Question 1
A critically ill patient in the intensive care unit dies after specific therapy has been stopped. Which action demonstrates the withdrawal of a therapy? Select all that apply.
Note: Credit will be given only if all correct choices and no incorrect choices are selected.◦ Discontinuation of enteral feedings
◦ Initiation of patient-controlled analgesia
◦ Application of a CPAP device
◦ Removal of chest tubes for bilateral pleural effusion
◦ Cessation of hemodialysis for chronic renal failure
Question 2
The nurse case manager schedules a meeting with the family of a critically ill patient who is not responding to renal replacement therapy. If using the SPIKES approach, in which order should the nurse discuss the patient's health status with the family?
Choice 1: Ensure privacy.
Choice 2: Speak in simple terms.
Choice 3: Develop a strategic plan.
Choice 4: Respond empathetically.
Choice 5: Assess the family's perception of the situation.
Choice 6: Ask how much information the family wants to know.
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