A nurse plans care for an older adult with advanced dementia. ...

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A nurse plans care for an older adult with advanced dementia. Which of the following plans is most appropriate regarding the pain treatment plan?
 
  A) Monitor assessment findings including vital signs for indications of pain.
  B) Treat pain that is implied by contractures and diagnoses of arthritis.
  C) Understand that persons with dementia do not experience pain.
  D) When the client begins wandering treat the client for pain.

Question 2

A nurse who provides care in a large, inner-city hospital comes into contact with older adults from a wide variety of cultural groups. How is culture most likely to influence the assessment and management of pain?
 
  A) Cultural differences affect the intensity of pain.
  B) Culture can dictate the appropriate expression of pain.
  C) Culture should determine the choice of analgesia when treating pain.
  D) Culture is unrelated to pain because pain is a physiological, rather than psychosocial, phenomenon.

[kkenney]

Answer to Question 1

Ans: B
Dementia does not directly affect one's experience of pain but it does alter the ability to express pain, as well as other needs. Disruptive behaviors that do not involve locomotion were more strongly correlated with pain in comparison to behaviors (e.g., wandering) that involved locomotion. Compare current assessment findings with the person's baseline function, but recognize that the person's usual level of functioning may be affected by undiagnosed and undertreated pain. Assess for indicators of underlying causes of pain, such as chronic conditions, and treat this potential pain.

Answer to Question 2

Ans: B
The most salient effect of culture on pain management involves the expression of pain. Culture can be a relevant influence on the subjective sensation of pain and clinicians' choice of analgesia, but this is typically less pronounced than the effect of culture on the expression of pain.

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Excellent

[31809pancho]

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