An older adult patient receives a gift of boxed chocolate candy. The patient has dementia and does not understand that it is candy and it belongs to her. Which of the following actions by the nurse is most appropriate?
a. Tell her that it belongs to her and offer her a piece.
b. Offer the candy to the other patients.
c. Send the candy home with her family.
d. Throw the candy away because she is unable to eat it.
A
When a patient with dementia does not recognize that the candy is a gift for her, the nurse should take every opportunity to get her to enjoy it. This is the most appropriate action. Because the candy is the personal property of the patient, the nurse cannot offer it to others, send it home, or throw it away. This could constitute larceny.
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The nurse on a urology unit is working with a patient who has been diagnosed with oxalate renal calculi. When planning this patient's health education, what nutritional guidelines should the nurse provide?
A) Restrict protein intake as ordered. B) Increase intake of potassium-rich foods. C) Follow a low-calcium diet. D) Encourage intake of food containing oxalates.
Which statement about the person's service plan is correct?
a. It is reviewed annually. b. It is written by the person's doctor. c. Services are added or reduced as the per-son's needs change. d. The social worker decides what is in-cluded on the person's service plan.
Before C.Q. leaves the clinic, you recognize the need for further teaching when she says:
a. "Joining a support group can help me deal with my HIV diagnosis." b. "I will not use any other medications without checking with my health care provider." c. "If my viral load becomes undetectable, I will not have to worry about transmitting HIV to someone else." d. "If my skin turns yellow, I have unusual muscle pain or feel dizzy or weak, I will call the provider immediately."
Which statement is true regarding potential liability issues for telehealth?
1. Malpractice costs may be decreased because lawsuits may be filed in multiple locations, defraying costs. 2. Misinterpretation of advice provided over the telephone may cause the health care provider to be liable for poor outcomes. 3. Telehealth services may be used in the place of any face-to-face physical examination with the same results. 4. A nurse practitioner licensed in Wyoming may provide advice to a client in Montana without legal repercussions.