1. The initial, psychosocial assessment of a patient with metastatic cancer, refractory to treatment, includes:
a discussion of hospice care.
a
... [Show More] review of critical life incidents.
the family's readiness to learn about the dying process.
the patient's preference for quality versus quantity of life. - correct answer ✔✔the patient's preference for quality versus quantity of life.
2. An adult-gerontology clinical nurse specialist evaluates a patient who has chronic obstructive pulmonary disease and is on home oxygen therapy. The efficacy of the oxygen therapy is demonstrated by the patient's:
awareness of the disease complications.
energy conservation strategies.
improved gas exchange.
knowledge of the hazards of smoking. - correct answer ✔✔improved gas exchange.
3. What clinical tool is used to aid in the diagnosis of Guillain-Barré syndrome?
Cerebrospinal fluid analysis
Computed tomography angiography
Magnetic resonance angiography
Magnetic resonance imaging - correct answer ✔✔Cerebrospinal fluid analysis
4. Several days after gastrointestinal surgery, a patient begins to receive total, parenteral hyperalimentation. In addition to the blood glucose, which laboratory values are most important for the adult-gerontology clinical nurse specialist to monitor?
Creatinine clearance and magnesium
Potassium and hemoglobin
Serum electrolytes and blood urea nitrogen
Total protein level and serum calcium - correct answer ✔✔Serum electrolytes and blood urea nitrogen
5. A staff nurse admits a patient, who has overdosed on cocaine, to a busy medical unit. The nurse asks the adult-gerontology clinical nurse specialist, "Why are we bothering with this patient? He will only wind up being readmitted." The clinical nurse specialist's response is:
"As nurses, we are responsible for learning to recognize our own feelings when caring for patients whose diagnoses we may find difficult to accept."
"As nurses, we need to put the patient first. Our feelings are not supposed to be considered when we care for challenging patients."
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