Answer to Question 1
ANS: C
The nurse should validate the family's concerns and provide accurate information about the discontinuation of therapy. The other statements address specific issues related to the withdrawal of care but do not provide appropriate information about their purpose. If the client's family asks for specific information about euthanasia, legal, or religious issues, the nurse should provide unbiased information about these topics.
Answer to Question 2
ANS: B
Although all of these assessments should be performed during the dying process, periods of apnea and Cheyne-Strokes respirations indicate death is near. As peripheral circulation decreases, the client's level of consciousness and bowel sounds decrease, and the client would be unable to provide a numeric number on a pain scale. Even with these other symptoms, the nurse should continue to assess respiratory rate throughout the dying process. As the rate drops significantly and breathing becomes agonal, death is near.
The grey nurse shark is critically endangered on the Australian east coast.
The patient and his family meet with the nurse to discuss progress on the patient care plan.
nurse
Entry level nurse competencies
Building competency in patient centered care
Nurse using a stethoscope