The nurse uses comfort measures to enhance an older adult's pharmacological pain management. Which of the following would be most helpful for the nurse to use to identify the relationships between the comfort measures, activity, and pharmacotherapy, and the older adult's pain level?

Older adult's self-report

FPSR

Pain medication frequency

Older adult's pain diary

Answer and Explanation

The Correct Answer is D

Choice A reason: Older adult's self-report is a subjective measure of pain that may not reflect the actual intensity or quality of pain. It may also be influenced by factors such as cognitive impairment, mood, or cultural norms.

Choice B reason: FPSR stands for Face, Pain Scale-Revised, which is a tool to assess pain in infants and children who cannot verbalize their pain. It is not suitable for older adults, who may have different facial expressions or reactions to pain.

Choice C reason: Pain medication frequency is an indirect measure of pain that may not capture the effectiveness or side effects of pharmacotherapy. It may also vary depending on the type, dose, and route of administration of pain medication.

Choice D reason: Older adult's pain diary is a comprehensive and reliable measure of pain that can track the changes in pain level, quality, and location over time. It can also record the impact of pain on daily activities, mood, sleep, and quality of life. It can help the nurse to evaluate the outcomes of comfort measures and pharmacotherapy, and to adjust the pain management plan accordingly.

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Correct Answer is B

Explanation

Choice A reason: Empowering older adults to manage chronic illness is a way of promoting self-care and autonomy, but it is not a specific example of leadership in the care of older people.

Choice B reason: Coordinating members of the health care team is a way of demonstrating leadership in the care of older people, as it involves communication, collaboration, and delegation of tasks among different professionals and disciplines.

Choice C reason: Facilitating access to elder care programs is a way of providing resources and support for older people, but it is not a direct example of leadership in the care of older people.

Choice D reason: Assessing older adults effectively is a way of ensuring quality and safety in the care of older people, but it is not a unique example of leadership in the care of older people.

A. Increase in physical activity B. Blood sugar control C. Smoking cessation D. Weight reduction

Correct Answer is ["A","C","D"]

Explanation

Choice A: Increase in physical activity

Physical activity can strengthen the muscles that help control urination. Exercises such as Kegels can specifically target these muscles, leading to improvements in urinary incontinence.

Choice B: Blood sugar control

While blood sugar control is important for overall health and can prevent complications from diabetes, it is not directly associated with improvements in urinary incontinence.

Choice C: Smoking cessation

Smoking can lead to coughing which puts pressure on the bladder and can exacerbate symptoms of urinary incontinence. Therefore, smoking cessation can lead to improvements.

Choice D: Weight reduction

Excess weight can put pressure on the bladder and surrounding muscles. Losing weight can reduce this pressure and improve symptoms of urinary incontinence.

There is no Choice E in this case. Each of these interventions can contribute to overall health and may indirectly affect urinary incontinence, but Choices A, C, and D are the most directly related to improvements in this condition.

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The nurse uses comfort measures to enhance an older adult's pharmacological pain management. Which of the following would be most helpful for the nurse to use to identify the relationships between the comfort measures, activity, and pharmacotherapy, and the older adult's pain level?

Nursing Test Bank

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The gerontological nurse collaborates with the wound care team about an older client who has an ulcer. How is this nurse demonstrating leadership in the care of older people?

Correct Answer is B

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A nurse is conducting education on urinary incontinence at a senior center. The nurse is discussing lifestyle changes that are associated with an improvement in urinary incontinence. The nurse includes which of the following interventions? (Select all that apply.)

Correct Answer is ["A","C","D"]

Explanation

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