Exam 4: NUR257/ NUR 257 (New 2023/ 2024 Update) Aging and Chronic Illness in Nursing Exam Review| 100% Correct| Grade A – Galen
Exam 4: NUR257/ NUR 257 (New 2023/ 2024
Update) Aging and Chronic Illness in
Nursing Exam Review| 100% Correct| Grade
A – Galen
QUESTION
special circumstances/cues to consider in elders with cog/comm limita- tions:
elders tend to receive less pain med?
Answer:
no convincing evidence that there’s pe- ripheral transmission of sensation of pain to brain is
altered even with dementia
QUESTION
special circumstances/cues to consider in elders with cog/comm limita- tions:
when no longer able to express pain?
Answer:
comm usually comes through change in
behavior,
(change in ambulation, agitation, aggression, inc confusion or passivity)
QUESTION
special circumstances/cues to consider in elders with cog/comm limita- tions:
caregivers education?
Answer:
educated to be alert for the latter bc person is less disrup- tive & may not be recognized as
change that indicate pain
QUESTION
pain cues in person with comm or cog limitations:
changes in behavior?
Answer:
QUESTION
restless, agitation
2.repetitive movements
3.unusually cautious movements, guarding
QUESTION
pain cues in person with comm or cog limitations: ADLs?
Answer:
QUESTION
sudden resistance to help
2.decreased appetite/sleep
QUESTION
pain cues in person with comm or cog limitations:
vocalizations?
Answer:
QUESTION
groaning, moaning, crying
2.increase/decrease in vocalizations
QUESTION
pain cues in person with comm or cog limitations:
physcial changes?
Answer:
QUESTION
pleading expression, grimacing
2.pallor or flushing, diaphoresis
3.tension (clenching teeth/hands)
4.inc pulse, resp, BP
QUESTION
assessment of pain?
Answer:
O: onset
L: location
D: duration
C: characteristics
A: aggravating factors
R: relieving factors
T: treatment
QUESTION
pain assessment for pt with dementia:
PAINAD: advanced dementia scale?
Answer:
QUESTION
simple short focused, found to demon- strate sensitivity to change in response to intervention or
over time
2.four behaviors rated by observer on scale of 0-2
QUESTION
what are the four behaviors rated by an observer to determine pain in advanced dementia pt?
Answer:
QUESTION
breathing when not speaking,
2.negative vocalizations,
3.facial expressions & body language,
4.can person be comforted
QUESTION
pain assessment for pt with dementia:
PACSLAC: checklist for seniors w/limited ability to communicate?
Answer:
four domains:
1.facial expression,
2.activity, body movement,
3.social, personality, mood,
4.physiological, sleeping, eating, vocal
the CNA in any setting can use this scale to assess pain
QUESTION
meds to be used for acute/chronic pain?
Answer:
QUESTION
analgesics (opioid/non-opioid)
2.adjuvant (antidepressants, anticonvulsants, herbals)
3.NSAIDs must be used cautiously esp in older aduts
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