An older patient who has end-stage pulmonary disease decides to accept care from the palliative care nurse. This older adult will most likely benefit from the palliative care nurse in which patient needs of Weisman's six needs for the dying?
a. Closure c. Composure
b. Control d. Cohesiveness
B
The dying patient is most likely to benefit from the care of the palliative care nurse by affording the patient as much control as possible, providing effective nursing care for symptom control and by providing continuity of care as the palliative care team directs total patient care. In providing control, the nurse asks the patient to determine activities and how time is spent.
Palliative care can indirectly benefit the patient by providing a better quality of life at the end of life, but palliative care does not provide for closure. Nurses use countercoping techniques to help the patient maintain composure. Cohesiveness is not one of the six needs of a patient who is dying.
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At what age do most children have an adult concept of death as being inevitable, universal, and irreversible?
a. 4 to 5 years b. 6 to 8 years c. 9 to 11 years d. 12 to 16 years
A nurse is providing care for a patient admitted with fluid volume overload. Which of the following would the nurse include in the patient's plan of care? Select all that apply
1. Provide diuretic therapy as ordered. 2. Assess daily weights. 3. Provide low-sodium diet. 4. Document intake/outtake every shift. 5. Encourage oral fluid of at least 2000 mL/d.
A nurse calculates the desired weight for a male client who is 7 feet tall as:
a. 178 lbs b. 225 lbs c. 250 lbs d. 275 lbs
An older patient who is terminally ill is receiving hospice care at home. What suggestion should the hospice nurse make in preparation for the patient's death?
1. Discuss being admitted to a hospital. 2. Suggest transferring to a long-term care facility. 3. Recommend admission to an inpatient hospice setting. 4. Find out what the patient needs to be comfortable at home.