Older Adults Exam 2 Questions with correct answers
1- the nurse wants to ensure that assigned patients are comfortable. what will the nurse use as a
measure 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
2 AC is an 82 year old caucasian married male with advanced dementia, FAST stage 6B prior to
hospitalization for CV, with resultant flaccidity, now FAST 7e. when you see him, he presents with a
furrowed brow, grimace, and is moaning, moving his left hand across the tray table. you recognize he is
at risk for underrated pain due to:
a. the impact of aging on pain perception and tolerance
b. minimal prevalence of pain in older adults
c. the change in the patient's ability to communicate as a result of the stroke
d. the belief that pain is a normal part of being old
e. c and
4 which approach should the nurse use when considering pain management of an older adult patient
with an acute somatic or visceral pain?
a. try non-opioids and adjuvant drugs before providing opioid analgesia
b. implement opioids if complementary therapies have proven ineffective
c. begin with a moderate dose of opioid analgesia and taper down to the lowest effective dose
d. restrict analgesia options to NSAIDs and adjuvant medications due to the risk of unwanted effects
4 an older patient with type 2 diabetes mellitus is complaining of burning feet. the nurse determines
that the patient is most likely experiencing which type of pain?
, a. somatic
b. nociceptive
c. visceral
d. neuropathic
a - Correct Answer - an older patient with a diagnosis of osteoarthritis complains of stiffness in the
joints, tenderness, and pain. which type of pain is this patient most likely experiencing?
a. somatic
b. visceral
c. neuropathic
d. phantom
d - Correct Answer - insomnia can be defined by each of the following except:
a. difficulty falling asleep
b. difficulty staying asleep
c. premature waking
d. use of sleep aids to initiate sleep
a - Correct Answer - true or false: quantity and quality of sleep can determine an older adult's health
and well-being.
a. true
b. false
b - Correct Answer - which of the following medications should be used cautiously as a sleep aid with an
older adult related to the high risk of anticholinergic side effects?
a. alprazolam (xanax)
b. diphenhydramine (benadryl)
c. furosemide (lasix)
d. gabapentin (neurontin)
b - Correct Answer - a nurse is providing care for an 81 year old Hispanic woman in the context of the
geriatric unit of a hospital. which of the following phenomena should the nurse anticipate?
1- the nurse wants to ensure that assigned patients are comfortable. what will the nurse use as a
measure 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
2 AC is an 82 year old caucasian married male with advanced dementia, FAST stage 6B prior to
hospitalization for CV, with resultant flaccidity, now FAST 7e. when you see him, he presents with a
furrowed brow, grimace, and is moaning, moving his left hand across the tray table. you recognize he is
at risk for underrated pain due to:
a. the impact of aging on pain perception and tolerance
b. minimal prevalence of pain in older adults
c. the change in the patient's ability to communicate as a result of the stroke
d. the belief that pain is a normal part of being old
e. c and
4 which approach should the nurse use when considering pain management of an older adult patient
with an acute somatic or visceral pain?
a. try non-opioids and adjuvant drugs before providing opioid analgesia
b. implement opioids if complementary therapies have proven ineffective
c. begin with a moderate dose of opioid analgesia and taper down to the lowest effective dose
d. restrict analgesia options to NSAIDs and adjuvant medications due to the risk of unwanted effects
4 an older patient with type 2 diabetes mellitus is complaining of burning feet. the nurse determines
that the patient is most likely experiencing which type of pain?
, a. somatic
b. nociceptive
c. visceral
d. neuropathic
a - Correct Answer - an older patient with a diagnosis of osteoarthritis complains of stiffness in the
joints, tenderness, and pain. which type of pain is this patient most likely experiencing?
a. somatic
b. visceral
c. neuropathic
d. phantom
d - Correct Answer - insomnia can be defined by each of the following except:
a. difficulty falling asleep
b. difficulty staying asleep
c. premature waking
d. use of sleep aids to initiate sleep
a - Correct Answer - true or false: quantity and quality of sleep can determine an older adult's health
and well-being.
a. true
b. false
b - Correct Answer - which of the following medications should be used cautiously as a sleep aid with an
older adult related to the high risk of anticholinergic side effects?
a. alprazolam (xanax)
b. diphenhydramine (benadryl)
c. furosemide (lasix)
d. gabapentin (neurontin)
b - Correct Answer - a nurse is providing care for an 81 year old Hispanic woman in the context of the
geriatric unit of a hospital. which of the following phenomena should the nurse anticipate?
