When assessing an older adult client for pain, the nurse should recognize which of these statements as TRUE?
a. Older clients often do not report pain for fear of being considered "complainers."
b. Older clients request pain medication more frequently to prevent complications.
c. Older clients believe that taking pain medication will hasten death.
d. Older clients have little experience with the increased efficacy of current pain medications.
A
If the nurse perceives a discrepancy between objective and subjective data, she or he should address the discrepancy with the client. Often older adults do not report pain for fear of being considered "complainers."
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The following clients are seen in the emergency department. The psychiatric unit has one bed. The
advanced practice nurse acting as admitting officer should recommend for admission to the hospital the client who a. is experiencing dry mouth and tremor related to haloperidol and wants his dose of haloperidol reduced. b. is experiencing anxiety and a saddened mood after separation from her husband of 10 years. c. argued with her boyfriend and inflicted a superficial cut on her forearm with a knife. d. is a single parent and hears voices telling her to smother her infant son.
Identify the situation that constitutes a breach of privacy according to the Health Insurance Portability and Accountability Act (HIPA
A) standards. A) Copies of client diagnostic test results are shredded before being discarded. B) The client's chart is stored in the secured office of the radiology office while a client is in the department having a diagnostic examination done. C) A physician who is not a caregiver of a client is restricted from access to the client's chart. D) A nurse discusses a client's condition with a relative without the client's permission.
A 10-year-old child, without a history of previous seizures, experiences a tonic-clonic seizure at school. Breathing is not impaired, but some postictal confusion occurs. The most appropriate initial action by the school nurse is to:
a. stay with child and have someone call emergency medical service (EMS). b. notify parent and regular practitioner. c. notify parent that child should go home. d. stay with child, offering calm reassurance.
The patient is about to undergo a certain procedure and has voiced concern about outcomes and prognosis. The nurse caring for the patient underwent a similar procedure and stops to listen. Which response by the nurse may be most beneficial?
a. "I had a similar procedure and I can tell you what I went through." b. "I think you'll be all right, but, of course, there are no sure guarantees." c. "I don't think you have anything to worry about. They do lots of these." d. "I can call the doctor and cancel the procedure, if you are really concerned."