A patient tells the nurse that he has had deep, burning muscle pain for most of his adult life. What does this information tell the nurse about how the patient's pain is being transmitted in the body?
1. C fibers
2. A-delta fibers
3. endorphins
4. dynorphins
Question 2The nurse is using the neuromatrix theory when determining a patient's pain. What should the nurse consider when assessing a patient's pain?
1. cultural and genetic factors
2. specificity
3. pattern
4. previous sensitization
Question 3The nurse is assessing a patient's response to pain. Why should the nurse do this for every patient situation?
1. Everyone has a unique tolerance to pain.
2. Everyone has the same pain threshold.
3. Everyone perceives painful stimuli at the same intensity.
4. Most people have the same the pain response to surgery.
Question 4At the conclusion of a health history and physical assessment, the nurse determines that a patient might benefit from genetic testing. What did the nurse assess to come to this conclusion?
Select all that apply.
1. Infertility
2. Seizure disorder
3. Menopause at age 32
4. Neighbor committed suicide
5. Cousin addicted to heroin
Question 5The nurse is concerned that a patient pregnant with a fetus with a genetic disorder is experiencing moral and ethical problems. What should the nurse offer to support the patient at this time?
Select all that apply.
1. The patient's use of coping mechanisms
2. Actions to take to reduce stress and anxiety
3. Reasons for terminating the pregnancy at this time
4. Assistance with thinking through the process to increase optimism
5. Ask if the patient has any particular spiritual advisor that can be contacted
Question 6The nurse manager determines that a new staff nurse is capable of caring for patients with genetic disorders. What information did the manager use to make this decision?
Select all that apply.
1. The nurse evaluates care provided to patients.
2. The nurse identifies patients' needs for referrals.
3. The nurse advocates for pregnancy terminations.
4. The nurse performs physical assessments accurately and thoroughly
5. The nurse consistently completes a genetic-focused family history with patients.