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    Hesi Rn compass exit B proctored exam

    A client with fibromyalgia asks the nurse to arrange for hospice care to help manage the severe, chronic pain. Which intervention should the nurse provide to address the client's problem?

    Explanation & Rationale

    Rationale: A. Arrange an appointment with a pain specialist: A pain specialist can provide comprehensive strategies for managing chronic pain related to fibromyalgia. This includes pharmacologic and non-pharmacologic options tailored to the client's needs. B. Form an interdisciplinary team for evaluation: While helpful in complex cases, a full team may not be necessary as the first step. It may delay direct pain management support that a pain specialist could initiate more quickly. Interdisciplinary care may follow specialist input. C. Contact a hospice nurse for an evaluation: Hospice care is intended for clients with terminal illnesses and a life expectancy of six months or less. Fibromyalgia is a chronic, non-fatal condition, so this request indicates a need for pain support, not end-of-life care. D. Ask for a consultation with a psychologist: A psychologist can help address emotional responses to chronic pain, but cannot directly manage physical symptoms. This should be a supportive measure after physical pain is addressed by a medical pain expert.

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