Mr. F has advanced prostate cancer with bone metastasis. He is unresponsive and is being cared for at home by his daughter. You are teaching the daughter about assessing her father's pain. Which statement by the daughter indicates an understanding of her father's pain status? A. If he is not moaning, he's probably not experiencing pain. B. I'll have to guess when he is in pain since he can't tell me. C. Now that he's unable to communicate, we can stop his pain medication. D. Since he was in pain when he was conscious, I assume he's still in pain. D Joey is a 3-month-old who has a serious illness and will probably die in the next few months. His mother is concerned that he looks like he is in pain whenever she has to change his diaper. Your best response to her is: A. Don't worry, Joey is too young to feel real pain. B. All 3-month-old babies hate to have their diaper changed, he is just responding normally. C. I will ask the doctor if it is possible for him to have pain with this illness. D. Can you explain to me what Joey looks like that makes you concerned he is in pain? D Yolanda has osteoarthritis of the left knee for which she is receiving acetaminophen 1000mg every six hours. She rates her pain at a 4 every time you ask. What do you think an appropriate next step would be at this time? A. Discuss increasing the acetaminophen to every four hours with the IDT. B. Discuss adding an immediate-release opioid with the IDT. C. Ask Yolanda what an acceptable pain score is for her. D. Ask the IDT if Yolanda would benefit from an antidepressant for pain. C During your pain assessment, Randall describes his pain as a burning pain in his lower extremities. What type of pain does this describe? A. Nociceptive pain B. Acute pain

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