Author Question: A newly admitted hospice client tells the nurse I am dying, but I am still living. I want to be in ... (Read 70 times)

dollx · **on:** Jul 19, 2018

A newly admitted hospice client tells the nurse I am dying, but I am still living. I want to be in
control as long as I possibly can be.. A reply that indicates the nurse was actively listening is

a. Our staff will do the best they can to make you feel comfortable..
b. Most people do not know what to do to help. Try not to be hard on them..
c. You want people to stop focusing exclusively on your weaknesses..
d. Your mind and spirit are healthy, although your body is weak..

Question 2

The nurse sees a client with coronary artery disease 3 months after stenting.

The client states he is
doing great.. He indicates he has read of the benefits of alcohol on coronary artery disease and has
incorporated this theory into his lifestyle. When asked describe his lifestyle, he mentions he arises at
9 AM, has a bloody Mary, works at his computer until lunch and again after lunch, enjoys a couple
of Manhattans before dinner, has a good dinner with some red wine and then finishes the bottle of
wine during the evening. The nurse can make the assessment that the client is
a. at risk for substance abuse disorder.
b. grieving for lost abilities.
c. self-medicating for anxiety.
d. using protective denial.

akemokai · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

D
The client is asking for acknowledgment that he is not totally sick, that even in his terminal state he
has strengths and capabilities. Option D provides that acknowledgment. The other responses are
tangential.

Answer to Question 2

A
The client is drinking excessively and is at risk for developing alcoholism. The scenario does not
provide data to suggest that any of the other options is correct.