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NP1 Nursing Board Exam December 2006 Answer Key'Foundation of Professional Nursing Practice100 Nursing Board Exam test questions of December 2006 Nurse Licensure Examination (NLE)Nursing Practice I Foundation of Professional Nursing PracticeFundamentals of Nursing

PART 1 Board Exam test questions 1 - 50

SET A

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NURSING PRACTICE 1:

Direction:Choose the letter of the BEST answer by shading the corresponding letter of yourchoice on the answer sheet provided. STRICTLY NO ERASURE!

Mr. Martin, 71 years old was suddenly rushed to the hospital because of severe

chest pain. On admission, he was diagnosed to have acute myocardial infarction and was placedin the ICU.

1. While in the ICU, he executes the document tat list the medical treatment he chooses torefuse in case his condition becomes severe to a point that he will be unable to make decisionsfor himself. This document is: C. last will and testament

B. informed consent D. power of attorney

2. After one day, the patients condition worsened and feeling hopeless. He requested the nurseto remove the oxygen. The nurse should:

A. follow the patient because it is his right to die gracefully

B. follow the patient as it is his right to determine the medical regimen he needs

D. refuse the patient since euthanasia is not accepted in the Philippines

3. Euthanasia is an ethical dilemma which confronts nurses in the ICU because:A. the choices involved do not appear to be clearly right or wrong

C. decisions has to be made based on societal norms.

D. decisions has to be mad quickly, often under stressful conditions

4. A nurse who supports a patient and familys need to make decisions that is right for them is

practicing which of the following ethical principles?

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B. confidentiality C. privacy d.

truthfulness

5. Mr. Martin felt better after 5 days but recognizing the severity of his illness, he executes a

document authorizing the wife to transact any form of business in his behalf in addition to alldecisions relative to his confinement his document is referred to as:

C. informed consentB. living will D. medical records

Miss Castro was recently appointed chief nurse of a 50-bed government hospital inValenzuela. On her first day of duty, she tried to remember the elements of administration shelearned from her basic nursing education.

6. One of the first things Ms. Castro did was to engage her until in objective writing, formulatinggoals and philosophy of nursing service. Which activities are MOST appropriately described to

which elements of administration? B. controlling C. directing d.organizing

7. In recognizing the Department of Nursing, she comes up with the organizational structuredefining the role and function of the different nursing positions and line-up the position withqualified people. This is included in which element of administration:

A. monitoring B. evaluation d. planning

8. After one month, she and her management committee assess the regulatory measures takenand correct whatever discrepancies are found. This is part of which element of administration:

A. monitoring B. organizing d. planning

9. Revaluation and administrative process is BEST described as:

B. obtaining commitment of members to do betterC. informing personnel how well and how much improvement has been madeD. follow-up of activities that have been studied

10. In all of the various administrative functions, which of the following management skill isdemanded efficiently and effectively of Ms. Castro?

1. Decision making skills 2. Forecasting skills

3. Auditing skills 4. Communications skills

A. 2 & 3 C. 1 &

2 D. 2 & 4

Meldy. 40 years old. is waiting for her doctors appointment at the clinic whereyou work.

11. You are to interview her as an initial nursing action so that you can.

A. Document important data in her client records for healthteam to read.

C. provide solutions to her immediate health concernD. identify the most appropriate nurse diagnosis for herheath problem

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12. During the interview, Meldy experiences a sharp abdominal pain on the right side of herabdomen. She further tells you that an hour ago, she ate fatty food and this had happened manytimes before. You will record this as:

A. Client complains of intermittent abdominal pain an hour alter eating fatty foodsB. After eating fatty food the client experienced severe abdominal pain

C. Client claims to have sharp abdominal pains after eating fatty food unrelieved by painmedication

13. Meldy tells you that she has been on a high protein / high fat / low carbohydrate diet orderto lose weight and that she has successfully lost 8 lbs during the past two weeks. In planning ahealthy balanced diet for her, you will:

B. Ask her to shift to a macrobiotic diet rich in complex carbohydrates.C. Encourage her to cleanse her body toxins by changing a vegetarian diet with regular

exercise.D. Encourage her to eat a high carbohydrate, low protein diet and low fat diet.

