Eliopoulos - Gerontological Nursing 8th Ed - Comfort and Pain Management Questions And Answers
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Eliopoulos - Gerontological Nursing 8th Ed -
Comfort and Pain Management Questions
And Answers
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) Chr...
Eliopoulos - Gerontological Nursing 8th Ed -
Comfort and Pain Management Questions
And Answers
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.
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
, Eliopoulos - Gerontological Nursing 8th Ed -
Comfort and Pain Management Questions
And Answers
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.
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
, Eliopoulos - Gerontological Nursing 8th Ed -
Comfort and Pain Management Questions
And Answers
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 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
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