A relative complains that an older adult patient takes frequent naps late in the day and awakens frequently during the night and wants to know if this is normal.
The nurse explains that an older adult:.

Choice A rationale:
Endorphins are capable of reducing pain in both physiological and psychological conditions, so this statement is inaccurate.
Choice B rationale:
Endorphins are often described as natural morphine-like compounds, but they are not enzymes. They are neuropeptides produced by the body, which bind to opioid receptors and act as natural painkillers.
Choice D rationale:
Endorphins can reduce pain in response to various stressors, whether they are physiological or psychological. They play a role in the body's response to stress and pain. Therefore, this statement is not accurate.

The correct answer is D. "I will call for pain medication before the previous dose wears off."

Choice A rationale:

This statement indicates a misunderstanding of pain management. Avoiding medication to prevent addiction can lead to uncontrolled pain, which can hinder recovery and increase the risk of complications.

Choice B rationale:

While this statement shows the client is aware of their pain, waiting until it becomes intolerable can result in periods of severe discomfort and potential setbacks in recovery.

Choice C rationale:

Relying on a nurse to evaluate pain before requesting medication can delay pain relief, leading to unnecessary suffering and potential complications.

Choice D rationale:

This statement indicates an understanding of proactive pain management. By requesting medication before the previous dose wears off, the client helps maintain consistent pain control, which is crucial for recovery and preventing pain escalation.