Grief
A patient recently lost her spouse and says, “I keep expecting him to walk through the door.” This is an example of which stage of grief?
Denial
This type of social determinant has to do with affording medication or medical care
What is poverty, low income, financial
Cramping, dull pain from internal organs.
Visceral Pain
he priority assessment when administering IV opioids.
What is respiratory rate? |
The right of individuals to make their own decisions about their care.
Autonomy
The patient’s legal and ethical right to receive information about a proposed treatment and voluntarily agree to it.
Informed Consent
Modesty important; halal diet; fasting during Ramadan; prayer 5 times daily. Same-gender caregivers preferred.
Islam
Cultural beliefs can influence the way an individual expresses grief.
True or false
True
This deficient social determinant has to do with Education
Lack of literacy or ability to understand information.
Pain from injury to skin, muscles, or bones (e.g., sprained ankle).
What is somatic pain
Applying this can reduce swelling and pain in the first 48 hours of injury.
Ice or cold therapy
The duty to promote good and act in the best interest of the patient.
Beneficence
Specifies which medical treatments a person wants or doesn’t want (e.g., resuscitation, mechanical ventilation, feeding tubes) if they’re terminally ill or permanently unconscious.
Living Will
Kosher diet; Sabbath observance; rituals around birth and death.
Judaism (Jewish)
Difficulty accepting the death
Denial
This social determinant has to do with appropriate help at home.
Support systems
What pain medication can be given rectally?
Morphine IR
True or false: All cultures express pain the same way
False
Obligation to “do no harm” and avoid causing unnecessary suffering.
Nonmaleficence
Appoints someone (a proxy or agent) to make healthcare decisions on behalf of the person if they can’t communicate.
Durable Power of Attorney for Healthcare (Healthcare Proxy)
Vegetarianism common; use of Ayurvedic remedies; belief in karma and reincarnation.
Hinduism
Sadness and emotional pain are present but gradually ease over time
Uncomplicated or expected grief
The best way to take care of a culturally diverse patient population is:
Provide culturally competent care
A nurse plans to use non-pharmacological interventions for a client in pain. Name 1
Guided imagery
Exercise
cold/warm therapy
Increased HR, BP, and RR may be objective signs of this type of pain
Acute pain
Treating patients fairly and distributing resources equitably
Justice
Specific orders to withhold CPR or intubation in case of cardiac or respiratory arrest.
Do Not Resuscitate (DNR) / Do Not Intubate (DNI)
In some cultures, family or community makes decisions rather than the individual. Know who to involve.
Decision-making
Persistent longing or preoccupation with the deceased, lasting more than 12 months (or 6 months for children/adolescents)
Complicated Grief
The nurse should do this to assess the patient's base level of maslows
Screen for social needs (e.g., food insecurity, housing)
A client with diabetic neuropathy reports burning, shooting pain in the feet. This is best categorized as:
Neuropathic pain
This scale uses facial expressions to assess pain in children or nonverbal adults.
What is the Wong-Baker FACES scale?
The following are examples of what:
Continuing CPR on a terminal patient with no chance of recovery.
Using antibiotics for multi-organ failure in a dying patient.
Prolonging life support when the brain is non-functioning (brain death).
Medical futility
What are 3 of the 5 patient rights
Right to refuse treatment (even if life-saving)
Right to privacy/confidentiality (HIPAA)
Right to be informed and make decisions
Right to access their own medical records
Some view illness as spiritual punishment, balance disruption, or fate. May use traditional remedies alongside or instead of Western medicine.
Health beliefs