A patient with terminal cancer says to the nurse, I just don't ...

[09madisonrousseau09]

A patient with terminal cancer says to the nurse, I just don't know if I should allow CPR in the event I quit breathing. What do you think? Which statement by the nurse would be most beneficial to the patient?
 
  a. If it were me, I would want to live no matter what.
  b. Don't worry. You have plenty of time to decide that later on.
  c. It's totally up to you. Have you discussed this with your family?
  d. Let's talk about what CPR means to you.

Question 2

The nurse is caring for a patient who is under arrest for murder. She is attempting to perform her duties while, at the same time, feeling a sense of repugnance toward the patient. The nurse is undergoing:
 
  a. value clarification
  b. value conflict
  c. first-order beliefs
  d. higher-order beliefs

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Answer to Question 1

ANS: D
The use of the value clarification process is helpful when assisting patients in making health care decisions regarding end-of-life care. Giving advice or telling patients what to do is unethical and not recommended. Ignoring a patient concern or changing the subject is inappropriate. Patients should be given factual information in order for them to make their own decisions.

Answer to Question 2

ANS: B
A values conflict occurs when a person's values are inconsistent with his or her behaviors or when the person's values are not consistent with the choices that are available. Providing care for a convicted murderer may elicit troubling feelings for a nurse, resulting in a values conflict between the nurse's commitment to care for all people and a personal repugnance for the act of murder. First-order beliefs serve as the foundation or the basis of an individual's belief system. Higher-order beliefs are ideas derived from a person's first-order beliefs, inductive, or syllogistic reasoning.

[09madisonrousseau09]

Thanks for the timely response, appreciate it

[Alyson.hiatt@yahoo.com]

TYSM