Which activity assures the nurse that the client's wish to, "leave a living legacy" has been accomplished?
a. Donating their body to the local teaching hospital for research purposes
b. Discussing their experiences as a World War II veteran in Europe to a reporter
c. Keeping a journal to be passed on to their great-grandchildren
d. Making a pilgrimage to a location with personal religious significance
ANS: A
The purpose of a living legacy is to transcend death. Anatomical gifts are an example of a living legacy. Discussing war experiences is an example of a collective/group legacy. A written journal and a religious trip represent personal/self legacies.
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The nurse is doing a preoperative assessment of an 87-year-old man who is slated to have a right lung lobe resection to treat lung cancer. What underlying principle should guide the nurse's preoperative assessment of an elderly patient?
A) Elderly patients have a smaller lung capacity than younger patients. B) Elderly patients require higher medication doses than younger patients. C) Elderly patients have less physiologic reserve than younger patients. D) Elderly patients have more sophisticated coping skills than younger patients.
The nurse counts a patient's respirations at 30 per minute. From this finding, what about the patient's respiratory status should cause the nurse concern?
1. Pneumonia is developing. 2. Increased carbon dioxide in the blood is being expelled. 3. Respiratory arrest is beginning. 4. Pain is affecting the respiratory rate.
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
a. request another assignment. b. deliver care in short intervals to avoid projecting negativity. c. examine personal vulnerabilities, strengths, and limitations. d. monitor the client's physical status closely.
The nurse is preparing adult smoking cessation material for a patient admitted with heart failure. What criteria did the nurse use to determine that the patient should receive this material?
1. Patient smoked cigarettes any time during the last year prior to hospitalization 2. Patient uses chewing tobacco 3. Patient smokes five cigars a week 4. Patient stopped smoking five years prior to hospitalization