Decisions regarding the care of patients should not be based on :
a. research evidence. c. nurse values and preferences.
b. clinical experience. d. patient values and preferences.
C
Nurses make critical judgement about the care of patients based on research evidence, clinical
experience, and patient values and preferences. The search for best evidence should be systematic. A
systematic critical appraisal of literature is an effective strategy for identifying recommendations for
improving practice. Nurse values and preferences should not be the basis for patient care.
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An adult oncology patient has a diagnosis of bladder cancer with metastasis and the patient has asked the nurse about the possibility of hospice care. Which principle is central to a hospice setting?
A) The patient and family should be viewed as a single unit of care. B) Persistent symptoms of terminal illness should not be treated. C) Each member of the interdisciplinary team should develop an individual plan of care. D) Terminally ill patients should die in the hospital whenever possible.
The spouse of a deceased client is entering the stage of restitution. According to Engle's theory of grief, this stage includes:
a. disorientation. b. feelings of helplessness. c. emergence of bodily symptoms. d. anger and hostility.
A rubella titer is performed on a client who has just been told that she is pregnant. The results of the titer indicate that the client is not immune to rubella. Which of the following would the nurse anticipate to be prescribed for this client?
1. Immunization with rubella 2. Retesting rubella titer during pregnancy 3. Counseling the mother regarding therapeutic abortion 4. Antibiotics, to be taken throughout the pregnancy
The registered nurse is caring for a pregnant Muslim patient who is anticipating delivery within the next few days. The nurse asks if she and her husband have chosen a name for their baby. The patient quietly shakes her head, "no."
Based upon the patient's response, the nurse understands that: 1. The patient is not happily anticipating the arrival of her baby. 2. Cultural beliefs may require the couple to choose the baby's name following the birth. 3. The patient does not speak English. 4. Cultural beliefs may require that the baby's name be kept secret until after the delivery.