A patient has chosen to receive palliative care after his lung cancer metastasized to his bones and liver. Which of the following is most appropriate during palliative cancer care?
A) Abrupt cessation of chemotherapy immediately prior to entering palliative care
B) Aggressive chemotherapy to reduce malignant cell proliferation
C) The use of chemotherapy to reduce pain
D) The replacement of chemotherapy with complementary and alternative treatments
C
Feedback:
Palliative chemotherapy is used in advanced cancer to prevent or treat pain and obstruction. Chemotherapy does not need to be stopped abruptly or replaced with CAM. Aggressive chemotherapy would not normally be administered in a palliative context.
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When the inpatient psychiatric nurse asks the newly-admitted patient to describe her social supports, the patient reports that she is newly divorced, has no siblings, her parents died last year, and she has little contact with her former in-laws, who
subtly blame her for the divorce. She has few friends because most of her peers are not nearly as religiously conservative as she is. Which response related to social support would be most therapeutic? a. Encourage the patient to begin dating again, perhaps with members of her church. b. Discuss how divorce support groups could increase coping and social support. c. Note that being so particular about potential friends reduces social contact. d. Discuss using the internet as a way to find supportive others with similar values.
A nurse has initiated rescue breathing with the aid of a one-way valve mask. What is the primary benefit of using this mask?
A) Maintains positive pressure in the client's lungs while the nurse stops exhaling to take a breath. B) Reduces the nurse's risk of acquiring an infectious disease from the client. C) Directs the nurse's breath into the lower airway by preventing air from escaping through the client's nose. D) Ensures an airtight seal between the client's mouth and the nurse's mouth.
The nurse is reviewing a preoperative informed consent when preparing the client for surgery. Which contents of the informed consent are required? Select all that apply
A) Explanation of procedure B) Estimated time of procedure C) Potential risks D) Benefits of surgery E) Personnel present F) Description of alternatives
The dean of a new nursing program wishes to ensure graduates are prepared to care for older patients. What document should guide the dean in designing the curriculum?
a. The Nurse Practice Act for that state b. The American Nurses Association (ANA) code of ethics for nurses c. Healthy People 2020 d. The Recommended Baccalaureate Com-petencies and Curricular Guidelines