A patient with terminal cancer has been admitted to hospice care. The hospice team is meeting to establish goals for this patient. What is likely to be a first priority in goal setting for the patient?
A) Morning care
B) Pain control
C) Clean living space
D) Meal preparation
Ans: B
Feedback: Once the phase of illness has been identified for a specific patient, along with the specific medical problems and related social and psychological problems, the nurse helps prioritize problems and establish the goals of care. Identification of goals must be a collaborative effort, with the patient, family, and nurse working together, and the goals must be consistent with the abilities, desires, motivations, and resources of those involved. Pain control is essential for patients who have a terminal illness. If pain control is not achieved, all activities of daily living are unattainable. Options A, C, and D are not considered a first priority in goal setting for a terminal patient.
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The community health nurse is engaging in the core function of policy development. With which of the activities would the nurse most likely be involved?
A) Monitoring health status to identify community health problems B) Empowering communities about important health issues C) Linking individuals to needed personal health services D) Ensuring a competent health care workforce is available