While caring for his dying wife, the husband states that his wife is a devout Roman Catholic, but he is a Baptist. Who is considered the most reliable source of preferences concerning end-of-life (EOL) care for his dying wife?

Husband of the dying wife

The dying wife

Hospice staff

A priest

Answer and Explanation

The Correct Answer is B

A. While the husband is deeply involved in the care, he may not fully know the wife’s preferences for end-of-life care.
B. The dying wife is the most reliable source of her own preferences for end-of-life care, as she can directly communicate her wishes.
C. Hospice staff can provide guidance and support but are not the primary source of the patient’s personal preferences.
D. A priest may offer spiritual guidance but does not have the authority to determine the individual’s personal end-of-life care preferences.

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Correct Answer is ["B","D","E"]

Explanation

A. Poor sanitation is typically categorized under the Environmental Domain in the Omaha System, as it pertains to the physical environment and its impact on health.
B. Anxiety and Depression fall under the Psychosocial Domain, which includes mental health issues and emotional well-being. These conditions affect the individual's psychological state and social interactions.
C. Multiple skin breakdowns are classified under the Physiological Domain, as they relate to physical health and body integrity.
D. Coping difficulties are also categorized under the Psychosocial Domain, as they pertain to an individual's ability to handle stress and manage emotional challenges.
E. Social Isolation is part of the Psychosocial Domain, since it involves an individual's social interactions and support systems, impacting their emotional and psychological well-being.

A. Discussing advance directives with the patient to ensure their wishes are documented B. Consulting with the patient's family about their preferences for funeral arrangements C. Encouraging the patient to participate in religious rituals and ceremonies important to their cultural beliefs D. Administering pain medication as prescribed to a terminally ill patient

Correct Answer is C

Explanation

A. While discussing advance directives is important for ensuring patient wishes are documented, it does not specifically address cultural competence in end-of-life care.
B. Consulting about funeral arrangements is important but focuses on post-death logistics rather than the patient’s current end-of-life care preferences.
C. Encouraging participation in religious rituals and ceremonies shows respect and support for the patient’s cultural beliefs, demonstrating cultural competence in providing holistic care.
D. Administering pain medication is a standard practice in end-of-life care and important for comfort but does not specifically address the cultural aspects of the patient’s care.

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While caring for his dying wife, the husband states that his wife is a devout Roman Catholic, but he is a Baptist. Who is considered the most reliable source of preferences concerning end-of-life (EOL) care for his dying wife?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is applying the Omaha System to categorize client issues observed during home visits with a group of clients. Which of the following problems would the nurse classify under the Psychosocial Domain? (Select all that apply)

Correct Answer is ["B","D","E"]

Explanation

Which nursing action best demonstrates cultural competence in end-of-life care?

Correct Answer is C

Explanation

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