The family of a hospice client is holding a vigil at the client's bedside. During a visit, a hospice nurse participates in this vigil and encourages each of the family members to say their good-byes. The nurse is demonstrating which of the following?
A) Palliative care
B) Guided letting go
C) Connecting
D) Responsive use of self
Ans: B
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A seven-year-old client tells you, "Grandpa, Mommy, Daddy, and my brother live at my house." The nurse identifies this family type as a(n):
1. Extended family. 2. Traditional nuclear family. 3. Binuclear family. 4. Heterosexual cohabitating family.
Police bring a 63-year-old woman to the emergency room, reporting that her behavior is disorganized and disruptive, that her speech makes little sense, and that she does not seem able to take care of herself
The woman has had elective surgeries at the hospital previously and was seen in the ER last week after a fall; records show no history of similar symptoms or mental illness. The ER physician speaks with the patient but does not examine her medically, diagnoses her with schizophrenia, and orders admission to the inpatient psychiatric unit. Which response by the nurse would be most appropriate? a. Ask another physician with more of an interest in psychiatry to also take a look at this patient, explaining that you just want to be as thorough as possible. b. Suggest that a psychiatric consult be requested before admitting the patient to a psychiatric unit, to validate the diagnosis and speed the initiation of medication. c. Remind the physician that schizophrenia usually develops earlier in life, that such presentations may be caused by medical problems, and suggest a medical work-up. d. Note that the patient's blood pressure and respirations were elevated when she arrived, and suggest that they be evaluated before admitting the patient to the psychiatric unit.
A victim of a sexual assault occurring approximately 1 hour ago is sitting in the emergency
department cubicle, rocking back and forth and repeating over and over "I cannot believe he raped me.". This behavior should be assessed as characteristic of a. the controlled impact reaction to rape-trauma syndrome. b. the angry stage of rape-trauma syndrome. c. the delayed reaction to rape-trauma syndrome. d. phobic reaction to rape-trauma syndrome.
The nurse explains that emphysema is a chronic obstructive pulmonary disease characterized by the pathophysiology of:
a. constriction of the bronchial tree, excessive mucus, and nonproductive cough. b. calcification of the alveoli and a dry cough. c. overinflation of the alveoli, making them ineffective for gas exchange. d. inflammation of the trachea and bronchioles, excessive mucus, and productive cough.