The nurse practitioner provides education about treatments to a 48-year-old woman with a diagnosis of chronic low back pain. Which of the following is NOT considered a first-line treatment for chronic low back pain?
Exercise therapy
Cognitive behavioral therapy
Spinal manipulation
Advice to remain active
The Correct Answer is C
Choice A reason: Exercise therapy is widely considered a first-line treatment for chronic low back pain. It helps improve flexibility, strength, and endurance of the muscles supporting the spine, reduces pain, and improves function. Both aerobic and strengthening exercises are recommended as part of a comprehensive management plan.
Choice B reason: Cognitive behavioral therapy (CBT) is considered a first-line treatment for chronic low back pain because it addresses the psychological component of chronic pain. CBT helps patients develop coping strategies, modify maladaptive thoughts related to pain, and improve overall functioning and quality of life.
Choice C reason: Spinal manipulation is not considered a first-line treatment for chronic low back pain. While it may provide temporary relief for some patients, it is typically used as a complementary or second-line therapy rather than a primary approach due to limited evidence of long-term benefit and potential risks if performed improperly.
Choice D reason: Advice to remain active is a cornerstone of first-line treatment for chronic low back pain. Remaining active prevents deconditioning, reduces fear-avoidance behaviors, and promotes faster recovery compared to prolonged rest.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: The nucleus accumbens is involved in reward processing and motivation, not higher-order executive function.
Choice B reason: The dorsolateral prefrontal cortex is critical for executive functions including planning, working memory, cognitive flexibility, and inhibitory control. Damage or dysfunction in this area manifests as difficulty organizing tasks, problem-solving, and regulating behavior.
Choice C reason: The ventrolateral prefrontal cortex contributes to inhibitory control and response selection but is less central to overall executive planning and working memory.
Choice D reason: The amygdala primarily processes emotional responses and fear learning, not executive function.
Correct Answer is D
Explanation
Choice A reason: Gabapentin is used for neuropathic pain but is not considered first-line therapy for mild-to-moderate carpal tunnel syndrome, particularly in pregnancy.
Choice B reason: Anti-inflammatories, such as NSAIDs, may relieve symptoms but are generally avoided in pregnancy due to potential fetal risks and are not considered first-line for mechanical compression neuropathies.
Choice C reason: Corticosteroids can reduce inflammation but are not typically the initial treatment due to potential systemic effects, especially in pregnancy.
Choice D reason: Splinting of the wrist, particularly a neutral-position splint, is considered the first-line treatment for carpal tunnel syndrome during pregnancy. It helps reduce compression on the median nerve and relieve nocturnal symptoms safely.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.