14. You learn that Meldy drinks 5-8 cups o coffee a day plus cola drinks. Because she is in herpre-menopausal years, the nurse instructs her to decrease consumption of coffee and colapreparation because:

B. These products have stimulant effect n the bodyC. these products encourage increase in sugar consumptionD. these products are addicting

15. Health education plan for Meldy stresses prevention of NCD or Non-communicable diseasesthat are influenced by lifestyle. These include the following EXCEPT:

A. Cancer C. Osteoporosis D.Cardiovascular diseases

Changes in technology, the nations economy and the increasing number ofpopulation have brought about changes in the Health Care System.

16. At present, government hospitals are expected to offer comprehensive health services toinclude illness prevention and health promotion. In which of the following unit of services arethese services integrated?

C. Rehabilitation Center

C. Intensive Care unit D. newborn screening unit

17. Which of the following is the MOST recent government initiative to help subsidize the cost ofhealth services for both the employed and the unemployed? C. Medicare Act

B. Workers Compensation Act D. Magna Carta for Public HealthWorkers

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18. The top ten morbidity cases in the Phil. Include TB, diarrhea among children to name a few.

Many of these conditions are preventable and have implications are preventable and haveimplications in the development of which nursing competencies?

A. Execution of nsg. procedure and techniqueB. Therapeutic use of selfC. Administration of treatment and medication

19. The cost of hospitalization is getting more expensive and unaffordable to many of our people.These facts will MOST LIKELY bring about development in which of the following?

A. acute services C. home care services D. advance practice nursing

20. Which of the following latest trend has expanded health services based on prepaid fees withemphasis on health promotion and illness prevention?

A. Government Insurance Plan

B. Preferred Provider Organization D. Private Insurance Plan

It is Safety Awareness Week in the Community and the nurse checks on thepresence of hazards at home. The nurse plan is to have the residents themselves identify the

physical hazards in their own homes.

21. Which of the following is NOT a physical hazard in the home?

A. unstable and slippery stairway

C. obstacle people cam trip over like door mats, rugs, electric cordsD. inadequate lighting in and out of the house

22. Risk factors exist for each of the different developmental levels. From infancy to preschoolage, the most common cause of death is injury rather than disease. To protect children from

harm, that parents should be aware that MOST injuries for this age group are due to:

B. Accidents from self inflicted woundsC. accidents from sports related activities at school or the neighborhoodD. accidents in the Playground Park, school and presence of strangers who may abduct

of molest the child.

23. To promote safety at home, the nurse identifies ways and means of child proofing thehouse. Which of the following is NOT safe?

A. apply child proof caps and medicine bottles and chemicals

B. covering electrical outlets, tying up long and loose electrical and telephone cords,securing cabinets

or doors within reach o the child

D. removing objects that the child could easily dismantle and swallow like small parts ofa mechanical

toy, buttons, materials inside, stuffed animals, liquid chemicals.

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24. The nurse knows that a persons hygienic practices are influenced family customs and

traditions. Which of the following is NOT part of Basic Hygienic Practices?A. bathing practices, frequency and time, care of eyes, ear and noseB. oral hygiene practices such as brushing and flossing teeth, gum care

D. hair and skin such as washing hair and face, feet, hand and nail care

25. Falls are the common home accident among elderly and these are due to physical limitationsimposed by aging and some hazards in the home setting. The nurse reduces the risk of fallingthrough the following EXCEPT:

B. having the bed or mattress close to the floorC. providing a nonskid and well fitted shoes or slippersD. having a call bell within the persons reach and answering call bells immediately

Eileen, 45 years old is admitted to the hospital with a diagnosis of renal calculi.She is experiencing severe flank pain, nauseated and with a temperature of 39 0C.

26. Given the above assessment data, the most immediate goal of the nurse would be which ofthe following?

A. Prevent urinary complicationB. maintains fluid and electrolytes

D. Alleviating nausea

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27. After IVP a renal stone was confirmed, a left nephrectomy was done. Her post operative orderincludes daily urine specimen to be sent to the laboratory . Eileen has a foley catheter attachedto a urinary drainage system. How will you collect the urine specimen?

