The nurse is reviewing concepts of cultural aspects of pain. Which statement is true regarding pain?
A patient's expression of pain is largely dependent on the amount of tissue injury associated with the pain.
All patients will behave in the same way when in pain.
Just as patients vary in their perceptions of pain, so will they vary in their expressions of pain.
Cultural norms have very little to do with pain tolerance because pain tolerance is always biologically determined.
The Correct Answer is C
A. This is incorrect, as a patient’s expression of pain can vary significantly based on cultural, emotional, and psychological factors, not just the severity of the injury.
B. This is false. Pain expression is highly individualized and influenced by cultural and personal factors.
C. This is correct. Different cultures and individuals have varied ways of expressing pain, which can affect their pain management.
D. This is not accurate. Cultural norms play a significant role in how individuals tolerate and express pain.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","F"]
Explanation
A. Skin turgor refers to the elasticity of the skin, which can be affected by various conditions, including malignancy. The nurse should assess for any skin changes near the lump to identify any unusual signs.
B. The nurse should document the precise location of the mass, noting whether it is near the nipple or in another quadrant of the breast. This will help with future imaging and assessment.
C. While the history is important, it does not fall under objective findings that the nurse would document during the physical exam.
D. This is part of the patient’s history, not a direct observation during the physical exam, so it is not included in the documentation of objective findings of the breast mass.
E. Orientation refers to the patient’s mental status and does not relate to the characteristics of the breast mass.
F. The nurse should note the consistency of the mass (e.g., hard, firm, or soft). A firm, non-tender mass is often concerning for malignancy and should be documented.
Correct Answer is B
Explanation
A. This tests cranial nerve VIII (vestibulocochlear), not cranial nerve XI.
B. Moves the head and shoulders against resistance with equal strength. Cranial nerve XI (accessory nerve) innervates the sternocleidomastoid and trapezius muscles. The expected response would be equal strength when the patient moves their head and shoulders against resistance.
C. Follows an object with his or her eyes without nystagmus or strabismus. This describes the function of cranial nerve II (optic) or cranial nerve III (oculomotor), not cranial nerve XI.
D. Sticks out the tongue midline without tremors or deviation. This tests cranial nerve XII (hypoglossal), not cranial nerve XI.
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