One of the primary goals in hospice care is pain control. In hospice nursing, pain is managed by
1. Encouraging the client to wait as long as possible between doses to allow more thorough action of the medication.
2. Encouraging regular doses of combinations of opioid, nonopioid, and adjuvant pain medication to build a wall against pain and prevent it from recurring before the next dose is given.
3. Permitting the client and the caregiver to give as much medication as desired, whenever needed.
4. Providing the smallest dose possible to avoid the possibly of creating an addiction.
ANS: 2
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A nurse who has practiced in the hospital setting for several years will now transition to a new role in the community. How does a physical assessment in the community vary in technique from physical assessment in the hospital?
A) A physical assessment in the community consists of largely the same techniques as are used in the hospital. B) A physical assessment made in the community does not require the privacy that a physical assessment made in the hospital setting requires. C) A physical assessment made in the community requires that the patient be made more comfortable than would be necessary in the hospital setting. D) A physical assessment made in the community varies in technique from that conducted in the hospital setting by being less structured.
Henry Smith may be suffering from sundowning. What is the alternate name for this condition?
A. Nocturnal delirium B. Vascular dementia C. Pseudodementia D. Neurocognitive confusion
An older resident is complaining of being constipated. Which action should the nurse take first when caring for this patient?
1. Assess the diet for adequacy of fiber and fluids. 2. Determine what the patient means by constipation. 3. Obtain an order for a laxative and an enema if needed. 4. Encourage the patient to increase fluid intake and activity.
In a teaching plan for a hypertensive patient, the nurse would include:
1. stopping medications if side effects occur. 2. a diet high in unsaturated fat. 3. no further visits if no other symptoms occur. 4. encouraging relaxation techniques.