Mr. O is a patient on an acute medical unit of a hospital who is receiving treatment for a chronic pressure ulcer on his coccyx that has necessitated a temporary colostomy.
The accompanying disturbance in his body image and activities of daily living has caused Mr. O to become depressed. During a visit by his daughter and son-in-law, the nurse brings Mr. O his scheduled medications, to which Mr. O states, why not bring them all at once so I can end this mess.. The daughter dismisses her father's statement as simply an expression of his pessimistic demeanor. Which of the following statements most accurately underlies the response that the nurse will choose? A) Older people attempt suicide frequently but rarely succeed.
B) While older adults do sometimes commit suicide, the problem is mostly an issue of younger adults.
C) The patient's statement requires appropriate follow-up and should be taken seriously.
D) Suicidal ideation in older adults is often a consequence of polypharmacy.
Question 2
A patient with a history of chronic pain has responded favorably to a new pain control regimen that exemplifies the principles of balanced analgesia.
If the nurse were administering the patient's scheduled 08:00 medications, which of the following best demonstrates balanced analgesia?
A) 650 mg acetaminophen PO and 1 mg lorazepam SL
B) 4 mg morphine PO and 1 mg morphine IV
C) 2 mg hydromorphone PO and 600 mg ibuprofen PO
D) 10 mg morphine extended-release PO and 2 mg morphine immediate-release PO
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