The patient diagnosed with cancer has elected to abandon curative ...

[appyboo]

The patient diagnosed with cancer has elected to abandon curative treatment in favor of palliative care. The nurse strongly believes the patient can have a long survival time if curative care continues. What nursing advocacy action is appropriate?
 
  1. Support the patient's choice.
  2. Ask to have a different nurse assigned to this patient's care.
  3. Provide education to the patient.
  4. Defer to the patient's physician's position on the case.

Question 2

The nurses who work in the Emergency Department (ED) of a hospital believe that they provide high quality care. Which option best supports that opinion?
 
  1. Nurses working in other areas of the hospital rate the ED nurses' care as high quality.
  2. The physicians who work in the ED state that they are satisfied with the level of nursing care provided.
  3. Patients cared for in the ED report that the nurses provided high quality care.
  4. The hospital administrator rates the ED nurses as providing the best care in the facility.

[eliasc0401]

Answer to Question 1

3
Explanation: 1. The nurse must first be certain that the patient has sufficient education to make an informed choice on this matter and then would support that choice.
2. This does not fulfill the nurse's responsibility to be an advocate for this patient.
3. The most important aspect of this situation is to ascertain that the patient has enough correct information to make an informed decision on care. Once this is assured, the nurse should support the decision made.
4. The nurse has an important role in this situation and should not simply defer to the physician.

Answer to Question 2

3
Explanation: 1. This is important, but not as important as patient satisfaction. Other nurses would have an idea of what quality nursing care is and would be able to access the care provided.
2. This is important, but not as important as patient satisfaction. Physicians may not have sufficient knowledge of the role of the nurse to make a strong determination about quality nursing care.
3. The patient's perception of the care provided is the most important aspect of whether it is considered high quality care.
4. This is important, but not as important as patient satisfaction. If the remaining care in the hospital is sub-standard, this is not a good rating scale.