The client has made a difficult decision to refuse treatment for a potentially curable malignancy. The nurse asks the client, "How are you going to tell your spouse about this decision?" What is the nurse attempting to assess?
1. Whether the client has considered all of the treatment options available.
2. Whether the client was able to choose freely among treatment options.
3. Whether the client is prepared to act on the decision.
4. Whether the client feels good about the decision made.
Correct Answer: 3
This question helps to determine whether the client is prepared to act on the decision made. A question to assess whether the client has considered all of the treatment options available would be something like, "What are the benefits and risks of your decision?" A question to assess whether the client was able to choose freely among treatment options would be something like, "Did you have any say or choice in this decision?" A question to assess whether the client feels good about the decision made would be something like, "How do you feel about your decision?"
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Brown-Séquard syndrome results in which neurologic deficit?
a. Bilateral loss of pain sensation below the level of injury b. Bilateral loss of temperature and motor function below the level of injury c. Motor and sensory loss in the upper ex-tremities only d. Ipsilateral loss of motor function and con-tralateral loss of pain sensation and tem-perature
How are evidence-based practice and best research evidence related?
a. With best research evidence publications, there is no evidence-based practice. b. Both evidence-based practice and best research evidence are generated by research. c. Best research evidence is the evidence on which practice is based. d. Best research evidence includes five basic items, one of which is evidence-based practice.
The nurse is working with a pulmonary specialist and is aware that the physician will most likely recommend that a full-year preventative protocol of isoniazid (INH) be given to people who: (Select all that apply.)
a. are living with a person newly diagnosed as having tuberculosis. b. have had a positive tuberculin skin test but negative chest films. c. have had a positive tuberculin skin test and are on steroids. d. have had a positive tuberculin skin test and have diabetes. e. have had a positive tuberculin skin test and have had a gastrectomy.
The nurse is caring for a client who needs to have a peak drug level drawn. He was given the oral medication 30 minutes ago. What is the best action on the part of the nurse?
a. Call the lab to have the medication level drawn immediately. b. Arrange for the level to be drawn tomorrow since the peak time has passed. c. Wait for at least another 30 minutes before calling to have the level drawn. d. Schedule the level to be drawn in 8 hours.