The nurse is caring for a patient diagnosed with a terminal illness who is interested in signing a healthcare Advanced Directive. Which of the following are included in this type of end-of-life planning? Select all that apply.

"Addressing organ donation and autopsy issues."

"Naming a durable power of attorney for my health care needs."

"Addressing who gets my personal items if I should die."

"Naming which life sustaining treatments, I want and do not want."

Answer and Explanation

Correct Answer : B,D

A. "Addressing organ donation and autopsy issues." Advanced directives typically address preferences about medical treatment and end-of-life care, but organ donation and autopsy decisions are not always included in these directives. Organ donation often involves a separate document or registration.

B. "Naming a durable power of attorney for my health care needs." An advanced directive often includes designating a durable power of attorney (DPOA) for healthcare decisions. This person is authorized to make medical decisions on the patient’s behalf if they become unable to do so themselves.

C. "Addressing who gets my personal items if I should die." The distribution of personal items is typically covered in a will, not an advanced directive. Advanced directives focus on healthcare decisions rather than the distribution of personal property.

D. "Naming which life-sustaining treatments I want and do not want." Advanced directives often include instructions about specific medical treatments and interventions that the patient does or does not want, such as resuscitation, mechanical ventilation, or tube feeding.

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Correct Answer is A

Explanation

A. The client with a left lower extremity fracture. Somatic pain is related to damage to body tissues, such as fractures. This type of pain is typically localized and can be acute or chronic.

B. The client with a bowel obstruction. Pain from a bowel obstruction is typically visceral rather than somatic, as it involves internal organs.

C. The client with a skin tear to the upper extremity. While this involves the skin, it is typically considered superficial somatic pain, but the context of the question suggests a deeper musculoskeletal issue.

D. The client with pneumonia. Pain from pneumonia is usually visceral due to inflammation in the lungs.

A. “I drink one glass of wine before bed to help me sleep." B. “I joined an art group that my partner attended at my church." C. “I am leaving my partner's belongings in the same place." D. “I can make it through most of the day before I feel like crying."

Correct Answer is B

Explanation

A. “I drink one glass of wine before bed to help me sleep.” This statement indicates a potentially unhealthy coping strategy. Using alcohol as a sleep aid can lead to dependency and does not address the underlying grief. It is not considered an appropriate coping mechanism.

B. “I joined an art group that my partner attended at my church.” This statement indicates a healthy coping strategy. Joining an art group provides social support, a sense of community, and a constructive outlet for emotions. It also honors the memory of the partner in a positive way.

C. “I am leaving my partner’s belongings in the same place.”This statement may indicate difficulty in moving forward and could suggest that the client is struggling to accept the loss. While it is normal to keep some belongings for sentimental reasons, leaving everything unchanged might hinder the grieving process.

D. “I can make it through most of the day before I feel like crying.” While it's normal to experience a range of emotions during grief, excessive suppression of emotions can hinder the healing process. It's important for the client to allow themselves to grieve and express their emotions in healthy ways.

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The nurse is caring for a patient diagnosed with a terminal illness who is interested in signing a healthcare Advanced Directive. Which of the following are included in this type of end-of-life planning? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is assessing a group of clients for somatic pain. Which of the following client's would be experiencing this type of pain?

Correct Answer is A

Explanation

The nurse is caring for a client who recently experienced the death of a partner. Which of the following statements would indicate to the nurse that the client is demonstrating appropriate coping strategies?

Correct Answer is B

Explanation

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