Palliative care used in the management of a patient with symptomatic chronic obstructive pulmonary disease (COPD) is an example of which of the following?
a. Palliative care is used when the patient is beginning to die.
b. Palliative care is used to help manage the symptoms that often accompany COPD.
c. Hospice nurses must be involved to provide palliative care in a cancer patient.
d. Patient must be enrolled into the Medicare Hospice Benefit to receive palliative care.
ANS: B
Palliation is the relief or management of symptoms without providing a cure. To palliate is to reduce the severity of an actual or potential life-threatening condition or a chronic debilitating illness. Palliation is not equivalent to cure, but it is the reduction of undesirable effects resulting from the incurable disease or condition.
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During an admission assessment of a patient with dementia, the nurse assesses for pain because the patient has recently had several falls. Which of these are appropriate for the nurse to assess in a patient with dementia? Select all that apply
a. Ask the patient, "Do you have pain?" b. Assess the patient's breathing independent of vocalization. c. Note whether the patient is calling out, groaning, or crying. d. Have the patient rate pain on a 1-to-10 scale. e. Observe the patient's body language for pacing and agitation.
The nurse assesses a toddler for pain using the FLACC scale. The nurse notes the client is crying steadily with a quivering chin, is kicking, is shifting back and forth, and is difficult to console. What number does the nurse document for the client's pain, based on the FLACC scale?
A. 8 B. 9 C. 10 D. 11
While walking in the hall a client suddenly complains of dizziness. Which action by the nurse is the priority?
1. Escorting the client back to the room and into bed 2. Calling for help to escort the client back to the room 3. Assisting the client to sit on the nearest chair with the head between the legs and go find assistance 4. Assisting the client to a horizontal position on the floor if no chair is available
The Professional Nurse Contributions Model attempts to synthesize the affective cognitive, behavioral, and psychomotor domains of the professional practice of nursing. Caring, compassion, and commitment are part of which domain?
A) Cognitive B) Behavioral C) Affective D) Psychomotor