The Nurse Working on a Medical Unit Is Admitting a Client

question 17

Multiple Choice

The nurse working on a medical unit is admitting a client diagnosed with heart failure. During the admission process, the client states, "I do not want to be put on a ventilator because I had to watch my mother die on a ventilator. I want information on making out a living will." When planning care for this client, which intervention is the most appropriate?

• A)Educate the client on the process and purpose of a living will and arrange for one to be created should the client choose to do so.
• B)Encourage the client to allow for mechanical ventilation.
• C)Educate the client on the purpose of mechanical ventilation.
• D)Refer the client to a therapist to deal with the death of her mother.

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Definitions:

Projection

A defense mechanism where an individual attributes their own unacceptable thoughts or feelings onto someone else.

Consensus Cue

A signal or piece of information indicating that a group is reaching or has reached general agreement on a particular issue.

Distinctiveness

The quality of being different or unique, distinguishing an individual, group, or object from others in a specific context or among comparable entities.

Stereotype

A prevalent, yet rigid and simplified conception of a certain category of people or items.