The nurse is caring for a client who has been diagnosed with a terminal illness. The physician has explained the proposed therapy to the client, who declines to sign the informed consent
The nurse's best response to the client's refusal of therapy is which of the following? 1. "I think you should sign the consent form."
2. "You have the right to decline treatment. Would you like to discuss your decision?"
3. "Remember that you have children and grandchildren who love you."
4. "I think I had better tell your wife about this."
2
Rationale 1: The nurse is acknowledging the client's rights and is making himself available if the client withes to discuss it further. The other options are personal opinions of the nurse, and would be inappropriate because it is the nurse's place not to make decisions for the client but rather to support the client's decision.
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A patient with pneumonia in the right lower lobe is prescribed percussion and postural drainage. When performing percussion and postural drainage, the nurse should position him:
A) In semi-Fowler's position with his knees bent B) In a right side-lying position with the foot of his bed elevated C) In a prone or supine position with the foot of his bed elevated higher than his head D) Bent at the waist leaning slightly forward
Which of the following would lead the home health nurse to make a nursing diagnosis of unresolved grief for a patient who was widowed 5 months ago?
a. Seeing that the patient keeps a picture of the husband by her bed b. The patient said tearfully, "I can't believe he is gone." c. Assessing that the patient eats out frequently rather than cooking at home d. The patient says that she attends church three times a week.
Which statement regarding Federal DEA schedules is correct?
a. Schedule I drugs have the lowest potential for abuse. b. Schedule II drugs have no approved indications. c. Schedule V drugs have the highest potential for abuse. d. Schedule I drugs are not approved for any medical use.
A university hospital wants to implement a "closed-loop" medication management system. Current systems include registration, computerized provider order entry, electronic medication administration record, laboratory, radiology, and pharmacy
Which system is needed to complete the loop? a. Clinical documentation b. Clinical decision support system c. Bar-coding system d. Electronic prescribing