HURST REVIEW: MANAGEMENT OF CARE
QUESTIONS WITH COMPLETE SOLUTIONS
A competent elderly client is admitted with a diagnosis of
malnutrition following a 30-pound (13.6 kg) weight loss in a
month. The family requests insertion of Peg tube for enteral
feedings, despite the client's advanced directives indicating "no
life-prolonging measures". What is the most appropriate
comment by the nurse to the family?
1. "Perhaps you could convince your parent to allow a Peg tube
insertion."
2. "Maybe the client just needs family to prepare meals and help
feed the client."
3. "The client completed an advanced directive form specifying
what we may do."
4. "It is the client's right to refuse procedures not wanted."
Correct Answer 3. CORRECT. This statement by the nurse
provides an explanation of advanced directives as well as the
fact the client has completed such a form. The focus is placed on
the purpose of advanced directives and how medical personal
must abide by the client's wishes. The nurse has given the family
a response which includes accurate knowledge as well as
advocating for the client.
1. INCORRECT. Such a statement does not focus on the client's
right to refuse life-extending procedures as noted in the
advanced directives. The family is given false hope rather than a
correct explanation regarding advanced directives and client
rights.
2. INCORRECT. The nurse is attempting to refocus the family
on the client's weight loss rather than the client's choices. The
issue at this time is not the cause of the weight loss, but rather
,the client's right to refuse life-extending procedures as detailed
in the advanced directives.
4. INCORRECT. Though this statement is accurate, it is abrupt
and closed-ended. When addressing family, the nurse needs to
remember that stress, fear and frustration can overwhelm
judgment. The family may fear losing the client and the nurse's
statement would not address those fears or the advanced
directives.
Review page 272 of your student book if you missed this
question.
A competent elderly client is admitted with a diagnosis of
malnutrition following a 30-pound (13.6 kg) weight loss in a
month. The family requests insertion of Peg tube for enteral
feedings, despite the client's advanced directives indicating "no
life-prolonging measures". What is the most appropriate
comment by the nurse to the family?
Choose One
1. "Perhaps you could convince your parent to allow a Peg tube
insertion."
2. "Maybe the client just needs family to prepare meals and help
feed the client."
3. "The client completed an advanced directive form specifying
what we may do."
4. "It is the client's right to refuse procedures not wanted."
Submit Correct Answer 3. CORRECT. This statement by the
nurse provides an explanation of advanced directives as well as
the fact the client has completed such a form. The focus is
placed on the purpose of advanced directives and how medical
personal must abide by the client's wishes. The nurse has given
, the family a response which includes accurate knowledge as
well as advocating for the client.
1. INCORRECT. Such a statement does not focus on the client's
right to refuse life-extending procedures as noted in the
advanced directives. The family is given false hope rather than a
correct explanation regarding advanced directives and client
rights.
2. INCORRECT. The nurse is attempting to refocus the family
on the client's weight loss rather than the client's choices. The
issue at this time is not the cause of the weight loss, but rather
the client's right to refuse life-extending procedures as detailed
in the advanced directives.
4. INCORRECT. Though this statement is accurate, it is abrupt
and closed-ended. When addressing family, the nurse needs to
remember that stress, fear and frustration can overwhelm
judgment. The family may fear losing the client and the nurse's
statement would not address those fears or the advanced
directives.
Review page 272 of your student book if you missed this
question.
A facility housekeeper approaches the nurse, reporting their
sibling with no advanced directive has been admitted in a coma
following a massive stroke. As the client's only family member,
the housekeeper requests information on the client's condition
and prognosis. What actions by the nurse are most appropriate?
Select All That Apply
1. Offer to contact a spiritual leader to provide comfort.
2. Inform housekeeper that you are not the client's nurse.
3. Check the chart data and provide brief update on client.
4. Ask Social Services to help housekeeper with legal issues.
QUESTIONS WITH COMPLETE SOLUTIONS
A competent elderly client is admitted with a diagnosis of
malnutrition following a 30-pound (13.6 kg) weight loss in a
month. The family requests insertion of Peg tube for enteral
feedings, despite the client's advanced directives indicating "no
life-prolonging measures". What is the most appropriate
comment by the nurse to the family?
1. "Perhaps you could convince your parent to allow a Peg tube
insertion."
2. "Maybe the client just needs family to prepare meals and help
feed the client."
3. "The client completed an advanced directive form specifying
what we may do."
4. "It is the client's right to refuse procedures not wanted."
Correct Answer 3. CORRECT. This statement by the nurse
provides an explanation of advanced directives as well as the
fact the client has completed such a form. The focus is placed on
the purpose of advanced directives and how medical personal
must abide by the client's wishes. The nurse has given the family
a response which includes accurate knowledge as well as
advocating for the client.
1. INCORRECT. Such a statement does not focus on the client's
right to refuse life-extending procedures as noted in the
advanced directives. The family is given false hope rather than a
correct explanation regarding advanced directives and client
rights.
2. INCORRECT. The nurse is attempting to refocus the family
on the client's weight loss rather than the client's choices. The
issue at this time is not the cause of the weight loss, but rather
,the client's right to refuse life-extending procedures as detailed
in the advanced directives.
4. INCORRECT. Though this statement is accurate, it is abrupt
and closed-ended. When addressing family, the nurse needs to
remember that stress, fear and frustration can overwhelm
judgment. The family may fear losing the client and the nurse's
statement would not address those fears or the advanced
directives.
Review page 272 of your student book if you missed this
question.
A competent elderly client is admitted with a diagnosis of
malnutrition following a 30-pound (13.6 kg) weight loss in a
month. The family requests insertion of Peg tube for enteral
feedings, despite the client's advanced directives indicating "no
life-prolonging measures". What is the most appropriate
comment by the nurse to the family?
Choose One
1. "Perhaps you could convince your parent to allow a Peg tube
insertion."
2. "Maybe the client just needs family to prepare meals and help
feed the client."
3. "The client completed an advanced directive form specifying
what we may do."
4. "It is the client's right to refuse procedures not wanted."
Submit Correct Answer 3. CORRECT. This statement by the
nurse provides an explanation of advanced directives as well as
the fact the client has completed such a form. The focus is
placed on the purpose of advanced directives and how medical
personal must abide by the client's wishes. The nurse has given
, the family a response which includes accurate knowledge as
well as advocating for the client.
1. INCORRECT. Such a statement does not focus on the client's
right to refuse life-extending procedures as noted in the
advanced directives. The family is given false hope rather than a
correct explanation regarding advanced directives and client
rights.
2. INCORRECT. The nurse is attempting to refocus the family
on the client's weight loss rather than the client's choices. The
issue at this time is not the cause of the weight loss, but rather
the client's right to refuse life-extending procedures as detailed
in the advanced directives.
4. INCORRECT. Though this statement is accurate, it is abrupt
and closed-ended. When addressing family, the nurse needs to
remember that stress, fear and frustration can overwhelm
judgment. The family may fear losing the client and the nurse's
statement would not address those fears or the advanced
directives.
Review page 272 of your student book if you missed this
question.
A facility housekeeper approaches the nurse, reporting their
sibling with no advanced directive has been admitted in a coma
following a massive stroke. As the client's only family member,
the housekeeper requests information on the client's condition
and prognosis. What actions by the nurse are most appropriate?
Select All That Apply
1. Offer to contact a spiritual leader to provide comfort.
2. Inform housekeeper that you are not the client's nurse.
3. Check the chart data and provide brief update on client.
4. Ask Social Services to help housekeeper with legal issues.
