The wife of a critically ill patient asks the nurse for help in making end-of life care decisions from the nurse. What action by the nurse is indicated?
1. offer advice
2. relate what most other families have done in similar situations in the past
3. encourage her to recall what her husband would want
4. refer her to the social services department
3
Rationale: The rights of the ill patient must be protected. Offering advice is inappropriate as nurses are
restricted from imposing personal feelings and beliefs onto the families under their care. The actions
taken by other families should not be shared with this family. The social services department is not the
reference to make.
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The nurse who is working on a cardiac care unit is aware that afterload influences a patient's stroke volume and recognizes that afterload is increased when there is:
A) Arterial vasoconstriction B) Venous vasoconstriction C) Arterial vasodilatation D) Venous vasodilatation
Mucoid sputum is often seen in which of the following conditions? Select all that apply
a. Coryza d. Tuberculosis b. Asthma e. Viral infection c. Lung cancer f. Tracheobronchitis
A new graduate from a master's entry program in nursing announces, "I just passed my clinical nurse leader certification exam." Certification as a clinical nurse leader:
a. is granted by the state boards of nursing. b. denotes minimum level of knowledge and skills to practice safely. c. allows independent nursing practice, often in primary care. d. recognizes achievement of advanced skills and knowledge.
Marianne Smith is a volunteer nurse at a homeless clinic. One Tuesday, Marianne worked with Ben, a 67-year-old alcoholic who has been homeless for 8 years. Marianne discussed Ben's situation with him for an hour,
cared for blisters on his feet, and provided him with new socks. She then referred him to the social worker for exploration of benefits for which Ben may be eligible. When working with Ben, Marianne performed the roles of: 1. Counselor, direct care provider, collaborator. 2. Direct care provider, educator, advocate. 3. Educator, coordinator, consultant. 4. Facilitator, collaborator, counselor.