A terminally ill patient tells the nurse, Life has been good. I am proud of being self-educated. I overcame adversity with willpower. I always gave my best and expected things to turn out well. I intend to die as I lived: optimistically. The nurse planning care for this patient recognizes a critical need to:
- A. provide aggressive pain and symptom management.
- B. help the patient reassess and explore existing conflicts.
- C. assist the patient to focus on the meaning in life and death.
- D. support the patients use of personal resources to meet challenges.
Correct Answer: D
Rationale: The patient whose intrinsic strength and endurance have been a hallmark often wishes to approach dying by staying optimistic and in control. Helping the patient use his or her resources to meet challenges is appropriate.
You may also like to solve these questions
The overarching goal of Level 1 families is to enable them to achieve adequate parenting and family functioning.
- A. TRUE
- B. FALSE
Correct Answer: A
Rationale: This aligns with stabilizing Level 1 families to meet basic needs and roles.
Which scenario best demonstrates a healthy family?
- A. One parent takes care of children. The other parent earns income and maintains the home.
- B. A family has strict boundaries that require members to address problems within the family.
- C. A couple requires their adolescent children to attend church services 3 times a week.
- D. A couple renews their marital relationship after their children become adults.
Correct Answer: D
Rationale: Revamping the marital relationship after children move out of the family of origin indicates the family is moving through its stages of development. Strict family boundaries or roles interfere with flexibility and use of outside resources. Adolescents should have some input into deciding their activities.
Which of the following is considered an internal disaster?
- A. A tornado that has touched down on the healthcare facility
- B. A severe cyclone that has destroyed nearby homes
- C. A massive train accident that brings victims to your facility
- D. An act of bioterrorism in a nearby factory
Correct Answer: A
Rationale: Internal disasters directly impact the healthcare facility itself.
A battered woman in the womens shelter states that she is afraid to go home because he drinks. Thats when he gets violent and he beats me. Which of the following reflects accurate knowledge about domestic violence and alcohol use?
- A. If you can get him to quit drinking, the beating will stop.
- B. Alcohol use can increase the chances of abuse.
- C. People who use alcohol almost always end up as abusers.
- D. Hes just using the alcohol as an excuse to beat you.
Correct Answer: B
Rationale: The other responses are inaccurate. Alcohol reduces inhibitions that can lead to aggressive behaviors.
When is it appropriate to ask a Muslim patient about his/her sexual activity?
- A. Only if the patient is over 18 years old
- B. Only in a sensitive manner when it is relevant to the care of the patient
- C. It is not appropriate to ask a Muslim patient about his/her sexual history directly
- D. Only if the patient is married
Correct Answer: B
Rationale: Sensitive inquiry relevant to care respects cultural norms while addressing clinical needs.
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