fixed, shaping pain perception but not easily altered. Modifiable factors like anxiety have a greater immediate impact on pain. Focusing on these risks delaying interventions like relaxation techniques, which directly reduce pain amplification, improving outcomes in acute or chronic pain management.

Choice C reason: Age and gender are non-modifiable factors influencing pain sensitivity but not amenable to change. Anxiety and fear, which exacerbate pain through stress responses, are modifiable and more relevant for intervention. Prioritizing age or gender misdirects focus, delaying strategies like cognitive therapy that effectively mitigate pain in clinical settings.

Choice D reason: Anxiety and fear are modifiable factors that amplify pain via heightened stress responses, increasing muscle tension and pain perception. Interventions like relaxation, mindfulness, or counseling can reduce these, lowering pain intensity. Focusing on these targets psychological contributors, improving pain management and patient comfort, especially in acute or chronic pain scenarios.

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Correct Answer is ["A","B","C","D"]

Explanation

Choice A reason: Documenting the time of body transfer and destination ensures accurate tracking of the deceased, maintaining chain of custody and compliance with legal and hospital protocols. This information supports coordination with morgue or funeral services, preventing errors in body handling and ensuring respectful, organized end-of-life care per regulatory standards.

Choice B reason: Special preparations, like cleaning or cultural rituals, must be documented to reflect respectful care aligned with patient or family wishes. This ensures continuity of care, legal compliance, and sensitivity to cultural or religious practices, preventing oversight of specific requests and supporting dignified handling of the deceased in medical records.

Choice C reason: Time and date of death are critical for legal and medical documentation, establishing the official record required for death certificates and hospital reporting. Accurate recording ensures compliance with regulations, supports family closure, and prevents discrepancies in legal or insurance processes, making it essential in end-of-life care documentation.

Choice D reason: Location of body identification tags is documented to ensure proper identification, preventing errors during transfer or postmortem procedures. This complies with hospital policies and legal standards, ensuring traceability and respect for the deceased. Accurate tagging documentation supports safe, organized handling, critical for ethical end-of-life care management.

Choice E reason: Reason for death may be noted by physicians but is not typically required in nursing end-of-life documentation unless specified. Nurses focus on procedural details like time of death or body preparation. Including this risks role confusion, as determining cause is a medical responsibility, potentially leading to inaccurate or incomplete nursing records.

A. Jumping in to provide patient comfort. B. Being there without an identified goal. C. Focusing on the task that needs to be done. D. Providing closeness and a sense of caring.

Correct Answer is D

Explanation

Choice A reason: Jumping in to provide patient comfort, while well-intentioned, implies reactive or task-oriented actions rather than the intentional, empathetic engagement of presence. Presence involves being emotionally available, fostering trust and connection, not just addressing immediate physical needs. This choice risks misrepresenting the holistic, relational aspect of presence critical for patient and family support.

Choice B reason: Being there without an identified goal does not fully capture presence, which is purposeful in fostering emotional and spiritual support. Presence involves intentional closeness and caring, not aimless attendance. This choice underestimates the nurse’s role in creating a therapeutic environment, potentially diminishing the impact of presence on patient and family well-being.

Choice C reason: Focusing on tasks prioritizes technical care over emotional connection, contrary to presence, which emphasizes being with the patient holistically. Task-oriented care may address physical needs but neglects the relational support central to presence. This choice misaligns with the concept, risking a purely functional approach that overlooks emotional and spiritual care needs.

Choice D reason: Providing closeness and a sense of caring defines presence, a nursing action rooted in Watson’s caring theory. It involves empathetic engagement, active listening, and emotional availability, fostering trust and comfort for patients and families. This intentional connection supports holistic care, enhancing psychological well-being and coping during challenging moments like illness or end-of-life care.

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The nurse is caring for a patient and is focusing on modifiable factors that contribute to pain. Which areas does the nurse focus on with this patient?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is documenting end-of-life care. Which information will the nurse include in the patient’s electronic medical record? (Select all that apply)

Correct Answer is ["A","B","C","D"]

Explanation

A nurse is providing presence to a patient and the family. Which nursing action does this involve?

Correct Answer is D

Explanation

A nurse makes a connection with the patient when providing spiritual care. Which type of connectedness did the nurse experience?

The patient is admitted with a diagnosis of chronic anxiety. Which action is most appropriate for the nurse to take when providing holistic care?

The nurse is caring for a patient diagnosed with expressive aphasia from a traumatic brain injury. Which goal will the nurse include in the plan of care?

A nurse is teaching the staff about a nursing theory that views a person, family, or community developing a normal line of defense. Which theory is the nurse describing?

The patient has a colostomy but has not yet been able to look at it. The nurse teaches the patient how to care for the colostomy. The nurse sits with the patient and together they form a plan on how to approach dealing with colostomy care. Which caring process is the nurse performing?

Which sociocultural finding in the history of a patient will alert the nurse to a possible developmental problem?

The nurse is caring for a patient who is having difficulty understanding the written and spoken word. Which type of aphasia will the nurse report to the oncoming shift?

A home care nurse is inspecting a patient’s house for safety issues. Which findings will cause the nurse to address the safety problems? (Select all that apply)