B. empty a sample urine from the collecting bag into the specimen containerC. disconnect the drainage tube from the indwelling catheter and allow urine to flow

from catheter intothe specimen container.

D. disconnect the drainage the from the collecting bag and allow the urine to flow fromthe catheter into

the specimen container.

28. Where would the nurse tape Eileens indwelling catheter in order to reduce urethral irritation? C. to the patient

B. to the patients lower thigh D. to the patient lower abdomen

29. Which of the following menu is appropriate for one with low sodium diet?A. instant noodles, fresh fruits and ice teaB. ham and cheese sandwich, fresh fruits and vegetables

D. canned soup, potato salad, and diet soda

30. Howe will you prevent ascending infection to Eileen who has an indwelling catheter?

A. see to it that the drainage tubing touches the level of the urineB. change he catheter every eight hours

D. clean catheter may be used since urethral meatus is not a sterile area

Miss Tingson is assigned to Mang Carlos, a 60 year old newly diagnosed diabeticpatient. She is beginning to write objectives of her teaching plan.

31. Which of the following objectives is written in behavioral terms?A. Mang Carlos will know about diabetes related to foot care and the techniques and equipments

necessary to carry it outB. Mang Carlos daughter should learn about DM within the weekC. Mang Carlos wife needs to understand the side effects of insulin

32. Which of the following is the BEST rationale for written objectives?A. ensure communication among staff members

B. facilitate evaluation of the nurses performanceC. ensure learning on the part of the nurse

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33. Which of the following behavior BEST contribute to the learning of Mang Carlos regarding his

disease condition?A. frequent use of technical terms for familiarizationB. drawing him into discussion about diabetesC. detailed lengthy explanation about his condition

34. Miss Tingson should encourage exercise in the management of diabetes, because it:A. decrease total triglyceride levels C. lowers blood glucoseB. improves insulin utilization

35. The chief life-threatening hazard for surgical patient with uncontrolled diabetes is:B. hypertension C. hypoglycemia

D. glucosuria

Caring for the perioperative patient.

36. An appendectomy during a hysterectomy would be classified as:A. Major, emergency, diagnosisB. major, urgent, palliative D. minor, urgent, reconstructive

37. An informed consent is required for: C. irrigation of the external ear canal

B. insertion of intravenous catheter D. urethral catheterization

38. The circulating nurses responsibilities, in contrast to the scrub nurses responsibilities,include:

A. assisting the surgeon C. setting up the sterile tables D. all of the above functions

39. The primary nursing goal in the immediate postoperative period is maintenance of pulmonary

function and prevention of:A. Laryngospasm B. hyperventilation D. pulmonary edema ad embolism

40. Unless contraindicated, any unconscious patient should be positioned:A. flat on his of her back, without elevation of the head, to facilitate frequent turning and minimize

pulmonary complicationsB. in semi-fowlers position, to promote respiratory function and reduce the incidence of orthostatic

hypotension when the patient can eventually stand.

c. in fowlers position, which most closely stimulates a sitting position, thus facilitating reparatory aswell as gastrointestinal functioning.

To prevent further injury to patients with problems of immobility / mobility, thenurse should observe certain principles of body mechanics for herself and her patients.

41. Which of the following are appropriate goals for client with positioning and mobility needs?A. developing of contractures C. sensory alterations

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D. decrease in activity tolerance

42. Which for the following would MOST likely cause injury to the nurse when moving the patient

from bed to the wheelchair?A. bending at the knees C. using body weight to assist with the

movement D. standing with feet apart

43. Which of the following is the CORRECT guideline when positioning patients?A. put pillows above a joint to immobilize itB. position of the joint should be slightly extended

D. patients position should be changed at least three or four times a day

44. Which of the following can be used by clients with problem of immobility to enable them raisetheir body from bed to wheelchair or perform some bed exercises?

