Physiological Adaptation Q 19
What is the priority nursing diagnosis for a patient experiencing a migraine headache?
A. Acute pain related to biologic and chemical factors
B. Anxiety related to change in or threat to health status
C. Hopelessness related to deteriorating physiological condition
D. Risk for Side effects related to medical therapy
Correct Answer: A. Acute pain related to biologic and chemical factors
The priority for interdisciplinary care for the patient experiencing a migraine headache is pain management.
Option B: Anxiety is a correct diagnosis, but it is not the priority. Tension headaches are common for people that struggle with severe anxiety or anxiety disorders. Tension headaches can be described as a heavy head, migraine, head pressure, or feeling like there is a tight band wrapped around their head. These headaches are due to a tightening of the neck and scalp muscles.
Option C: Hopelessness should be addressed as part of the nursing care plan, but it does not require urgency. Hopelessness can result when someone is going through difficult times or unpleasant experiences. A person may feel overwhelmed, trapped, or insecure, or may have a lot of self-doubts due to multiple stresses and losses. He or she might think that challenges are unconquerable or that there are no solutions to the problems and may not be able to mobilize the energy needed to act on his or her own behalf.
Option D: The risk for side effects is accurate, but it is not as urgent as the issue of pain, which is often incapacitating. Focus: Prioritization