A home care nurse is planning to use nonpharmacological pain relief measures for an older adult who has severe chronic back pain. Which of the following guidelines should the nurse use?

Discontinue opioids before trying nonpharmacological methods of pain relief.

Pain relief from the use of heat and cold continues for several hours after removal of the stimulus

Use imagery with clients who have difficulty with focus and concentration

Distraction changes the client’s perception of pain, but does not affect the cause