The nurse is working with a 16-year-old pregnant female who tells ...

[fox]

The nurse is working with a 16-year-old pregnant female who tells the nurse that she needs an abortion.
 
  The nurse, acting as a counselor, provides the patient with information on alternatives to abortion, but after several sessions, the patient still insists on having the abortion. What should the nurse, in the counselor role, do next?
  a. Encourage the patient to speak with a Right-to-Life advocate.
  b. Refuse to provide a referral to an abortion service.
  c. Provide referral to an abortion service.
  d. Delay referral to an abortion service.

Question 2

Before a patient with beginning stage of Alzheimer's disease is discharged, the community-based nurse is making a visit to the patient's home. The patient's daughter and family live in the home with the patient.
 
  What is the major focus of this visit?
  a. Teach the family how to monitor blood pressure.
  b. Demonstrate techniques for providing care.
  c. Stress to the family how difficult it will be to provide care at home.
  d. Encourage the family to send the patient to an extended care facility.

[samiel-sayed]

Answer to Question 1

ANS: C
As a counselor, the nurse is responsible for providing information, listening objectively, and being supportive, caring, and trustworthy and providing a referral to an abortion service. The nurse does not make decisions, like going to a Right-to-Life advocate, but rather helps the patient reach decisions that are best for him or her. To refuse to provide a referral or to delay referral would not be supportive of the patient's decision.

Answer to Question 2

ANS: B
The role of the community health nurse, when dealing with patients with Alzheimer's disease, is to maintain the best possible functioning, protection, and safety for the patient. The nurse should demonstrate to the primary family caregiver techniques for dressing, feeding, and toileting the patient while providing encouragement and emotional support to the caregiver. Monitoring blood pressure is not necessary for an Alzheimer's patient; blood pressure would be for a patient with hypertension. The nurse should protect the patient's rights and maintain family stability, not encourage placement in an extended care facility.

[fox]

Excellent

[zacnyjessica]

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