Mrs Jones has chronic back pain. She comes to the ER for the fifth time this month requesting narcotics for relief. She

1. Mrs Jones has chronic back pain. She comes to the ER for the fifth time this month requesting narcotics for relief. She says the pain is so bad she wishes she was dead. The physician orders a placebo.. What should the nurse do?
2. Mr. Clark, 87 yrs old , is admitted with severe edema which is diagnosed as kidney failure. He has a history of myocardial infarction, congestive heart failure and peripheral arterial disease which lead to an above the knee amputation five yrs ago. He tells the nurse he doesn’t think it is worth it to undergo dialysis. How would you respond to him?
3. Keri , age 15, comes for her sports physical and has suspicious bruises. She tells the nurse she is being beaten by her biological father with whom she lives. She says she left her mom’s home because she was sexually abused by her mother’s boyfriend. She begs the nurse not to report it since she cannot return to her mother’s home. What actions should the nurse take?