1. A nurse is talking with a hospital chaplain about an agnostic…1. A nurse is talking with a hospital chaplain about an agnostic client receiving hospice care who may benefit from support. How might spirituality be expressed from an agnostic point of view? 2.While collecting a social history the nurse learns a client receiving end-of-life care follows Islamic customs. What are important actions for the nurse to include? 3. A nurse manager is reviewing the practices employed on the medical unit of an acute care facility that primarily serves an older adult population. Which nursing priorities would the nurse manager most likely determine the need for a staff in-service education program? 4 . A gerontological nurse is talking with a group of staff nurses working in a long-term care facility. The nurse is describing the strides made in long-term care since it first emerged during the 19th century. Which characteristics would the nurse most likely include when describing care during this time? 5. An older adult couple have had a series of cardiovascular disorders that quickly used up their modest retirement savings, and they now live at the nursing home, with Medicaid paying the bills. Their children are very loving but have little money of their own. They can visit only occasionally as the commute is long. What suggestions that are appropriate for the situation could you make to help the grown children make the most of their limited incomes and time with their parents? 6. An older adult client is brought to the emergency department after experiencing a heart attack. Assessment reveals cessation of the client’s cardiac and pulmonary functions. Which terminology would be used when documenting the client’s death? 7. An older adult client has just been diagnosed with metastatic cancer and only has a short time to live. Assessment reveals that the client is in the denial stage of dying. Which action would be most important for the nurse to implement at this time? 8. . An older client tells the nurse that through periods of trial and tribulation, the Bible has been the source of ongoing strength and support. What is the relationship between religious commitment and health status? 9. How would you respond to a new nurse working in rehabilitation if he or she told you that their care has failed if the patients are not returning to their pre-illness condition? Health ScienceScienceNursing NURSING 21
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