A. sandbag B. side-rail C. trochanter roll

45. The importance of forcing fluids with an immobilized patient is to:A. prevent pneumonia C. prevent skin breakdownB D. maintain peristalsis

46. Which of the following is the least nursing activity in performing assessment of the patient? C. Health history

B. physical examination D. systemic review

47. One of the responsibilities of Mr. Lata, RN, an industrial nurse, is to conduct physical head-to-toe assessment of a newly hired factory worker. As part of the assessment, he took the vital

signs. Which of the four assessment techniques did he utilize?1. auscultation 3. palpation2. percussion 4. inspectionA. 1,2 & 3 B. 3 &4 C. 1 & 2

48. Which of the following are the purpose of performing a physical assessment?1. gather baseline data about the clients health2. confirm and identify nursing diagnosis

3. evaluate physiological outcome of care4. make clinical judgment of patients diagnosis

B. 2, 3 & 4 C. 1, 3 & 4 D. 1,2 & 3

49. Which of the following should be given the HIGHEST PRIORITY before physical examination

is done to a patient?A. preparation of the equipment C. preparation of the environmentB. D. physical preparation of the client

50. During the assessment phase of the nursing process, the nurse is concerned with:A. interpreting dataB. designing nursing strategies

C.D. comparing client responses with the anticipated outcome

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NP1 Nursing Board Exam December 2006 Answer Key'Foundation of Professional Nursing Practice

100 Nursing Board Exam test questions of December 2006 Nurse Licensure Examination (NLE)Nursing Practice I Foundation of Professional Nursing PracticeFundamentals of Nursing

PART 2 Board Exam test questions 51 - 100

The nurse is responsible to accurately records and reports patients progress. Sheis able to communicate to the other member of the team by documenting the nursing care planand the appropriate nursing intervention.

51. A main function of the patients records is to:A. prepare the nurse for the shift workedB. serve as a record of financial charges

D. ensure that the message is received

52. When the nurse writes in the chart and discovers an error has been made, which is the BEST

approach?

A. erase the erroneous materialB. carefully ink out the erroneous materialC. place as asterisk next to the statement, then footnote it

53. Which of the following persons cannot have the access to the patient record?A. physical therapist C. the patient

D. speech therapist

54. POMR charting is different from traditional method because of which of the following

practices?1. SOAP charting 3. narrative charting

2. use of flow sheet 4 . use of checklistA. 3 & 4 C. 1 & 3 D. 2 & 3

55. Which of the following qualities are relevant in documenting patients care?1. Accuracy and consciousness2. thoroughness and currentness3. systematic and orderly

4. legibly, properly dated and signed5. use of locally accepted abbreviation

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A. 1,3,4 & 5 B. 2,3,4 & 5 C. 1,2,3 & 5

The practice of primary nurse in primary nursing is preferred by many nursesbecause it supports professional autonomy and accountability of the nurses>

56. What is the function of the primary nurse in primary nursing?

A. acts as patient advocate and coordinate the health care team for specific group ofpatients

B. act as the charge nurse, organizing staff assignments and help in solving problem inthe unit

D. coordinates the care given to a group of patients by support staff

57. Primary nursing is MOST advantageous and satisfying to the patient and nurse because of

which of the following principles?A. autonomy and authority for planning care are best delegated to a nurseB. accountability is clearest since our nurse is responsible for the overall plan and

implementation of care

D. continuity of patients care promotes efficient nursing care.

58. Which is the role of the associate nurse in primary nursing?

A. over-all manager of the unit

C. patient advocate in the health care teamD. coordinator of comprehensive, holistic patient care

59. In primary nursing, the nurse is responsible for which of the following group of patient?

A. the whole ward

C. big group of patients like 10-15 patientsD. the whole unit

60. In primary nursing who among the following is needed to her leadership and quality controlin the ward?

A. the chief nurse C. the nurse supervisorD. the service director

Your nursing unit plans to conduct a study on the use of structured preoperativepreparation in lessening the demand for post-operative pain medications.

