As a hospice staff member, you would be LEAST likely to hear your supervisor say:
a. “We must make every effort to satisfy the realistic life goals of our clients.”
b. “Inform the clients that it is OK to end their relationships before they die.”
c. “Be sure to inform clients that they can have as many drugs to relieve pain as they need.”
d. “Remember that fear is a natural part of the dying process, so you should try and encourage it in the clients.”
You might also like to view...
The nurse enters a patient's room with a portable computer station to assess the patient. The nurse does not log out while assisting a patient to the bathroom
A visitor reads the patient's chart and begins to question the nurse about the patient information. This is an example of: a. Failure to educate the patient b. Failure to maintain patient confidentiality c. Negligence regarding the patient's care d. Failure to educate the visitor
Teleology ethical theory can be summed up as "the end justifies the means."
Indicate whether the statement is true or false
Naloxone (Narcan) is administered to a client with severe respiratory depression and suspected drug overdose. After 20 minutes, the client remains unresponsive. The most likely explanation for this is:
a.) The client did not use an opioid drug. b.) The dose of naloxone was inadequate. c.) The client is resistant to this drug. d.) The drug overdose is irreversible.
You are the nurse working triage in the emergency department. this afternoon, a woman brings in her father, K.B., who is 74 years old
the daughter reports that over the past year she has noticed her father has progressively had problems with his mental capacity. these changes have developed gradually but seem to be getting worse. at times he is alert and at other times he seems disoriented, depressed, and tearful. He is forgetting things and doing things out of the ordinary, such as placing the milk in the cupboard and sugar in the refrigerator. K.B. reports that he has been having memory problems for the past year and at times has difficulty remembering the names of family members and friends. His neighbor found him down the street 2 days ago, and K.B. did not know where he was. this morning he thought it was night-time and wondered what his daughter was doing at his house. He could not pour his own coffee, and he seems to be getting more agitated. a review of his past medical history is significant for hypercholester-olemia and coronary artery disease. He had a myocardial infarction 5 years ago. K.B.'s vital signs today are all within normal limits. What are some cognitive changes seen in a number of elderly patients? You know that physiologic age-related changes in the elderly can influence cognitive functioning. Name and discuss one. For each behavior listed, specify whether it is associated with delirium (DL) or dementia (DM). ______ a. Gradual and insidious onset ______ b. Hallucinations or delusions ______ c. A sudden, acute onset of symptoms ______ d. Progressive functional impairment ______ e. Inability to perform activities of daily living (ADLs) ______ f. Incoherent interactions with others ______ g. Possible wandering behavior ______ h. Behavioral disorders that often worsen at night Based on the information provided by the daughter, do you think K.B. is showing signs of delirium or dementia? Explain. You know that there are several types of dementia that result in cognitive changes. List two of these types of dementia. How can the level or degree of the dementia impairment be determined? A number of diagnostic tests have been ordered for K.B. From the tests listed, which would be used to diagnose dementia? ______ Mental status examinations ______ Toxicology screen ______ Mini-Mental State Examination ______ Electrocardiogram ______ Electroencephalogram ______ Complete metabolic panel ______ Complete blood count with differential ______ Thyroid function tests ______ Colonoscopy ______ Rapid plasma reagin (RPR) test ______ Serum B12 level ______ Bleeding time ______ Human immunodeficiency virus screening ______ Liver function tests ______ Vision and hearing evaluation ______ Magnetic resonance imaging (MRI)