The spouse of an older client asks that the client be given pills and to tell the client that they are for pain. How should the nurse respond to the spouse's request?
1. "I have to tell the client what each pill is for."
2. "I will explain to the client that pain is normal with aging."
3. "Let's speak with the health care provider about this request."
4. "Administering a placebo pill is not ethical."
4. "Administering a placebo pill is not ethical."
Explanation: 1. This is a true statement, but does not address the spouse's question.
2. Pain is not a normal part of the aging process, and this does not address the spouse's request.
3. The consideration of lying to the client is inappropriate.
4. The use of placebos is not ethical in clinical practice for management of pain. Placebos should be limited to research protocols, where clients have given informed consent and are aware that they may receive an inert medication as part of the research protocol.
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A nurse whose father was an alcoholic is assigned to care for a client who is in alcohol withdrawal. The nurse's best therapeutic action would be to
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