Which healthcare provider typically initiates a do-not-resuscitate discussion with a patient who is terminally ill?
1) Chaplain
2) Social worker
3) Physical therapist
4) Nurse
ANS: 4
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The nurse in the surgery clinic is discussing an upcoming surgical procedure with a client. What information provided by the nurse is most appropriate for the client's long-term outcome?
a. "At least you know that the pain after surgery will diminish quickly." b. "Discuss acceptable pain control after your operation with the surgeon." c. "Opioids often cause nausea but you won't have to take them for long." d. "The nursing staff will give you pain medication when you ask them for it."
The wife of a client who has delusions of infidelity asks the nurse if any circumstances exist under
which the treatment team is justified in violating the client's right to confidentiality. The nurse must reply that confidentiality may be violated a. under no circumstances. b. at the discretion of the psychiatrist. c. when questions are asked by law enforcement. d. if the client threatens the life of another person.
Which intervention would have the most therapeutic value for a patient who has just awakened after an ECT (electroconvulsive therapy) treatment and appears disoriented?
a. The nurse brings a family member into the recovery room to stay and talk with the patient until the patient is fully awake. b. The nurse touches the patient's hand and in a calming voice assures the patient, "Everything is fine; the treatment is over.". c. The nurse tells the patient that the treatment is over and shares, "You'll be a little confused but for only a very short time.". d. The nurse addresses the patient by name and states, "I'm your nurse here at the hospital. Your treatment is over and you're doing fine.".
During a health history, the nurse should use therapeutic communication when asking about substance abuse. Which of the following is essential to establish a trusting nurse–patient relationship?
1. Informing the patient that substance abuse is a sin 2. Avoiding communicating disapproval of indicated substance abuse 3. Ensuring that the patient's mother and father are at the bedside 4. Avoiding shocked facial expressions