A new nurse mentions "I think Mrs. Z. is in pain, but her dementia prevents me from using the tools
I usually use to assess pain. What can I do?" The nurse's mentor should recommend using the
a. Baker-Wong Faces Pain Rating Scale.
b. Visual Analog Scale.
c. McGill Pain Questionnaire.
d. Pain Assessment in Advanced Dementia Scale.
D
This scale is used to evaluate the presence and severity of pain in clients with advanced dementia. It
evaluates breathing, negative vocalizations, body language, and consolability. The other scales are
more useful when clients have the cognitive ability to respond to the scale.
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How often would the nurse plan to wash the hair of a patient from the Black culture?
A. As needed B. After it has been oiled C. Only when dry D. Daily to maintain oiliness
The nurse is working in a busy ICU with a client who was in a motor vehicle accident. The physician in charge asks the nurse to extubate the client because there is no communication between the brain and body of the client due to a cervical fracture
The family agrees with the decision of the physician, but the nurse is uncomfortable pulling the tube. The nurse is experiencing difficulty because of: 1. An ethical decision. 2. Personal values. 3. Cultural values. 4. Legal issues.
A nurse is caring for a client with dementia. What measure should the nurse employ when communicating with the client?
A) Give simple, one-step commands. B) Use questions to assist reasoning. C) Wear a nametag for identification. D) Always verbalize all communications.
Which is a main part of the brain?
a. Skull b. Cerebellum c. Spinal cord d. Eardrum