The nurse is admitting an older adult patient to the emergency department (ED) with a change in mental status with recent and remote memory loss.
The family tells the nurse the patient's forgetfulness has gotten progressively worse over the past 6 months. Which diagnosis does the nurse anticipate for this patient?
1) Delirium
2) Dementia
3) Depression
4) Anxiety
Question 2The nurse is assessing an older adult patient diagnosed with dementia for pain. Which behavioral manifestations would indicate the patient is experiencing pain? Select all that apply.
1) Increased heart rate
2) Increased blood pressure
3) Increased agitation
4) Increased restlessness
5) Increased moaning
Question 3The nurse is providing care to a Mexican American patient after an appendectomy. Which should the nurse expect based on the patient's culture regarding pain? Select all that apply.
1) The patient may feel obligated to endure pain in the performance of daily activities.
2) The patient may believe that pain is a consequence of immoral behavior.
3) The patient may believe that methods used to relieve pain maintain balance.
4) The patient may believe that denial of pain may delay treatment.
5) The patient may believe that the use of medication represents weakness.
Question 4The nurse is providing care to an older adult patient who is experiencing sudden onset of recent memory loss after a surgical procedure. Which diagnosis does the nurse anticipate for this patient?
1) Delirium
2) Dementia
3) Depression
4) Anxiety
Question 5Which nursing actions are appropriate after the nurse treats a child's pain? Select all that apply
1) Developing a plan of care
2) Reassessing for pain
3) Revising the plan of care
4) Administering another dose of medication
5) Considering the pathophysiology of the pain
Question 6The nurse is conducting a pain assessment for a preschool-age child. Which questions should the nurse ask the child's parents? Select all that apply.
1) Why did you give your child aspirin for the pain?
2) What is your child's past experience with pain?
3) How does your child typically respond to pain?
4) How do you know your child is in pain?
5) What relieves your child's pain?
Question 7The nurse is providing care to an adolescent patient who is experiencing pain. Which is a behavioral change that often occurs when an adolescent is experiencing pain? Select all that apply.
1) Crying
2) Clenched fists
3) White knuckles
4) Verbalization of pain
5) Muscle tension
Question 8The nurse is assessing an infant for pain. Which facial expression is unexpected for an infant experiencing pain?
1) Eye squeeze
2) Brow bulge
3) Chin quiver
4) Occasional smile
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