The nurse is caring for a patient who is terminally ill with metastatic bone cancer. The patient tells the nurse that he is not afraid of death but does not want to be in pain and suffer before he dies.
Which intervention will be most appropriate to meet this patient's wishes?
a.
Establish around-the-clock dosing for pain medications with additional doses for breakthrough pain.
b.
Assist the patient to reminisce and review his life, spending as much time as possible with loved ones.
c.
Use therapeutic touch, guided imagery, and soft music to put the patient at ease and relieve anxiety.
d.
Encourage the patient to participate in prayer and meditation along with preferred religious practices.
Question 2
The hospice nurse is caring for a several adult children shortly after the death of their mother. They have various reactions as they deal with their loss. Which reactions are considered to be in the cognitive domain?
a. They let the house get filthy because they can't be bothered to clean it.
b. They are tossing and turning all night and are unable to get a good night's sleep.
c. They are easily distracted and often lose train of thought during conversation.
d. They have lost their appetites and have no desire to eat anything.
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