61. Which of the following research activities should you initially do?A. find out from interview how many patients are willing to participateB. get the permission from the hospital director

D. prepare the tool for collecting data

62. Which of the following statements do NOT contribute to the researchabilty of your proposedproblem?

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A. potential use of findings C. well-defined problem statement

D. measurability of variables

63. A study /research table should NOT contain which of the following ?

A. categories of data collected C. specific title of tableB. relevant rows and columns

64. Which of the following actions will facilitate analysis of research data?A. consult a physician C. consult a complete expertB. consult an adviser

65. The research methodology that is appropriate for the above problem would be:A. descriptive B. normative

D. quasi experimental

The nurse meets a new client, Mr. Principe, 50 years old. During the initialinterview, the nurse begins to feel irritated towards the client. Shortly after, he becomesuncomfortable and politely leaves the room. The nurse realizes the behavior and mannerism of

Mr. Principe reminds him of his strict disciplinarian father who abused him physically.

66. The recognize that his feeling for the client is known as:

A. denial C. revenge D.transference

67. Seeing that his negative feelings for Mr. Principe could affect his nursing care, the nurseapplies the concept of therapeutic use of self when:

A. the nurse talks about his personal feelings towards the clientB. the nurse suppresses his feelings and continue to take care of the clientC. the nurse uses his awareness and asks to be reassigned to another client

68. Mr. Principe is terminally ill and his family is coping with his impending death. The nurse hasto deal with his own thoughts and personal feelings about death and grieving in order to:

A. avoid sharing personal thought about their impending loss and feeling of grief sincethis is very subjective

B. get self out of the way while he assists the client and his family express their feelingsof impending loss

D. help the family plan for the funeral arrangement and burial services

69. One morning when the nurse enters the clients room. Mr. Principe asks the nurse to leave

me alone and stop bothering me and I dont want your pity. The following response by thenurse would be MOST appropriate?

B. You are probably upset because you dont feel well

C. Why you are angry with me? What did I do anything to upset you?D. I understand and will leave you for a while

70. The nurse understands that the nurse-client relationship is a therapeutic alliance when:

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B. this is an essential part of the nursing process

C. the nurse has to be therapeutic at all timesD. how the nurse thinks and feels affects her actions and behavior towards her client

and her work

Mr. Ong is for admission to the medical unit and you are his nurse.

71. The MOST important initial nursing approach when admitting client is to:A. introduce the client to the ward staff

B. orient the client to the physical set up of the unit

D. take V/S fro baseline assessment

72. When gathering baseline data, the BEST way for you to check if the client has pedal edema isto:

A. talk to the relatives C. do auscultation

B. interview the client

73. You want to know the sleeping pattern of Mr. Ong You will:

B. take his BP before sleeping and upon waking upC. observe his sleeping pattern over a period of timeD. perform physical assessment

74. Mr. Ong has severe pedal edema. Which accessory device would be appropriate for hiscondition?

B. cradle C. bed board D.rolled pillows

75. A student nurse is observed putting a standard size cuff on an obese client. The actionwould probably result in BP reading that is:

B. false low C. normal D.undetectable

Health is wealth specifically in this time of the century. The nurse is trained topromote well being of the people.

76. How does a nurse promote ones well being?A. periodic travels for rest and recreation

C. run away from polluted, stressful areas

D. avoid sleepless, over fatigue nights

77. The nurse can be involved with health promotion as a significant person in helping thefamily:

A. become a better familyB. prevent diseaseC. control their symptoms

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78. The nurse should NOT leave medication at the bedside because:a. the bedside table is not sterileb. it is convenient for the nurse

d. the patient may forget to take it.

79. Non-pharmacologic pain management includes all the following EXCEPT:a. relaxation techniquesb. massage d. body movement

80. When assessing a clients blood pressure, the nurse finds it necessary to recheck the reading.How many seconds after deflating the cuff should the nurse wait before rechecking the pressure?

a. 10 b. 30 c. 45

Safe nursing practice involves an understanding of the law.

