Author Question: A cognitively impaired older adult patient is a resident at a skilled nursing facility. The nurse ... (Read 61 times)

Deast7027 · **on:** Jul 11, 2018

A cognitively impaired older adult patient is a resident at a skilled nursing facility. The nurse acting as the patient's advocate will consistently address the patient's risk for injury issues based on

a. preferences generally expressed by cogni-tive patients.
b. professional nursing knowledge.
c. implementation of the less restrictive in-tervention.
d. established facility policies and proce-dures.

Question 2

When planning care for the older adult experiencing pain, the nurse bases interventions on the realization that

a. generally pain control is less effective than it is for younger adults.
b. this cohort is less pain sensitive than younger adults.
c. older adults are more likely to verbally express pain than younger adults.
d. pain is undertreated in this cohort com-pared to younger adults.

anoriega3 · **Reply #1 on:** Jul 11, 2018

Answer to Question 1

D
If patients are unable to make informed choices and no family members are available, the nurse must use nursing judgment and follow an acceptable standard of care to promote safety and se-curity that are defined and described in official policies and procedure manuals. The preferences of other patients do not indicate this patient's preferences. Professional nursing knowledge can be used but must remain within the policies. Less restrictive interventions are preferable, but again actions need to conform to policy.

Answer to Question 2

D
Pain is underrecognized, highly prevalent, and undertreated among older adults.