RN Nursing · Complementary and Alternative Therapies · Practice question
A nurse consults with a nurse practitioner trained to perform acupressure to teach the method to a client being discharged. What process is involved in this pain?
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A patient controlled analgesia
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biofeedback
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✓
cutaneous stimulation
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percutaneous electrical nerve stimulation
Answer & explanation
Correct: cutaneous stimulation
Acupressure involves applying physical pressure to specific points on the body to relieve pain, and this falls under the category of cutaneous stimulation — a pain management technique that works by stimulating the skin and underlying tissues to interrupt or modify pain transmission through the gate-control theory. Cutaneous stimulation encompasses methods such as massage, acupressure, acupuncture, heat, cold, and transcutaneous electrical nerve stimulation (TENS). These approaches activate large-diameter nerve fibers that effectively 'close the gate' on smaller pain-transmitting fibers, reducing the perception of pain. Patient-controlled analgesia involves the client self-administering opioid analgesics via a programmed pump, which is pharmacological rather than complementary. Biofeedback is a technique in which clients learn to consciously control physiological processes like heart rate or muscle tension using electronic monitoring — it does not involve physical pressure on the body. Percutaneous electrical nerve stimulation involves inserting needles through the skin to deliver electrical current to deeper tissues, which is an invasive procedure distinct from acupressure. Because acupressure uses tactile pressure applied directly to the skin surface, it is most accurately classified as a form of cutaneous stimulation, making that option the correct answer.
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