A nurse who provides care on the palliative unit of a large teaching hospital has been working with an older adult client who is dying of lung cancer with liver metastases and has generated good rapport with both the client and his family
Which of the following statements best exemplifies a holistic approach to nursing care? A) "Our goal is to keep you pain-free to the best of our ability, so don't hesitate to request additional pain medications.".
B) "I will raise the possibility of palliative radiation treatment when your oncologist is next in.".
C) "I'm wondering what feelings you have around being at this stage of your life.".
D) "I'll make sure that both the social worker and physical therapist come by in the next day or so.".
C
Feedback:
Answer C encompasses concerns around the client's presence or absence of peace at this stage in life and supersedes immediate medical or logistical concerns. Answers A, B, and D represent valid nursing actions but are less indicative of the holistic scope of nursing practice.
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Which statements represent positive outcomes for clients diagnosed with narcissistic personality disorder? (Select all that apply.)
1. The client will relate one empathetic statement to another client in group by day two. 2. The client will identify one personal limitation by day one. 3. The client will acknowledge one strength that another client possesses by day two. 4. The client will list four personal strengths by day three. 5. The client will list two lifetime achievements by discharge.
When working with a suicidal client, the nurse can reduce the risk of suicide attempts by the client BEST through which of the following actions?
a. getting the client engaged in activities during all waking hours b. having the client increase contact with his or her family c. having the client sign a written no-suicide contract d. providing numbers where the client can reach the nurse 24 hours a day
Assessment of the infant's anterior fontanel is an important part of the physical examination. The nurse knows that dehydration can cause a __________ in the fontanel and __________ might increase the pressure in the fontanel
Fill in the blank with the appropriate word.
The nurse is caring for a patient diagnosed with PD. Which tool should the nurse use to gather information from the patient's perspective?
a. The Geriatric Depression Tool b. The Sickness Impact Profile (SIP) c. The Mini-Mental State Examination–2nd edition (MMSE-2) d. The Montreal Cognitive Assessment Tool