The nurse is providing care to a terminally ill client. The ...

[asd123]

The nurse is providing care to a terminally ill client. The client reports constant unrelieved pain. The physician prescribes an increased morphine dosage. The nurse is concerned the dosage may hasten the client's death.
 
  Which of the following statements is most correct?
  A) Managing the client's comfort cannot take priority over maintaining the client's respiratory status.
  B) The nurse can be charged with a crime for administering the medication.
  C) The nurse should contact the facility's attorney to review the rights of the institution.
  D) The ultimate goal must be control of pain for the client.

Question 2

The home care nurse asks an older patient's caregiver to complete a questionnaire regarding caregiver strain. The caregiver states, You are here to see my mom.
 
  Why do you need information about me? Which is the most appropriate response by the nurse? 1. We fill out this paperwork for all caregivers.
  2. We need to make sure you don't abuse your mother.
  3. It's just something that the insurance companies make us fill out.
  4. We need information about how you are dealing with caring for your mother. We don't want you to become overwhelmed.

[kingdude89]

Answer to Question 1

D

Answer to Question 2

4
Rationale: It has been documented that fewer older adults report mistreatment by family members, which may be a protective act. Caregivers of older adults should be assessed at each primary care visit for caregiver stress, substance abuse, and a history of psychopathology. The Modified Caregiver Strain Index has been recommended by the Hartford Institute of Geriatric Nursing as the best practice in the nursing care of older adults. This instrument is a valid and reliable screening tool and can identify caregivers in need of support. The nurse should not state that the reason is to complete paperwork.