A male elder is transferred to a hospice facility with end-stage disease. Which is a suitable nursing intervention for this elder and his family according to the ANA's Scope and Standards of Gerontological Nursing Practice?
a. Decrease the analgesic dose to prevent sedation.
b. Provide a basin and towels for morning self-care.
c. Inform family members about strict visiting hours.
d. Facilitate family rituals related to death and dying.
D
Feedback
A Incorrect. To promote comfort, the gerontological nurse administers medication as prescribed and avoids restricting analgesia to patients regardless of the setting or the nurse's personal views.
B Incorrect. Although fostering independence is within the scope of gerontological nursing practice, the nurse should assess the elder and family before assuming the elder will want or be able to perform self-care.
C Incorrect. Although hospice can have regular visiting hours, the elder may need his family at the bedside for comfort, strength, or companionship. Thus, to pro-vide comfort and promote dignity, the gerontological nurse adapts visiting hours to suit the elder's needs.
D Correct. To promote dignity, the nurse facilitates enactment of family wishes, rituals, or religious practices related to death and dying.
You might also like to view...
A patient is administered amiodarone (Cordarone) intravenously. Which of the following assessments is most important with this medication?
A) Assess urine output every 5 minutes B) Assess blood pressure every 5 minutes C) Assess for increased lung sounds D) Assess for muscle rigidity
The initial history for the neurologically impaired patient needs to be
a. limited to the chief complaint. b. comprehensive, including events preceding hospitalization. c. directed to level of consciousness and pupillary reaction. d. information that only the patient can provide.
When caring for a patient with leg ulcers, the positioning of the legs depends on whether the patient's ulcer is arterial or venous in origin. How should the nurse position a patient who has leg ulcers that are venous in origin?
A) Keep the patient's legs flat without the knees raised. B) Keep the patient's knees at a 45-degree angle. C) Elevate the patient's lower extremities. D) Hang the patient's legs over the side of the bed
A client who survived a cardiac arrest is scheduled for electrophysiology studies (EPS). What should the nurse do to prepare the client for this procedure?
A. Ask the client about any allergies to iodine. B. Assure the client that EPS is a planned and controlled event. C. Encourage the client to keep a log of activities during the procedure. D. Instruct the client about lying on the left side during the procedure.