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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.

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Correct Answer is A

Explanation

A. This response acknowledges the potential comfort that can come from knowing that the tragedy may lead to saving other lives through organ donation. It emphasizes the positive impact that organ donation can have, which may provide some solace to the loved ones during a difficult time.

B. This response focuses on the logistical aspects of organ donation and may unnecessarily add stress to the situation by mentioning a delay in the funeral. It does not address the potential benefits of organ donation or provide emotional support to the loved ones.

C. This response provides inaccurate information about organ donation. Organ donation is not limited to just kidneys, and various organs and tissues can be donated depending on the circumstances and the donor's medical history. Additionally, this response does not address the emotional aspects of organ donation or provide reassurance to the loved ones.

D. This response mentions a small cost associated with organ donation, which may not be accurate as organ donation typically does not involve financial costs for the donor's family. Additionally, focusing on the cost detracts from the altruistic and compassionate nature of organ donation and may cause unnecessary concern for the loved ones.

A. "l can now eat whatever I want. It will be dialyzed out of my system." B. "l know that renal failure runs in my family and I can prevent it." C. "l just can't believe that my whole life is going to be ruined by dialysis." D. "l know that I will get a kidney transplant. I am a good candidate."

Correct Answer is C

Explanation

A. "I can now eat whatever I want. It will be dialyzed out of my system.": This statement reflects a lack of understanding about the dietary restrictions and lifestyle changes necessary with chronic renal failure rather than anticipatory grief.

B. "I know that renal failure runs in my family and I can prevent it.": This statement suggests a focus on prevention and may not indicate anticipatory grief. It reflects the client's awareness of their family history and their belief in their ability to take preventive measures.

C. "I just can't believe that my whole life is going to be ruined by dialysis.": This statement expresses a sense of disbelief and distress about the impact of dialysis on the client's life. It suggests that the client is already grieving the perceived loss of their previous way of life, indicating anticipatory grief.

D. "I know that I will get a kidney transplant. I am a good candidate.": This statement reflects hope and optimism about the possibility of a kidney transplant, which may not align with anticipatory grief. It indicates the client's understanding of treatment options and a positive outlook for the future.

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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

Correct Answer is A

Explanation

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?

Correct Answer is C

Explanation

A 33-year-old patient has been told that her disease is terminal. The patient is crying and states, "l will just be a dependent drain on my family. I hate being a burden to them." The nurse can best respond:

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.)

The nurse is aware that in order to provide effective support to grieving patients and families, the nurse must?

A nurse is caring for a client who has cancer and is receiving palliative care. Which of the following statements should the nurse identify as an indication that the client understands and accepts his prognosis?

When a patient admitted for terminal care is asked by the admitting nurse, "What has your doctor told you about your illness?" the patient states, "She says that I have a terminal illness, but I know she’s wrong." The nurse recognizes that:

After a patient death, the nurse is preparing to perform postmortem care. The body is placed supine with the head raised so that:

A neighbor who was widowed 2 months ago gives the nurse his wife Helen's gardening books "because the two of you loved flowers." He tries to hold back tears, but begins to cry. To decrease his discomfort, the nurse should say:

A hospice nurse is caring for a client who is approaching death and has fecal incontinence. Which of the following actions should the nurse take?