Which actions by a nurse are most appropriate when caring for a hospice patient? Select all that apply
a. Giving choices
b. Fostering personal control
c. Explaining curative options
d. Supporting the patient's spirituality
e. Offering interventions that convey respect
f. Providing answers to the patient's questions about spirituality
A, B, D, E
The correct answers support the rights and choices of the dying individual. Acting on false information robs a patient of the opportunity for honest dialogue and places barriers to achieving end-of-life developmental opportunities. The nurse supports the patient's spirituality but does not have the answers to all questions.
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A 55-year-old man with diabetes mellitus has developed erectile dysfunction. The physician has ordered tadalafil (Cialis) to be taken 1 hour before sexual intercourse
The nurse instructing the patient on the use of this medication reviews his medical history. Which of the following disorders will contraindicate the use of tadalafil (Cialis) and sildenafil (Viagra)? A) Cataracts B) Retinopathy C) Hypotension D) Lung cancer
When paper-and-pencil medical records are compared with computer-based records:
a. paper-and-pencil records provide controls to determine who has viewed the health information. b. information contained in a paper-and-pencil record has the capability of being more in-depth than that found in computer-based records. c. patients have the right to know that the confidentiality of their records is strictly maintained, regardless of the type of medical record used. d. patients must sign for each item of information released on the computer record.
When using IA for FHR, nurses should be aware that:
1. they can only be expected to cover two or three patients when IA is the primary method of fetal assessment. 2. it is best to use the descriptive terms associated with EFM when documenting results. 3. if they can't find a heartbeat right away a shift must be made to electronic moni-toring. 4. ultrasound can be used to find the fetal heartbeat and reassure the mother if there was initial difficulty.
When providing client education it is essential for the nurse to incorporate what action so that learning can be optimized?
A) Have the clients read material after client education B) Be sure that clients are formally engaged C) Include educational strategies that encourage clients to be active participants D) Administer tests to evaluate learning