A nurse is assessing an older adult client who reports pain. Which of the following should the nurse recognize about the client's perception of pain?
Intensity of pain levels decrease as people age.
The client is less likely to respond to analgesics.
Pain is an expected finding for an older adult.
The client may under-report their pain intensity.
The Correct Answer is D
A. "Intensity of pain levels decrease as people age."
Pain perception does not necessarily decrease with age. Older adults experience pain similarly to younger individuals, but they may express it differently.
B. "The client is less likely to respond to analgesics." Older adults respond to analgesics, but they may be more sensitive to certain medications due to age-related physiological changes. Appropriate dosing and monitoring are essential.
C. "Pain is an expected finding for an older adult." Pain is not a normal part of aging. While some chronic conditions associated with aging can cause pain, it should always be assessed and treated appropriately.
D. "The client may under-report their pain intensity."
Older adults may under-report pain due to factors such as fear of being a burden, belief that pain is a normal part of aging, or concerns about medication side effects. Nurses should use appropriate pain assessment tools to evaluate and address their pain effectively.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. "Submitting an incident report to risk management following a client fall." While this is important for safety and quality improvement, it is not a direct act of client advocacy.
B. "Documenting the effectiveness of pain medication in the client's health record." This is a critical part of nursing documentation but does not actively advocate for the client.
C. "Asking another nurse to check a medication calculation for a client." This promotes medication safety, but it is not an example of client advocacy.
D. "Informing the family of a deceased client of the client's wish to be an organ donor." Advocacy means ensuring the client’s wishes are honored, especially in sensitive situations like organ donation.
Correct Answer is C
Explanation
A. "The food is not great, but it is nice not having to do all of my own cooking." This statement shows acceptance by acknowledging both the challenges and benefits of the transition.
B. "When I go out, I've been using public transportation since I can't drive anymore." This reflects adaptation to the changes by finding alternative transportation.
C. "I don't want to go to the activity room because none of the other residents can hear." This suggests social withdrawal and frustration, which may indicate difficulty accepting the transition to assisted living.
D. "The staff sometimes have to remind me to use a cane when I walk in the hall." This shows acceptance of help from staff, which suggests an adjustment to the new environment rather than resistance.
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