An older adult client receiving pain medication for abdominal discomfort reports no relief of pain and continues to describe multiple somatic complaints. Which action by the nurse is appropriate?
A) Assessing the client for depression
B) Obtaining an order for different pain medication
C) Contacting the family to talk to the client
D) Reviewing of the client's lab values
Answer: A
Major clues to depression in the older adult include multiple somatic complaints and reports of persistent chronic pain and some vague pain. Many older people have more physical than emotional complaints. Therefore, further assessment for depression is warranted. The lab values are not indicated in this case, and obtaining different pain medication would not treat potential psychological problems. The family may also be ineffective in determining the client's psychological need.
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