A client with end-stage renal disease knows that he is dying but refuses to talk about it with his spouse. At times the spouse talks with the nursing staff about the client's condition but adamantly refuses to discuss death with the client
What will be the outcomes of this situation?
1. Client has dignity
2. Client has privacy
3. Client can finalize affairs
4. Client can plan own funeral
5. Client burdened with no one to confide in
Correct Answer: 1, 2, 5
Rationale: With mutual pretense, the client, family, and health care personnel know that the prognosis is terminal but do not talk about it and make an effort not to raise the subject. Mutual pretense permits the client a degree of dignity.
You might also like to view...
A 10-year-old boy tells a nurse that he wants to give his kidney to his grandfather. How many years of age should the nurse explain that kidney donors must be?
a. At least 14 years old b. At least 16 years old c. At least 18 years old d. At least 21 years old
While assessing a client with PIH on magnesium sulfate, the nurse finds that her output for the last hour was 30 mL, her respiratory rate is 20 per minute, her blood pressure is 150/94, and her deep tendon reflexes are absent
The nurse's next response would be to a. chart her findings c. decrease the magnesium sulfate b. check for clonus d. notify the physician
When determining the health care agency's ability to provide the services offered to its client population, the nurse is taking part in which type of evaluation?
a. function c. process b. structure d. outcome
Which statement is true about the diagnostic labels identified as the Psychiatric Nursing Diagnoses, First Edition (PND-1)? The PND-1:
a. was developed because psychiatric nurses did not like NANDA diagnoses b. was written by the American Psychiatric Association c. met serious resistance in nursing arenas d. was a list of 113 diagnostic labels that later was adopted by NANDA