81. In the Philippines, this law is :

b. the Philippine Nursing Act of 1991 or R.A. 7164c. IRR or Resolution 425 of 2003

d. Republic Act No. 8981

82. The Philippine Nursing Act delineates the scope of nursing. It specifies that independent

practicing nurse is responsible for:

b. administration of written prescription for treatment and therapiesc. rehabilitative aspect of cared. Collaborating with other healthcare providers for health restoration and alleviation of

suffering

83. Standards of care provide the legal basis for evaluation of nursing practice or malpractice. Itsfunctions include all EXCEPT:

a. used by nurse experts to define what appropriate nursing practice is in a given situationb. used to measure or evaluate nursing conduct to determine if the nurse acted reasonably asany prudent nurse would under similar circumstances

c. used to delineate the scope, function and role of the nurse

84. As a standard in ethics, this represents an understanding and agreement to respect another

persons right to decide a course his or her own destiny: c. Beneficence

b. justice d. nonmalifecence

85. The Code of Ethics refers to standards of behavior or ideals of conduct. The ability to answerfor and stand by ones action refers to:

a c. advocacyb. veracity d. responsibility

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An understanding of the factors influencing the health care delivery system will

enable nurses to adjust to change, create better ways of providing nursing care and develop newnursing roles.

86. Wellness clinics and health education activities have been integrated in government hospitalsto render appropriate services. Which of the following purposes LEAST helps clients in cases of

these health promotion activities?A. maintain maximum functions C. promote health habitsB. reduce the costs of health care

87. With regards to illness prevention activities as part of nursing care, which of the following willhelp clients MOST?

A. maintain maximum function

B. reduce risk factor D. manage stress

88. By experience, which of the following nursing goals are MOST often overlooked by nursesand other members of the hospital team in the care of their clients in the hospital?

A. illness prevention C. diagnosis and treatmentB. D. rehabilitation of patients

89. Which of the following health care agencies is usually family-centered, relatively recent inpopularity and oftentimes focuses on maintenance of comfort and satisfactory lifestyle of clientsin the terminal phase of illness?

A. non-government organization C. community health center D. support group

90. Which of the following is NOT a legally binding document but nonetheless very important inthe care of all patients in any setting?

A. Bill of rights as provided in the Philippine ConstitutionB. Scope of nursing practice as defined in R.A. 9173

D. Board of Nursing resolution adopting the Code of Ethics

One of the professional competencies that nurse must always demonstrate is inthe area of communication:

91. Which communication technique would be MOST effective in eliciting detailed information

from the client? C. active listening

B. verbalizing observations D. summarizing clients views

92. Which of the following terms refer to the senders attitude towards the self, the message and

the listener?A. verbal communicationB. double-bind communication D. meta communication

93. In interacting with patients, the nurses should remember that a clients personal space is:

B. highly mobile depending upon certain situation

C. clearly visible to othersD. the same as that of the nurse

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94. In interpersonal communication is LEAST threatening during what type of relationship?A. social C. personal

B. intimate

95. In demonstrating the method for deep breathing exercises, the nurse places the hands on

the clients abdomen to explain diaphragmatic movement. This technique involves the use ofwhich element of communication?

A. appropriateness C. channelB. feedback

Roy, an adolescent, was diagnosed to have pneumonia. He constantly complainsof chest pain and has a standing order of Morphine SO4.

96. Which of the following MOST appropriately describe pain sensation that has periods ofremission and exacerbation? C. acute

B. intractable D. Psychosomatic

97. Roy is constantly asking to be relieved from pain. Since morphine is an addicting drug, whichof the following is BEST for the patient?

A. administer morphine SO4 PRNB. administer morphine on a routine schedule as ordered

D. divert the attention by not limiting visitors

98. To get accurate information about the quality of pain the patient is experiencing, which of thefollowing statements would be MOST APPROPRIATE?

A. What cause you the pain? C. Have you taken something to

relieve the pain? D. Is it stubbing or radiatingpain?

99. As the nurse assigned to Ray, which of the following can decrease his chest pain?C. teaching him

B. advising him D. encouraging him tobreathe deeply

100. Which of the following is the nurses primary goal in caring for clients with chronic pain?A. change the clients perception of pain

C. change the clients reaction to pain

D. enumerate the source of pain