An older male patient with end-stage renal disease is sad and ...

[ashley]

An older male patient with end-stage renal disease is sad and believes that he will die within a few days. Which interventions should the nurse use to promote hope in the patient? (Select all that apply.)
 
  A) Using humor at the bedside
  B) Facilitating a life review for the client
  C) Helping the client to find pleasure during current life activities
  D) Encouraging the client to focus on a time of life that was more pleasant
  E) Introducing the client to an individual who has a much poorer prognosis and/or health status

Question 2

The nurse assesses the health actions of a group of clients. Which of the following practices best demonstrates appropriate use of antibiotics?
 
  A) An 80-year-old client takes a low dose of a broad-spectrum antibiotic once daily to prevent infection.
  B) A 77-year-old client makes sure to stop taking the antibiotics once signs and symptoms of infection are no longer present.
  C) An 81-year client does not take synthetic antibiotics but rather limits self to natural substitutes.
  D) A 72-year-old client discards leftover antibiotics once the prescribed course is complete.

[ynlevi]

Answer to Question 1

A, B, C
Feedback:
The tactful use of humor, facilitation of life review, and aiding clients in finding pleasure in activities are noted to instill hope. Encouraging comparison to someone with a worse situation and encouraging focus on a different time of life are not noted to foster the development of hope.

Answer to Question 2

D
Feedback:
It is important to discard leftover antibiotics. Taking an antibiotic indefinitely is not a sound practice and a course of antibiotics should be taken for the prescribed length of time, not ceased when signs and symptoms disappear. Categorical rejection of antibiotics in favor of natural substitutes is an individual's right, but does not reflect the fact that antibiotics are appropriate and even invaluable in certain situations.

[ashley]

TY

[ynlevi]

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