Which information obtained by the nurse about an older adult who ...

[mynx]

Which information obtained by the nurse about an older adult who complains of occasional insomnia indicates a need for patient teaching (select all that apply)?
 
  a. Drinks a cup of coffee every morning with breakfast
  b. Has a snack every evening 1 hour before going to bed
  c. Likes to read or watch television in bed on most evenings
  d. Usually takes a warm bath just before bedtime every night
  e. Occasionally uses diphenhydramine (Benadryl) as a sleep aid

Question 2

Which question asked by the nurse will give the most information about the patient's metastatic bone cancer pain?
 
  a. How long have you had this pain?
  b. How would you describe your pain?
  c. How much medication do you take for the pain?
  d. How many times a day do you take medication for the pain?

[pikon]

Answer to Question 1

ANS: C, E
Reading and watching television in bed may contribute to insomnia. Older adults should avoid the use of medications that have anticholinergic effects, such as diphenhydramine. Having a snack 1 hour before bedtime and/or coffee early in the day should not affect sleep quality. Rituals such as a warm bath before bedtime can enhance sleep quality.

Answer to Question 2

ANS: B
Because pain is a multidimensional experience, asking a question that addresses the patient's experience with the pain will elicit more information than the more specific information asked in the other three responses. All of these questions are appropriate, but the response beginning How would you describe your pain? is the best initial question.