The patient who has been diagnosed with metastatic cancer declines chemotherapy treatments. The nurse assists this patient in explaining this position to other health care providers. What advocacy model is this nurse exemplifying?
1. Rights protection model
2. Values-based decision model
3. Jurisprudence model
4. Patient advocate model
1
Rationale: The rights protection model is also known as the autonomy model, in which nurses assist patients in asserting their autonomy rights. In the values-based decision model, the nurse assists the patient by discussing his or her needs and desires and helps the patient make choices that are most consistent with those wishes. In this case, the patient has already made the choice. The patient advocate model is also known as the respect for persons model and focuses on inherent human dignity and respect. This model is not as specific as the other models. The jurisprudence model is not an advocacy model.
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The nurse is caring for an adult client who has been diagnosed with high cholesterol. Which is important for the nurse to consider when teaching this adult client?
A) Adults are more oriented to learning when the material is useful immediately. B) Adults are more likely to adhere to a regimen than are children. C) Adults usually can find information on their own. D) Adults do not need to be evaluated for understanding as children do.
A neuron contains large amounts of norepinephrine. How would this neuron be classified?
a. Cholinergic b. Parasympathetic c. Synaptic d. Adrenergic
A patient admitted for injuries sustained while intoxicated has been hospitalized for 48 hours. The patient is now shaky, irritable, anxious, diaphoretic, and reports nightmares. The pulse rate is 130 beats/min. The patient shouts,
"Bugs are crawling on my bed. I've got to get out of here." Select the most accurate assessment of this situation. The patient: a. is attempting to obtain attention by manipulating staff. b. may have sustained a head injury before admission. c. has symptoms of alcohol-withdrawal delirium. d. is having an acute psychosis.
A patient with a chronic illness is not currently experiencing any symptoms and plans to stop following the identified course of care because the disease is cured. How should the nurse respond to this patient?
A. "The treatment plan is the reason you are not experiencing symptoms, so it would be best if you did not stop the plan." B. "Plan to wean yourself off the treatment plan and not discontinue it all at once." C. "You can always resume the plan if the symptoms return." D. "That does sound like a good idea."