Exam 4: NUR257/ NUR 257 (New 2023/ 2024
Update) Aging and Chronic Illness in
Nursing Exam Review| 100% Correct| Grade
A - Galen
QUESTION
... [Show More] special circumstances/cues to consider in elders with cog/comm limita- tions:
elders tend to receive less pain med?
Answer:
no convincing evidence that there's pe- ripheral transmission of sensation of pain to brain is
altered even with dementia
QUESTION
special circumstances/cues to consider in elders with cog/comm limita- tions:
when no longer able to express pain?
Answer:
comm usually comes through change in
behavior,
(change in ambulation, agitation, aggression, inc confusion or passivity)
QUESTION
special circumstances/cues to consider in elders with cog/comm limita- tions:
caregivers education?
Answer:
educated to be alert for the latter bc person is less disrup- tive & may not be recognized as
change that indicate pain
QUESTION
pain cues in person with comm or cog limitations:
changes in behavior?
Answer:
QUESTION
restless, agitation
2.repetitive movements
3.unusually cautious movements, guarding
QUESTION
pain cues in person with comm or cog limitations: ADLs?
Answer:
QUESTION
sudden resistance to help
2.decreased appetite/sleep
QUESTION
pain cues in person with comm or cog limitations:
vocalizations?
Answer:
QUESTION
groaning, moaning, crying
2.increase/decrease in vocalizations
QUESTION
pain cues in person with comm or cog limitations:
physcial changes?
Answer:
QUESTION
pleading expression, grimacing
2.pallor or flushing, diaphoresis
3.tension (clenching teeth/hands)
4.inc pulse, resp, BP
QUESTION
assessment of pain?
Answer:
O: onset
L: location
D: duration
C: characteristics
A: aggravating factors
R: relieving factors
T: treatment
QUESTION
pain assessment for pt with dementia:
PAINAD: advanced dementia scale?
Answer:
QUESTION
simple short focused, found to demon- strate sensitivity to change in response to intervention or
over time
2.four behaviors rated by observer on scale of 0-2
QUESTION
what are the four behaviors rated by an observer to determine pain in advanced dementia pt?
Answer:
QUESTION
breathing when not speaking,
2.negative vocalizations,
3.facial expressions & body language,
4.can person be comforted
QUESTION
pain assessment for pt with dementia:
PACSLAC: checklist for seniors w/limited ability to communicate? [Show Less]