ELIOPOULOS GERONTOLOGICAL
NURSING FINAL PAPER QUESTIONS AND
ACCURATE ANSWERS COMPLETE
PREPARATION KIT
●● 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
Answer: 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."
Answer: 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
Answer: 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
Answer: 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.
NURSING FINAL PAPER QUESTIONS AND
ACCURATE ANSWERS COMPLETE
PREPARATION KIT
●● 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
Answer: 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."
Answer: 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
Answer: 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
Answer: 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.
