A client is receiving external radiation therapy for cancer treatment. During a teaching session, the nurse evaluates the client's understanding of radiation safety. Which statement by the client indicates the need for further teaching?

"I'll not use my heating pad during my treatment."

"I'll wear protective clothing when outside."

"I'll wash my skin with mild soap and water only."

"I'm worried I'll expose my family members to radiation."

Answer and Explanation

The Correct Answer is D

A. "I'll not use my heating pad during my treatment.": Heat can increase skin irritation in areas receiving radiation. Avoiding additional heat helps prevent burns and further tissue damage.

B. "I'll wear protective clothing when outside.": Clothing can protect sensitive skin from UV exposure and reduce irritation, which is important for clients undergoing radiation therapy.

C. "I'll wash my skin with mild soap and water only.": Gentle cleansing preserves skin integrity in the radiation field and prevents further irritation or breakdown from harsh soaps or scrubbing.

D. "I'm worried I'll expose my family members to radiation.": External beam radiation therapy does not make the client radioactive, so there is no risk of exposing family members.

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Correct Answer is B

Explanation

A. Ask the patient to participate in family therapy sessions to improve communication: Family therapy can help reduce stressors and improve relationships, but it is not the most immediate intervention for disorganized speech and impaired functioning.

B. Provide a structured environment with clear, simple instructions for daily tasks: Clients with disorganized thinking benefit from predictability and step-by-step guidance. A structured environment reduces confusion, enhances safety, and helps the patient successfully complete activities of daily living.

C. Encourage the patient to engage in group therapy to improve social skills: Group therapy can be beneficial once the client’s thought processes and functioning are more stabilized. However, in the presence of severe disorganization, participation in group settings may increase frustration and confusion rather than support progress.

D. Administer antipsychotic medication as prescribed to reduce symptoms: Medication is essential for reducing psychotic symptoms, but psychosocial interventions such as structure and clear instructions directly improve functioning.

A. Non-adherence to medications B. Non-attendance of treatment programs C. Lack of social activities D. Substance use to self medicate

Correct Answer is A

Explanation

A. Non-adherence to medications: Antipsychotic medications are essential for symptom control, and missing doses or discontinuing treatment often leads to exacerbation of psychotic symptoms and the need for hospitalization.

B. Non-attendance of treatment programs: While skipping therapy or support groups can negatively affect progress, it is not the main cause of relapse. Medication adherence remains the most critical component in preventing symptom recurrence and maintaining stability.

C. Lack of social activities: Social isolation can worsen negative symptoms and impact overall quality of life, but it does not directly cause acute relapse requiring hospitalization. The client may remain stable on medications even with limited social interactions.

D. Substance use to self medicate: Substance use can complicate treatment and increase relapse risk, but it is not the primary factor. Even clients without substance use issues frequently relapse if they stop taking prescribed antipsychotics.

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A client is receiving external radiation therapy for cancer treatment. During a teaching session, the nurse evaluates the client's understanding of radiation safety. Which statement by the client indicates the need for further teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is A

Explanation

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