A 75-year-old client is admitted for treatment of abdominal pain. Despite the administration of prescribed pain medication, the client reports no relief of pain and continues to describe multiple somatic complaints
The nurse identifies the need for which of the following? 1. Further assessment and treatment for depression
2. Review of the client's lab values
3. Obtaining an order for different pain medication
4. Contacting the family to talk to the patient
1. Further assessment and treatment for depression
Rationale:
A major clue to depression in the older person includes multiple somatic complaints and reports of persistent chronic 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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