The health care provider prescribes a placebo instead of pain medication. Which intervention should the nurse implement?

Administer the placebo as prescribed when the client reports pain.

Tell the charge nurse about the prescribed placebo and refuse to administer it.

Inform the client that the provider prescribed a placebo instead of pain medication.

Discuss ethical concerns about placebo use with the healthcare provider.

Answer and Explanation

The Correct Answer is D

A.   Administering the placebo as prescribed when the client reports pain is ethically questionable.
Placebos are typically used in research or clinical trials and should not be administered without the client's informed consent and understanding.
B.   While informing the charge nurse about the prescribed placebo is appropriate, refusing to administer it without further action may not address the ethical concerns surrounding placebo use.
C.   Informing the client that the provider prescribed a placebo instead of pain medication is important for transparency and informed consent. However, this should be accompanied by discussing the ethical considerations with the healthcare provider.
D.   Discussing ethical concerns about placebo use with the healthcare provider is the most appropriate intervention. This ensures that the nurse advocates for the client's well-being and addresses any potential ethical issues surrounding the use of placebos in pain management.

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Correct Answer is A

Explanation

A. Questioning the client about the frequency of falls in recent months is an essential component of a functional assessment, especially for an older adult being admitted to a rehabilitation facility.
Understanding the history of falls helps identify potential risk factors and informs the development of an appropriate care plan.
B. Asking the client how often episodes of sundowning are experienced is not relevant to a functional assessment. Sundowning refers to increased confusion and agitation that typically occurs in the late afternoon or evening and is often associated with dementia.
C. Assisting the client with values clarification about end-of-life care options is important but not typically part of a functional assessment focused on evaluating the client's physical and cognitive abilities.
D. Encouraging the client to lie as still as possible during the assessment may not provide accurate information about the client's functional status. It's important for the client to engage in activities that reflect their typical level of functioning.

A. Acknowledge feelings of anxiety. B. Weigh the client twice weekly. C. Encourage exercise. D. Provide family education on the condition. E. Monitor trips to the restroom. F. Allow for menu deviations. G. Set precise mealtimes.

Correct Answer is ["A","B","D","E","G"]

Explanation

A. Acknowledge feelings of anxiety: The client's neurological assessment indicates agitation, and acknowledging this can help in addressing any underlying anxiety.
B. Weigh the client twice weekly: Given the client's low BMI and the mother's concern about her weight, regular monitoring is necessary.
C. Encourage exercise: While exercise is generally healthy, the client's current bradycardia and low BMI suggest that immediate physical exertion may not be advisable without medical
supervision.
D. Provide family education on the condition: The client's mother's concern and the client's defensiveness about her weight indicate a need for family education.
E. Monitor trips to the restroom: Monitoring is important to ensure the client is not engaging in behaviors that could further compromise her health, such as purging.
F.Allow for menu deviations is incorrect. Allowing menu deviations can enable the client to avoid certain foods, which reinforces disordered eating behaviors. Structured, balanced meals are essential for recovery.

G. Set precise mealtimes is correct because establishing structured mealtimes promotes consistency and reduces anxiety related to eating. This helps the client develop healthier eating patterns and decreases the urge to binge or purge.

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The health care provider prescribes a placebo instead of pain medication. Which intervention should the nurse implement?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

An older adult client is being admitted to a short-term rehabilitation facility after a long hospitalization. The nurse is performing a functional assessment with the client. Which action should the nurse implement?

Correct Answer is A

Explanation

Exhibits Which interventions are indicated to promote positive outcomes for the client? Select all that apply.

Correct Answer is ["A","B","D","E","G"]

Explanation

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