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The nurse is caring for a client with late-stage dementia who is expected to die within months. The client has been refusing food and fluids, and the care team has proposed insertion of a percutaneous endoscopic gastrostomy (PEG) feeding tube. What is the nurse’s initial action?

The nurse is concerned that specific families in a community are at increased risk for transgenerational violence. Which family situation does the nurse identify as fitting with the transgenerational theory of violence?

The nurse suspects that an older patient has been physically abused. What must the nurse include as part of the initial medical work-up for this client?

A nurse becomes concerned about self-neglect during an office visit assessment. Which statement made by the client prompted the nurse’s concern?

The spouse of a terminally ill client who is receiving hospice care asks why antibiotics are being prescribed for a urinary tract infection when the client is going to die anyway. What information should be included in the nurse’s explanation?

A client has been diagnosed with lung cancer with metastases and has learned that the prognosis is very poor. What is the most appropriate question to initiate a discussion about the client’s future wishes for care?

An elderly woman from a cultural background that values family authority is brought to the clinic by her grandson. He explains, “In our culture, the eldest family member makes health decisions for everyone. I want to be the one to explain things for her.” The client sits quietly and nods as he speaks. The nurse notices the client is thin and wearing the same clothing as her last visit.When asked privately if she is comfortable with her grandson speaking for her, she replies softly, “Yes, I don’t mind. He is a good boy. I just wish he would listen and buy me some different clothes—we have the money. I hate this old dress.”What is the nurse’s best response?

The family of a dying client has been sitting at his bedside for hours, watching over the decreasing respirations. No one is speaking. What information is most important for the nurse to provide to the client’s son?

The nurse is assessing a client diagnosed with a right-sided stroke with hemiplegia. The nurse is designing a care plan for the client.Which characteristic(s) of this type of stroke would the nurse be careful to include in the careplan to promote safety and prevent injury. Select all that apply.

A nurse leader is teaching new staff about the meaning of a safety culture in healthcare. Which statement best reflects this concept?