Which statements by a patient who is terminally ill give the ...

[Lobcity]

Which statements by a patient who is terminally ill give the nurse information relevant to spiritual assessment? Select all that apply.
 
  a. I feel an inner peace with my decision to use hospice services.
  b. I trust my health care provider to prescribe enough medication to keep me free of pain.
  c. I have prepared advance directives to spare my children the need to make difficult decisions.
  d. I plan to use these last weeks to experience the process of dying as fully as I experienced the richness of living.
  e. Listening to hymns helps deepen my relaxation and the relief I get from my pain medication.

Question 2

A 5-year-old child moves and talks constantly, is easily distracted, and does not listen to the parents. The child awakens before the parents every morning. The child attended kindergarten, but the teacher could not handle the behavior.
 
  What is this child's most likely problem?
 
  a. Mental retardation
  b. Oppositional defiant disorder (ODD)
  c. Pervasive developmental disorder
  d. Attention deficit hyperactivity disorder (ADHD)

[batool]

Answer to Question 1

ANS: A, D, E
Spirituality encompasses finding meaning in the process of living and dying, as well as hope and inner peace. Listening to hymns identifies an activity that connects the patient to his or her beliefs and is helpful in calming anxieties. The other options are not directly related to spiritual aspects.

Answer to Question 2

ANS: D
The excessive motion, distractibility, and excessive talkativeness suggest ADHD. Developmental delays would be observed if either a pervasive developmental disorder or mental retardation were present. ODD includes serious violations of the rights of others.

[Lobcity]

Thanks for the timely response, appreciate it

[rleezy04]

Gracias!