Which statements by a terminally ill patient provide information to the nurse relevant to spiritual assessment? Select all that apply

a. "I feel an inner peace with my decision to use hospice services.".
b. "I prepared advance directives to spare my children the need to make difficult decisions.".
c. "Listening to hymns helps deepen my relaxation and the relief I get from my pain medication.".
d. "I plan to use these last weeks to experience the process of dying as fully as I experienced the richness of living.".
e. "I can trust the health care provider to prescribe enough medication to keep me comfortable in the days to come.".


A, B, C, D
Spirituality encompasses finding meaning in the process of living and dying, as well as hope and inner peace. Listening to hymns identifies an activity that connects the patient to his or her beliefs and is helpful in calming anxieties. The distracter does not relate directly to spirituality.

Nursing

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An older woman is resisting her son's help to make her money last longer. He wants to have her declared incapacitated so he can manage her finances. Which nursing assessment can be used by the court to declare incapacitation?

a. Prepares very few meals and avoids cleaning the house. b. Ambulates around her local community without difficulty. c. Balances her checkbook weekly and pays her bills on time. d. Resists medical advice to remove a stage I malignant tumor.

Nursing

While interviewing a 48-year-old client during her annual physical examination, the nurse learns that she has never had a mammogram. The American Cancer Society recommends annual mammography screening starting at age 40

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Nursing

Which assessment findings would the nurse evaluate as supporting the diagnosis of flail chest? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply

1. An area of the chest wall is depressed when the patient inspires. 2. The patient's cough is weak and causes obvious pain. 3. The patient's chest x-ray reveals a broken rib. 4. The patient's respirations are shallow. 5. The patient has a sucking chest wound.

Nursing

When caring for a patient who was stabbed in the abdomen, the nurse recognizes that 2 liters of fluid given over the last hour have been ineffective when the patient displays which of the following?

1. Heart rate 142 and regular 2. Blood pressure 94/50 3. Urine output of 45 ml for this hour 4. Patient complains of abdominal pain

Nursing