Ch16.docx - Prime yourself for your Tests – Study Questions Chapter 16 Brunner Suddarth’s Textbook of Medical-Surgical Nursing 13th Edition MULTIPLE

Ch16.docx - Prime yourself for your Tests – Study...

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Prime yourself for your Tests – Study Questions Chapter 16 Brunner & Suddarth’s Textbook of Medical-Surgical Nursing 13 th Edition MULTIPLE CHOICE 1. In the past three to four decades, nursing has moved into the forefront in providing care for the dying. Which phenomenon has most contributed to this increased focus of care of the dying? A)Increased incidence of infections and acute illnessesB)Increased focus of health care providers on disease preventionC)Larger numbers of people dying in hospital settingsD)Demographic changes in the populationAns:DFeedback: The focus on care of the dying has been motivated by the aging of the population, the prevalence of, and publicity surrounding, life-threatening illnesses (e.g., cancer and AIDS), and the increasing likelihood of a prolonged period of chronic illness prior to death. The salience of acute infections, prevention measures, and death in hospital settings are not noted to have had a major influence on this phenomenon. 2.A nurse who works in the specialty of palliative care frequently encounters issues and
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Prime yourself for your Tests – Study Questions situations that constitute ethical dilemmas. What issue has most often presented challenging ethical issues, especially in the context of palliative care? The application of technology to prolong life has raised several ethical issues. The major question is, “Because we can prolong life through increasingly sophisticated technology, does it necessarily follow that we must do so?” The increase in cultural diversity has not raised ethical issues in health care. Similarly, costs and staffing issues are relevant, but not central to the most common ethical issues surrounding palliative care. 3. The nurse is caring for a patient who has been recently diagnosed with late stage pancreatic cancer. The patient refuses to accept the diagnosis and refuses to adhere to treatment. What is the most likely psychosocial purpose of this patient’s strategy?
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Prime yourself for your Tests – Study Questions Patients who are characterized as being in denial may be using this strategy to preserve important interpersonal relationships, to protect others from the emotional effects of their illness, and to protect themselves because of fears of abandonment. Each of the other listed options is plausible, but less likely.
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