The gerontologic nurse wants to begin assessing concerns related ...

[genevieve1028]

The gerontologic nurse wants to begin assessing concerns related to sexuality among the population of patients seen in the clinic. What action by the nurse is best?
 
  a. Give the patients questionnaires to fill out.
  b. Get permission to discuss sexuality with them.
  c. Tell the patients you are now assessing sexuality.
  d. Ask the patients if they have concerns about sex.

Question 2

The nurse caring for an older adult patient experiencing carpal tunnel syndrome anticipates the patient will best achieve pain control when prescribed a(n)
 
  a. narcotic (e.g., fentanyl).
  b. opioid (e.g., oxycodone).
  c. tricyclic antidepressant (e.g., amitriptyline Elavil).
  d. nonpharmacologic strategy (e.g., wrist bracing).

[braelync]

Answer to Question 1

B
Many of today's older population grew up when sexuality was not openly discussed, so they may feel uncomfortable with this topic. The nurse should bring up the subject and ask their permission to discuss this aspect of their lives. The other options are not as likely to start an open-ended conversation.

Answer to Question 2

C
Neuropathic pain results from a pathophysiologic process involving the peripheral or central nervous system. These types of pain respond to unconventional analgesic drugs, such as tricyclic antidepressants. Carpal tunnel syndrome is caused by nerve injury.