Answer to Question 1
D
Suctioning is most appropriate for someone with increased lung secretions who may have difficulty getting them up on their own. In this case, the stroke patient would have decreased coughing abilities and already has a diagnosis of pneumonia. The 5-year-old child would benefit from an inhaler. A chest tube is needed for the pneumothorax. Suctioning is contraindicated in patients with a myocardial infarction.
Answer to Question 2
D
When caring for clients experiencing grief, it is important for the nurse to assess his or her own emotional well-being and to understand his or her own feelings about death. The nurse who is aware of his or her own feelings will be less likely to place personal situations and values before those of the client.
Although coursework on death and dying may add to the nurse's knowledge base, it does not best prepare the nurse for caring for a dying client. The nurse needs to have an awareness of his or her own feelings about death first, as death can raise many emotions.
Being able to control one's own emotions is important; however, it is unlikely that the nurse would be able to do so if he or she has not first developed a personal understanding of his or her own feelings about death.
Experiencing the death of a loved one is not a prerequisite to caring for a dying client. Experi-encing death may help an individual mature in dealing with loss, or it may bring up many nega-tive emotions if complicated grief is present. The nurse is best prepared by first developing an understanding of his or her own feelings about death.
Photograph of an occupational therapist assisting a patient with learning independence in activities
Nurse Sandy
Building competency in patient centered care
Scheduling patient appointments by telephone.
The correct beginning position for the patient’s feet and crutches (tripod position).
Nurse using a stethoscope