Try Naxlex NCLEX-RN (Free-Trial)

A terminal patient asks the nurse if he could be given a deliberate overdose of medication that would "end this." According to the Code for Nurses, the nurse's most ethical response would be:

"Bringing on your death in this manner would be a subject you should discuss with your family and primary care provider."

"Let me have a while to consider your request."

"I cannot ethically give you a deliberate overdose."

"I can contact the primary care provider and request an order for a drug that could be used as you request"

Answer and Explanation

The Correct Answer is C

"Bringing on your death in this manner would be a subject you should discuss with your family and primary care provider" (Option A): While discussing end-of-life wishes with family and healthcare providers is important, this response does not directly address the ethical issue at hand. It may be appropriate to encourage open communication and advance care planning, but administering a deliberate overdose is not ethically permissible.

"Let me have a while to consider your request" (Option B): Delaying a response to the patient's request for deliberate overdose could potentially lead to confusion and distress for the patient. Additionally, this response does not address the ethical concerns raised by the request.

"I cannot ethically give you a deliberate overdose" (Option C): This response aligns with the ethical principle of nonmaleficence, which obligates healthcare providers to avoid causing harm to patients. Administering a deliberate overdose to hasten death would violate this principle and go against the nurse's ethical obligations.

"I can contact the primary care provider and request an order for a drug that could be used as you request" (Option D): This response suggests a willingness to facilitate the patient's request for deliberate overdose, which is not ethically permissible. Administering a drug with the intention of ending a patient's life is contrary to the ethical principles of beneficence and nonmaleficence.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is E

Explanation

The statement "My family will be fine after I'm gone" reflects a sense of acceptance of the situation and an acknowledgment of the inevitability of death. Here's how it correlates with Kübler-Ross's stages of dying:

Anger (Option A): Anger is characterized by feelings of frustration, resentment, and hostility. The statement does not express any anger towards the situation or others; instead, it conveys a sense of resignation and acceptance.

Depression (Option B): Depression involves feelings of sadness, hopelessness, and despair. While the statement could potentially be interpreted as reflecting sadness about leaving loved ones behind, it primarily conveys a sense of acceptance rather than depression.

Denial (Option C): Denial involves refusing to accept the reality of the situation. The statement provided does not reflect denial as it acknowledges the reality of the individual's impending death rather than denying it.

Bargaining (Option D): Bargaining involves attempting to negotiate with a higher power or others to change the outcome of the situation. The statement does not reflect bargaining as it does not involve any attempt to change the inevitable outcome of death.

Acceptance (Option E): Acceptance is the final stage in Kübler-Ross's model and involves coming to terms with one's impending death. The statement "My family will be fine after I'm gone" suggests that the individual has accepted their fate and believes that their loved ones will be able to cope without them. Therefore, this behavior correlates most closely with the stage of acceptance.

A. decrease pain caused by dyspnea. B. dry up secretions that are causing rattling. C. decrease respiratory rate and relieve dyspnea. D. hasten death by stopping respirations.

Correct Answer is C

Explanation

A. Administering morphine can help decrease pain associated with dyspnea, but the primary goal in this scenario is to address the dyspnea itself rather than pain specifically.

B. While morphine can help dry up secretions to some extent, its primary action in this context is to alleviate dyspnea by reducing respiratory effort and rate.

C. Morphine is commonly used in palliative care to relieve dyspnea by depressing the respiratory center in the brain, leading to a decrease in respiratory rate and effort. This helps alleviate the sensation of breathlessness and discomfort associated with dyspnea.

D. Administering morphine in small doses for dyspnea relief is not intended to hasten death but rather to provide comfort and relief from distressing symptoms at the end of life. The goal is to improve quality of life rather than hastening death.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A terminal patient asks the nurse if he could be given a deliberate overdose of medication that would "end this." According to the Code for Nurses, the nurse's most ethical response would be:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Directions: Correlate the behavior with Kübler-Ross's stages of dying from the choices below. "My family will be fine after I'm gone "

Correct Answer is E

Explanation

A terminally ill patient is experiencing a great deal of dyspnea and noisy, "rattling" rapid respirations. The nurse administers morphine in a very small liquid or intramuscular dose. The purpose of this is to:

Correct Answer is C

Explanation

The type of grief that happens before the actual loss is known as:

The relief of symptoms when a cure is no longer possible is known as:

When the patient says, "l can die happily if I can live long enough to see my first grandchild that will be born next month." The nurse assesses that this patient is experiencing Kübler Ross's stage of:

Directions: Correlate the behavior with KübIer-Ross's stages of dying from the choices below. pleads "If Mom will just be OK. I'll do my homework every day."

A terminal patient in a skilled nursing home has stated that he does not want to get out of bed, because he is too tired and weak to sit in a chair. He sleeps on and off all day and night, his position is changed every 2 hours, and he is comfortable on his pain regimen. The next day the nurse will:

A nurse is caring for a client who has a new diagnosis of chronic renal failure. The nurse should recognize which of the following client statements as an indication of anticipatory grief?

A nurse is assisting with teaching a class about the effects of spirituality for clients who are near the end of life. Which of the following information should the nurse include?

A nurse is providing palliative care to a client who is receiving hospice care and is approaching death. Which of the following actions should the nurse take? (Select all that apply.)