When performing a pain assessment on a client who is aphasic, the nurse should consider:
a. reports from the family or staff at the nursing home about changes in functional status.
b. that the patient is lying quietly in bed so she is not likely to be experiencing pain.
c. that the patient's previous stroke inter-rupted pain pathways so she does not feel pain.
d. that older adults do not tolerate opioid analgesics well and may exhibit side ef-fects.
ANS: A
When an individual is not able to verbally communicate complaints of pain, reports from family or caregivers are important. In addition, in older adults, pain is often manifested as changes in functional status. To assume that the patient is not in pain because she is lying quietly in bed is incorrect. One should not assume that she feels no pain due to her stroke. Older adults tolerate opioid analgesics.
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