Gerontological Nursing The Essential Guide to Clinical Practice, 2nd Edition by Patricia A.
Gerontological Nursing The Essential Guide to Clinical Practice, 2nd Edition by Patricia A.
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Chapter 16- Comfort and Pain Management
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
| 1. | A patient with a diagnosis of lung cancer has recently developed metastases to the bone which is causing severe pain. The nurse would characterize this patient’s pain as being which type? | |
| A) | Chronic | |
| B) | Neuropathic | |
| C) | Somatic nociceptive | |
| D) | Visceral nociceptive | |
| Ans: | C | |
| Feedback: | ||
| Pain that originates from the bones is classified as somatic nociceptive. Chronic pain has been present for 3 months or longer. Neuropathic pain occurs from abnormal processing of sensory stimuli. Visceral pain is another term for referred pain and is deep and aching. | ||
| Origin: Chapter 16- Comfort and Pain Management, 2
Chapter: 16 Client Needs: D1 Cognitive Level: Analysis Difficulty: Easy Integrated Process: Nursing process Objective: 1 Page and Header: 194, Comfort |
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| 2. | The nurse wants to ensure that assigned patients are comfortable. What will the nurse use as a measurement of comfort? | |
| A) | A state of physical, emotional, and spiritual well-being | |
| B) | An absence of reports, signs, or symptoms of physical pain | |
| C) | A transcendent emotional and spiritual state that exists regardless of the presence or absence of pain | |
| D) | A condition of maintaining a patient’s self-report of pain being below a self-reported threshold of 1 out of 10 | |
| Ans: | A | |
| Feedback: | ||
| Comfort is defined as a sense of physical, emotional, social, and spiritual peace and well-being. This may include, but is not limited to, considerations of patient reports of pain. It does not exclude consideration of physical pain. It is debatable if pain is a transcendent emotion and spiritual state. | ||
| Origin: Chapter 16- Comfort and Pain Management, 3
Chapter: 16 Client Needs: D1 Cognitive Level: Application Difficulty: Moderate Integrated Process: Teaching/learning Objective: 2 Page and Header: 196, Pain Perception |
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| 3. | The family of an older patient is concerned because the patient at times complains of pain but at other times does not. The family does not know what to believe. What can the nurse explain to the family about aging and pain perception? | |
| A) | “Older adults become progressively more sensitive to pain.” | |
| B) | “The only pain to be concerned about is pain that lasts longer than 3 months.” | |
| C) | “Older people have been shown to be less sensitive to pain than younger people.” | |
| D) | “It’s actually not clear in the research what happens to people’s perception of pain as they age.” | |
| Ans: | D | |
| Feedback: | ||
| The role of age in pain perception is unclear. Since research is inconclusive concerning the role of aging on pain perception and tolerance, the nurse must assess and understand each patient’s unique pain experience. It is not known if older patients become more sensitive or insensitive to pain. All pain needs to be assessed and addressed and not just pain that lasts longer than 3 months. | ||
| Origin: Chapter 16- Comfort and Pain Management, 4
Chapter: 16 Client Needs: D4 Cognitive Level: Application Difficulty: Moderate Integrated Process: Nursing process Objective: 2 Page and Header: 196, Effects of Unrelieved Pain |
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| 4. | An older patient is experiencing nociceptive pain in the shoulder. For which potential consequences of debilitating pain should the nurse assess in the patient? (Select all that apply.) | |
| A) | Anemia | |
| B) | Dementia | |
| C) | Depression | |
| D) | Decreased oral intake | |
| E) | Immobility resulting in skin breakdown | |
| Ans: | C, D, E | |
| Feedback: | ||
| Unresolved pain can result in malnutrition, depression, or a decrease in mobility that can precipitate skin breakdown. It is not noted to play a direct role in anemia or dementia. | ||
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