A patient was admitted to the critical care unit after having a CVA and MI
The patient has poor activity tolerance, falls in and out of consciousness, and has poor verbal skills. The patient has been resuscitated four times in the past 6 hours. The patient does not have advance directives. Family members are at the bedside. Who should the physician approach to discuss decisions of care and possible DNR status?
a. The patient
b. The family
c. The hospital legal system
d. The hospital ethics committee
A
Patients' capacity for decision making is limited by illness severity; they are too sick or are hampered by the therapies or medications used to treat them. When decision making is required, the patient is the first person to be approached.
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A nurse cares for a client who recently completed genetic testing and received a negative result. The client states, "I feel guilty because so many of my family members are carriers of this disease and I am not." How should the nurse respond?
a. "You are not genetically predisposed for this disease but you could still become ill. Let's discuss a plan for prevention." b. "Since many of your family members are carriers, you should undergo further testing to verify the results are accurate." c. "We usually encourage clients to participate in counseling after receiving test results. Can I arrange this for you?" d. "It is normal to feel this way. I think you should share this news with your family so that they can support you."
A postoperative patient who had a left inguinal hernia repair is ready for his discharge instructions. Which information should the nurse provide? (Select all that apply.)
a. Care of the wound site and any dressings b. When he may operate a motor vehicle c. Signs and symptoms to report to the physician d. Call the physician's office once he arrives home e. Report bowel movements to the physician f. Actions and side effects of any medications
Mammograms (at various intervals) for detecting breast cancer are generally recommended for all women. Which group is least likely to take advantage of having them?
A) Elderly women of all ethnicities B) Middle-aged black women C) Middle-aged Latinas D) Young Latinas
The physical act of making eye contact isn't culturally influenced
Indicate whether the statement is true or false