Gerontologic Nursing 5th Edition by Sue E. Meiner
Gerontologic Nursing 5th Edition by Sue E. Meiner
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Chapter 14: Pain
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
MULTIPLE CHOICE
| a. | generally pain control is less effective than it is for younger adults. |
| b. | this cohort is less pain sensitive than younger adults. |
| c. | older adults are more likely to verbally express pain than younger adults. |
| d. | pain is undertreated in this cohort compared to younger adults. |
ANS: D
Pain is underrecognized, highly prevalent, and undertreated among older adults.
DIF: Remembering (Knowledge) REF: Page 256 OBJ: 14-4
TOP: Nursing Process: Analysis MSC: Physiologic Integrity
| a. | discusses the effects of untreated pain on the patient’s general wellness. |
| b. | offers the patient a prescribed prn analgesic. |
| c. | asks the patient why he is denying the presence of pain. |
| d. | documents the symptoms that the patient is exhibiting. |
ANS: A
Older adult patients actually underreport pain and are therefore at risk for undertreatment of pain, which may cause unnecessary suffering, exacerbation of the underlying disease, and reduction in activities of daily living (ADLs) and quality of life. Without this information the patient is unlikely to take the prn medication. “Why” questions are not therapeutic, as they place people on the defensive. The symptoms should be documented, but this should not be the only action.
DIF: Applying (Application) REF: N/A OBJ: 14-2
TOP: Teaching-Learning MSC: Physiologic Integrity
| a. | narcotic (e.g., fentanyl). |
| b. | opioid (e.g., oxycodone). |
| c. | tricyclic antidepressant (e.g., amitriptyline [Elavil]). |
| d. | nonpharmacologic strategy (e.g., wrist bracing). |
ANS: C
Neuropathic pain results from a pathophysiologic process involving the peripheral or central nervous system. These types of pain respond to unconventional analgesic drugs, such as tricyclic antidepressants. Carpal tunnel syndrome is caused by nerve injury.
DIF: Analyzing (Analysis) REF: N/A OBJ: 14-8
| a. | regular pain assessments. |
| b. | prompt response to reports of pain. |
| c. | pain consults. |
| d. | relaxation techniques. |
ANS: D
Some mind-body therapies include meditation, relaxation, guided imagery, and cognitive behavioral counseling. The other actions are appropriate but not related to mind-body therapies.
DIF: Remembering (Knowledge) REF: Page 266 OBJ: 14-8
TOP: Nursing Process: Implementation MSC: Physiologic Integrity
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