Author Question: A nurse manager of an intensive care unit develops plans to improve end-of-life care for clients in ... (Read 102 times)

Arii_bell · **on:** Jul 11, 2018

A nurse manager of an intensive care unit develops plans to improve end-of-life care for clients in the unit. Which of the following actions is the priority?

A) Create a script for nurses to use when discussing hospice and palliative care.
B) Guide staff to improve communication with families about end-of-life decision making.
C) Increase communication between professionals about end-of-life decision making.
D) Survey clients and families about their end-of-life needs.

Question 2

A hospice nurse admits an older adult after the metastasis of malignant melanoma. Which of the following health problems should the nurse anticipate?

A) Necrosis of extremities
B) Hemoptysis
C) Hyperglycemia
D) Dyspnea

milbourne11 · **Reply #1 on:** Jul 11, 2018

Answer to Question 1

Ans: B
In recent years, nurses and other health care professionals raised concerns about the need to improve end-of-life care in hospitals. Much of this concern is associated with poor communication between professionals and families about end-of-life decision making. Creating a script can help with that specific need, but the clients continue to experience pain, indignity, social isolation, and uncomfortable symptoms related to ineffective and unwanted life-sustaining treatments, particularly in intensive care units. Interprofessional communication will also help; the priority is between staff and families.

Answer to Question 2

Ans: D
Dyspnea is a common accompaniment to the dying process. Hyperglycemia, hemoptysis, and tissue necrosis are less common.