The spouse of a patient with end-stage renal disease sits quietly at the patient's bedside, staring at the patient as the patient slips into a coma. What should the nurse do at this time?

a. Ask the spouse what plans have been made for the patient once death occurs.
b. Remind the spouse to use the call light if the patient wakes up wanting something.
c. Sit down with the spouse and engage in conversation about the patient's care needs.
d. Suggest the spouse return home, as the patient is unaware of the spouse being there.

____


ANS: C
When a patient is dying, the family is in crisis. The nurse needs to sit with patients and families in crisis, sustain eye contact, and support them in their process. A. Asking the spouse about plans once the patient dies is inappropriate. B. Reminding the spouse to use the call light is harsh and does not support the patient or family's needs at this time. D. Suggesting the spouse return home may interrupt the time that the spouse has left to spend with the patient.

Nursing

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A family is touring selected nursing homes in preparation for their mother's future. Which qualities of a nursing home should the family include if they decide on a person-centered nursing home? (Select all that apply.)

a. Staff members cover all nursing units. b. Residents and families have a council. c. Residents choose stimulating activities. d. Staff members respond to residents' needs. e. Group activities are scheduled on the hour. f. Staff members help residents stay well-groomed.

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A nurse is educating a group of patients regarding Dietary Approaches to Stop Hypertension (DASH) diet. What recommendation should the nurse include as a source of protein and fat?

a. Lean red meat b. Whole grains c. Low fiber d. Sugar

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The patient

A) is responsible for maintaining all medical and legal records. B) is required to institute an advance directive upon admission. C) must inform caregivers if she anticipates problems with the treatment. D) must file a grievance within 72 hours of admission to the facility.

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Babies are usually "fed on demand," or when they are hungry.

Answer the following statement true (T) or false (F)

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