You are the charge nurse. A client with chronic pain reports to you that the nurses have not been responding to requests for pain medication. What is your initial action?

Check the medication administration records (MARs) for the past several days.

Ask the nurse educator to provide in-service training about pain management.

Perform a complete pain assessment on the client and take a pain history.

Have a conference with the nurses responsible for the care of this client.

Family members are encouraging your client to "tough out the pain" rather than risk drug addiction to narcotics. The client is stoically abiding. You recognize that the sociocultural dimension of pain is the current priority for the client. Which question will you ask?

"Where is the pain located, and does it radiate to other parts of your body?"

"How would you describe the pain, and how is it affecting you?"

"What do you believe about pain medication and drug addiction?"

"How is the pain affecting your activity level and your ability to function?"

"What information do you need about pain, healing, and addiction?"

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