Which interventions can the nurse use to facilitate communication with patients and families who are in the process of making decisions regarding end-of- life care options? (Select all that apply.)
a. Communication of uniform messages from all healthcare team members
b. An integrated plan of care that is developed collaboratively by the patient, family, and healthcare team
c. Facilitation of continuity of care through accurate shift-to-shift and transfer reports
d. Limitation of time for families to express feelings in order to control family grief
e. Reassuring the patient and family that they will not be abandoned as the goals of care shift from aggressive treatment to comfort care
A, B, C, E
Effective and consistent communication between the patient, family, and healthcare team members is required to promote positive outcomes during end-of-life care.
Family members should be provided ample time to express feelings in order to improve the level of satisfaction and prevent dysfunctional bereavement patterns.
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The family becomes distressed when the dying 85-year-old patient becomes delirious and laughs and talks with old friends who have long since died. The nurse's best intervention would be to:
a. medicate the patient with the prescribed sedative. b. encourage a family member to talk to the patient calmly. c. stimulate and reorient the patient. d. suggest the family leave the patient for while.
Which of the following individuals would not participate in bedside handover? Those who are:
a. asleep. b. alert. c. oriented. d. English speaking.
The nurse plans medication education for a client who receives a prescription for sildenafil (Viagra). What will the best plan by the nurse include?
1. Grapefruit juice will decrease the effects of sildenafil (Viagra). 2. You can take sildenafil (Viagra) anywhere from 1 to 6 hours before sex. 3. Be sure to take only one pill in a 24-hour period. 4. Sildenafil (Viagra) should be taken with food.
The healthcare provider has ordered a monofilament test on a patient with diabetes mellitus. What should be included in the nurse's instruction?
1. "A monofilament test is used to detect retinopathy in patients with diabetes." 2. "A monofilament test will assess feeling and sensations in different parts of your feet." 3. "A monofilament test will detect elevated blood glucose levels and ketones in the blood." 4. "A monofilament test will indicate weak or absent peripheral pulses in your feet."