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Eliopoulos - Gerontological Nursing 8th Ed - Comfort and Pain Management Exam Questions and Answers
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Eliopoulos - Gerontological Nursing 8th Ed - Comfort and Pain Management Exam
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Eliopoulos - Gerontological Nursing 8thEd - Comfort and Pain Management
Exam
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 - Answers -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.
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 - Answers -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.
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." - Answers -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.
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 - Answers -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.
5. A patient who is cognitively impaired is demonstrating signs of being in pain. How
should the nurse assess this patient's pain level?
A) Ask the patient to numerically rate the pain
B) Observe the patient often over the next several hours
C) Provide the patient with a visual analog scale to gauge pain
D) Go through the McGill Pain Questionnaire with the patient - Answers -Ans: C
Feedback:
Given the patient's cognitive impairment, the McGill Questionnaire and numeric rating
are likely to be less accurate than a visual analog scale. Simple observation would need
to be supplemented with an attempt at active assessment.
6. The nurse is caring for an older patient with a fractured hip. Which pain control goal
would be the most realistic for the patient?
A) The patient will experience relief from pain.
B) The patient will state that being in a state of comfort.
C) Scheduled and breakthrough analgesia will be administered as needed.
D) The patient's self-report of pain will remain below 5 out of 10 while hospitalized. -
Answers -Ans: D
Feedback:
The goal that the patient's self-report of pain will remain below 5 out of 10 while
hospitalized is realistic, specific, and achievable. The patient experiencing relief from
pain is not specific. The goal that the patient will state being in a state of comfort is
neither realistic nor measurable. Providing analgesia is a nursing goal.
7. A patient experiencing chronic pain asks the nurse if there is "anything else" that can
be done to help with the pain. Which response should the nurse make to address
complementary therapies with the patient?
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