Author Question: The nurse is providing end-of-life care. It is essential for the nurse to: a. tell the patient ... (Read 56 times)

nevelica · **on:** Jul 23, 2018

The nurse is providing end-of-life care. It is essential for the nurse to:

a. tell the patient what he might like to hear to relieve anxiety.
b. begin making health care decisions for the patient.
c. provide the patient with the nurse's personal opinions.
d. offer unconditional support for the patient and family.

Question 2

The nurse is caring for a patient who has been belligerent and is in four-point leather restraints. The patient is verbally abusive and still tries to kick and punch staff even though he is restrained. The nurse should:

a. ignore the patient's needs until he calms down.
b. strike the patient if necessary to protect herself/himself.
c. continue to attempt to meet the patient's needs.
d. threaten the patient with retaliation if he doesn't stop.

mbcrismon · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

ANS: D
Two major roles of a nurse caring for a dying patient are (1) providing accurate information regarding the disease process and treatment options and (2) offering support for the patient and family without interjecting personal opinions. An essential ethical concept is autonomy, which underscores the importance of allowing patients to make their own health care decisions.

Answer to Question 2

ANS: C
Provision 1.5 (of the Nursing Code of Ethics) states, The principle of respect for persons extends to all individuals with whom the nurse interacts. The nurse maintains compassionate and caring relationships with colleagues and others with a commitment to the fair treatment of individuals, to integrity-preserving compromise, and to resolving conflict. It continues by saying, This standard of conduct precludes any and all prejudicial actions, any form of harassment or threatening behavior, or disregard for the effect of one's actions on others. It is expected that nurses (including student nurses) will not engage in behaviors that show disregard for the effect of one's actions on others. This is a powerful mandate for all nurses to communicate and act professionally to prevent inflicting physical or emotional pain on others while pursuing nursing education and engaging in nursing practice.