The nurse, caring for an elderly client recovering from a ...

[yoroshambo]

The nurse, caring for an elderly client recovering from a fractured coccyx, wants to discuss palliative care.
 
  The client becomes alarmed and asks is there something you aren't telling me? Am I dying? Which of the following should the nurse respond?
  1. We are all dying.
  2. It's an approach to care to help relieve pain and provide you with support.
  3. It's care provided to all elderly patients.
  4. Since it is covered by Medicare, you are entitled to it.

Question 2

The health care team is addressing an ethical issue regarding one client's continuing care. The nurse wants to ensure that the principle of justice is taken into consideration.
 
  Which of the following ethical decision-making modules would support this principle?
  1. Medical indications
  2. Patient preferences
  3. Quality of life
  4. Contextual features

[Dominic]

Answer to Question 1

2
Palliative care is a process that focuses on relieving pain, enhancing psychosocial supports, and allowing clients and families to achieve meaningful resolution to their lives together. This is what the nurse should respond to the client. The other responses are either inappropriate for the nurse to make or are incorrect.

Answer to Question 2

4
The contextual features ethical decision-making model supports the ethical principle of justice. Medical indications support the ethical principles of beneficence and nonmaleficence. Patient preferences support the ethical principle of autonomy. Quality of life supports the ethical principles of beneficence, nonmaleficence, and autonomy.