Practice Question
A nurse is providing care to a client that has been having pain without a clear etiology. Which nursing diagnosis should the nurse write as most appropriate for this client?
Answer Choices:
Correct Answer:
Acute pain related to unknown etiology.
Rationale:
✅When a client reports pain without an identifiable cause, the appropriate nursing diagnosis is "Acute pain related to unknown etiology".
✅This diagnosis reflects the nurse’s recognition of the client’s pain experience while also acknowledging that the source of the pain is not yet determined.
✅ It is based on the client’s subjective report, which is a valid indicator of pain, and complies with NANDA-approved diagnosis language.
✅The term “unknown etiology” is used professionally when the underlying cause cannot be immediately identified but the pain is acute, significant, and requires intervention.
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This question is from RN MSN DE5320 Fundamentals Exam which contains 48 questions.
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Question Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN ATI Fundamentals of Nursing
- Answer Choices: 4