A nurse is assessing a client with chronic back pain and asking specific questions to obtain a focus assessment. Which of the following are features of focus assessment?

adds depth More test answers on https://studyhippo.com/nur-192-chapter-11/

A patient with chronic back pain has learned to control the pain with the use of imagery and hypnosis. The patient’s spouse asks the nurse how these techniques work. Which response by the nurse is best? a. “The strategies work by affecting the perception of pain.” b. “These techniques block the pain pathways of the nerves.” c. “Both strategies prevent transmission of painful stimuli to the brain.” d. “The therapies slow the release of chemicals in the spinal cord that cause pain.”

ANS: A Cognitive therapies affect the perception of pain by the brain rather than affecting efferent or afferent pathways or influencing the release of chemical transmitters in the dorsal horn. More test answers on https://studyhippo.com/chapter-9-pain-questions/

1. When planning patient education, it is important to remember that patients with which of the following illnesses often find relief in complementary therapies? 1. Lupus and diabetes 2. Ulcers and hepatitis 3. Heart disease and pancreatitis 4. Chronic back pain and arthritis

4 More test answers on https://studyhippo.com/potter-perry-chapter-33-complementary-and-alt-therapy-quiz/

8. A patient whose work involves loading and unloading boxes has a history of chronic back pain. Which statement after the nurse has taught the patient about correct body mechanics indicates that the teaching has been effective? a. “I plan to start doing sit-ups and leg lifts to strengthen the muscles of my back.” b. “I will try to sleep with my hips and knees extended to prevent back strain.” c. “I can tell my boss that I need to change to a job where I can work at a desk.” d. “I will keep my back straight when I need to lift anything higher than my waist.”

Answer: A Rationale: Sit-ups and leg lifts will help to strengthen the muscles that support the back. Flexion of the hips and knees places less strain on the back. Modifications in the way the patient lifts boxes are needed, but sitting for prolonged periods can aggravate back pain. The patient should not lift above the level of the elbows. Cognitive Level: Application Text Reference: p. 1677 Nursing Process: Evaluation NCLEX: Health Promotion and Maintenance More test answers on https://studyhippo.com/musculoskeletal-nclex-practice-questions/

Andy suffered from chronic back pain. After weeks of unsuccessful treatment, Andy’s doctor gave him some pill samples, describing them as a new experimental medication for back pain. In reality, the pills were just sugar pills and contained no medication at all. After a few days, Andy’s backache was much better. Andy’s response to the sugar pills is an example of:

the placebo effect. More test answers on https://studyhippo.com/chapter-13-quiz/

1. A researcher is investigating the effectiveness of acupuncture treatment for chronic back pain. A sample of n = 4 participants is obtained from a pain clinic. Each individual ranks the current level of pain and then begins a 6-week program of acupuncture treatment. At the end of the program, the pain level is rated again and the researcher records the amount of difference between the two ratings. For this sample, pain level decreased by an average of M = 4.5 points with SS = 27. a. Are the data sufficient to conclude that acupuncture has a significant effect on back pain? Use a two-tailed test with a = .05. b. Can you conclude that acupuncture significantly reduces back pain? Use a one-tailed test with a = .05.

1. a. For these data, the sample variance is 9, the standard error is 1.50, and t = 3.00. With df = 3, the critical values are t = ±3.182. Fail to reject the null hypothesis. b. For a one-tailed test, the critical value is t = 2.353. Reject the null hypothesis and conclude that acupuncture treatment significantly reduces pain More test answers on https://studyhippo.com/psy-201-ch-11-repeated-measures/

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Chronic Back Pain Flashcards, test questions and answers

Discover flashcards, test exam answers, and assignments to help you learn more about Chronic Back Pain and other subjects. Don’t miss the chance to use them for more effective college education. Use our database of questions and answers on Chronic Back Pain and get quick solutions for your test.

What is Chronic Back Pain?

Chronic back pain is a condition that affects millions of people around the world. It can have an immense effect on one’s quality of life, and in some cases, it can be incredibly debilitating. The causes for chronic back pain vary from person to person but can include long-term issues such as degenerative disc disease or spinal arthritis. Other causes may include injury, muscle spasms, and poor posture. The symptoms of chronic back pain are varied and often depend on the cause of the condition itself. Pain may range from a dull ache to sharp stabbing sensations that can be felt either all over the lower back or in localized areas such as the buttocks or hips. In addition to pain, patients may experience other symptoms including muscle spasms, stiffness, tingling sensations, weakness in the legs or hips, difficulty standing upright for long periods of time and even numbness in certain areas. While there is no single cure for chronic back pain relief typically involves a combination of treatments such as physical therapy exercises and stretches; medications; heat/cold therapies; lifestyle changes; psychological counseling; acupuncture; massage therapy; chiropractic care and more recently stem cell therapies have been used with promising results. In addition to these treatments there are also several self-care strategies that patients can use at home such as getting adequate rest and sleep while avoiding activities that could exacerbate existing pain like bending lifting heavy objects or sitting too long without proper support from a chair or cushion. Overall managing chronic back pain requires a multi-faceted approach so it’s important for people suffering from this condition to speak with their doctor about which treatment plan is best suited for their needs. With appropriate treatment plans most individuals will find some form of relief from their suffering allowing them to live life more comfortably with less disruption caused by this often debilitating condition.