The nurse is caring for a dying client who is receiving as much pain medication as possible and continues to experience severe pain. The client begs the nurse to let death come. Which action should the nurse take next?
1. Turn off all fluids and let the client die.
2. Give the client an extra dose of pain medication to cause respiratory depression.
3. Request a psychiatric consult.
4. Check for an advanced directive on the client's chart.
Answer: 4
1. The nurse would be charged with malpractice for making the decision to stop nutrition.
2. An extra dose of medication could bring charges of murder on the nurse.
3. It would not be necessary to call the psychiatrist without checking to see if the client had a living will or advanced directive.
4. Checking the chart for an advanced directive gives the nurse information about the client's wishes and persons to be contacted to help with decision making.
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A researcher conducts research on optimism. The researcher is calculating a multiple regression equation to predict levels of optimism and wishes to consider religious affiliation as one of the predictor variables
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A patient tells the nurse that "she is worthless" and to send in someone "who knows what they are doing.". Which of the following should the nurse do in this situation?
1. Realize the patient is anxious and attempt to calm the patient and find out what the patient needs. 2. Tell the patient that there is no one else available and he has to work with her today. 3. Leave the room and find someone else to work with the patient. 4. Tell the patient that he is not the easiest person in the world to work with, either.