A nurse has just finished a presentation to peers regarding barriers to excellent end-of-life care. Which statement by a peer would indicate the need for further education by the nurse?
A) "In general, healthcare professionals have difficulty in being honest with clients when discussing a poor prognosis."
B) "Most clients have good pain control when they die."
C) "When a client is dying, there can be disagreements about the goal of care."
D) "Referrals to hospice or palliative care often aren't made."
B
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A client diagnosed with a major depressive disorder (MDD) is concerned about his children inheriting a tendency to the same disorder. Before advising this client, the nurse should consider which factors?
Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. Early-onset MDD is more likely to be heritable. 2. MDD that results in severe depression is more likely to be heritable. 3. There is no way to predict heritability without genetic studies. 4. When MDD recurs in the same client, the condition is more likely to be heritable. 5. MDD that requires more than one pharmacologic agent for adequate control is more likely to be heritable.
Which action is the most important for the nurse to teach a client to reduce the risk for dehydration?
A. Restricting sodium intake to no greater than 4 g per day B. Maintaining an oral intake of at least 1500 mL per day C. Maintaining a daily oral intake approximately equal to daily fluid loss D. Avoiding the use of glycerin suppositories to manage constipation
The nurse plans a restraint-free environment and cannot find activities to engage an agitated middle-aged client in activities. Which should the nurse implement to maintain the client's safety?
1. Request help from interdisciplinary team members. 2. Transfer the client to a private room to protect others. 3. Document that the client is uncooperative and hostile. 4. Ask the health care provider for a sedation prescription.
Which diagnostic test is the most helpful in distinguishing primary from secondary adrenocortical insufficiency?
1. Magnetic resonance imaging (MRI) 2. A computed tomography (CT) scan 3. Cosyntropin (Cortrosyn) 4. Dexamethasone (Decadron)