The spouse of a patient with terminal cancer is refusing pain ...

[kodithompson]

The spouse of a patient with terminal cancer is refusing pain medication for the patient because of previous experiences with soldiers who became addicted to pain medication.
 
  A nurse will need to focus on which internal variable when approaching this situation? a. Developmental stage
  b. Family practices
  c. Intellectual background
  d. Spiritual factors

Question 2

A nurse is caring for a patient who cannot speak clearly. Which technique should the nurse use to enhance conversation with this patient?
 
  a. Speak loudly.
  b. Finish the patient's sentences.
  c. Ask question that require yes or no answers.
  d. Avoid communication aids to prevent embarrassment.

[spencer.martell]

Answer to Question 1

C
Intellectual background is a person's beliefs about health shaped in part by knowledge (or misinformation) about body functions and illnesses, educational background, and past experiences. Spirituality is reflected in how a person lives his or her life, including the values and beliefs exercised, the relationships established with family and friends, and the ability to find hope and meaning in life. A person's concept of illness depends on his or her developmental stage but this scenario is focused on misinformation, not the developmental stage. Family practices is an external variable, not an internal variable.

Answer to Question 2

C
For patients who are mute, unable to speak, or cannot speak clearly, ask simple questions that require yes or no answers. Use normal volume and do not shout or speak too loudly. Do not finish the patient's sentences. Use communication aids as needed; do not avoid them.