The nurse is explaining the similarities between palliative care and hospice care to the family of a patient. Which statement indicates a need for further education? (Select all that apply.)
a. Palliative care is used for patients nearing the end of their life.
b. Palliative care is only for those patients who are terminally ill.
c. Patients who are receiving palliative care can continue with treatments aimed at cure.
d. Patients are active participants in their care and decisions.
e. Patients are cared for by an interdiscipli-nary team.
A, B
The following are similarities between palliative care and hospice care:
Prioritize for quality of life and relief from pain and other distressing symptoms.
Integrate the physical, psychological, social, and spiritual dimensions into the care plan.
Affirm life and regard dying as a normal process.
Involve the patient and family as active participants in all decisions and care.
Rely on the expertise of an interdisciplinary team for planning and implementing care.
Appropriate for all patients, regardless of diagnosis, age, or setting.
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A woman, aged 29 years, has just been diagnosed with breast cancer. The physician has presented several treatment options but the patient cannot make a decision at this time
As the nurse caring for the patient what questions can you ask that will assist this patient in making a decision about what treatment option is best for her? A) "If you choose to keep your breast would you consider chemotherapy 5 days a week for 5 to 6 weeks?" B) "Your breasts are very small—you aren't considering breast reconstruction, are you?" C) "How would you feel about losing your breast?" D) "How would your social support system feel about your altered body image?"
A client with high cholesterol is beginning treatment with simvastatin (Zocor). What priority instruction does the nurse give this client?
a. "Increase your intake of dietary fiber to minimize constipation." b. "Take this drug on an empty stomach to promote absorption." c. "Report any muscle tenderness to your health care provider." d. "You may experience flushing of the skin with this medication."
All treatments and services for patients require two forms of patient identification prior to providing those services. Which is the best method to use to identify the patient who is unable to communicate? Select all that apply
a. Patient ID band b. Roommate c. Family member d. Admission photograph e. Asking another nurse who has cared for the patient previously
Canada Health Infoway was a key outcome of the federal–provincial–territorial partnership. What was its mandate?
a. Create an EHR. b. Unify international terminology for recording nursing practice. c. Advocate for effective health policy. d. Implement provincial standards.