A hospice patient tells the nurse, Life has been good. I am proud ...

[james]

A hospice patient tells the nurse, Life has been good. I am proud of being self-educated. I overcame adversity and always gave my best. I intend to die as I lived: optimistic..
 
  The nurse planning care for this patient would recognize the importance of: a. providing aggressive pain and symptom management.
  b. helping the patient reassess and explore existing conflicts.
  c. assisting the patient to focus on the meaning in life and death.
  d. supporting the patient's use of own resources to meet challenges.

Question 2

The patient on the mental health unit who should be assessed as being at highest risk for directing violent behavior toward others is the patient who has:
 
  a. obsessive-compulsive disorder and performs many rituals.
  b. paranoid delusions of being followed by the Mafia.
  c. severe depression with feelings of worthlessness and self-loathing.
  d. completed alcohol withdrawal and is now in a rehabilitation program.

[yahahah24021]

Answer to Question 1

D
The patient whose intrinsic strength and endurance have been a hallmark often wishes to approach dying by staying optimistic and in control. Helping such patients use their own resources to meet challenges would be appropriate.

Answer to Question 2

B
A patient who has paranoid ideation or delusions may feel threatened and respond violently toward those believed to represent a danger. Impaired reality testing also reduces the person's ability to accurately perceive the world around him and can impair judgment. The other situations are not usually associated with a higher risk of violence.

[james]

Gracias!

[scottmt]

TYSM