What is the overall objective of hospice service?
a. Relieve symptoms of terminal disease
b. Educate the patient about the process of death
c. Keep the patient comfortable as death approaches
d. Relieve the family of the stress of death
ANS: C
Hospice is a philosophy of care that provides support and comfort to patients who are dying.
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A client who grew up with alcoholic parents is reluctant to discuss thoughts, feelings, and self-defeating behaviors with the nurse. Which of the following responses by the nurse would be most helpful?
1. "We don't have to talk about your feelings if you don't want to. Let's discuss the behaviors you would like to change." 2. "Some clients who were raised in alcoholic families are reluctant to discuss their feelings. How has this impacted you?" 3. "I understand that you are not used to discussing your feelings; however, we can't continue unless you open up to me." 4. "I understand that opening up to others is difficult for you, but you need to change your view about discussing family issues with me."
The nurse assesses a client who has recently developed nausea and vomiting, blurred vision, and palpitations.The history reveals that the client recently increased the dosage of digoxin
Which of the following age-related changes are most likely related to these symptoms? A) Cerebral cortex changes causing flu-like symptoms B) Heart changes that are affecting the ability to ingest the digoxin C) Age-related changes in cortical control of micturition D) Kidney changes that affect elimination of the digoxin
The estranged husband of a patient is seen picking up and reading the patient's medical record. The patient later asks the nurse how her husband learned about her health status. Which of the following should the nurse do?
1. Report this violation to the hospital administration. 2. Tell the patient that she has no idea how he learned of her health status. 3. Nothing. 4. Ask the patient how she knows that her husband is aware of her health status.
A patient is entering the third stage of labor. What will the nurse assess when the placenta is separating? (Select all that apply.)
A) Umbilical cord lengthens B) Fundus rises in the abdomen C) Uterus takes on a globular shape D) Sharp pain is felt in the abdomen E) Blood trickles steadily from the vagina