A client who has a progressive neurological disorder tells the nurse that they want to have a physician-assisted death (PAD) when their condition becomes intolerable. The nurse is uncomfortable with this request and does not agree with the client's decision.
Which of the following responses should the nurse make?
"I'm sorry, but I cannot help you with that. It is against my personal and professional values."
"I understand that this is a difficult and personal decision for you. Can you tell me more about why you want to have a PAD?"
"I think that you are depressed and hopeless. You should talk to a psychiatrist or a counselor before you make such a decision."
"I respect your decision, but I cannot participate in it. I will ask another nurse to take over your care."
The Correct Answer is B
The nurse should acknowledge the client's decision and express empathy and understanding, without imposing their own values or judgments. The nurse should also explore the client's reasons, feelings, concerns, and expectations for having a PAD, and provide information, education, and support as needed.
Answer A is incorrect because it may make the client feel rejected, guilty, or ashamed, and it does not address the client's needs or concerns.
Answer C is incorrect because it may make the client feel invalidated, stigmatized, or patronized, and it does not respect the client's autonomy or dignity.
Answer D is incorrect because it may make the client feel abandoned, isolated, or betrayed, and it does not facilitate communication or continuity of care.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
T
he nurse should initiate antibiotic therapy as prescribed for a client who has COPD and develops signs of a respiratory infection, such as fever, productive cough, and increased dyspnea. Antibiotics can help treat the infection and prevent complications such as sepsis or respiratory failure.
Incorrect answers:
A) The nurse should not obtain a sputum culture and sensitivity test for a client who has COPD and develops signs of a respiratory infection, as this is not necessary or appropriate in palliative care. The goal of palliative care is to relieve symptoms and improve quality of life, not to diagnose or cure diseases. A sputum culture and sensitivity test may cause discomfort or distress for
the client, and delay treatment.
B) The nurse should not administer acetaminophen as prescribed for a client who has COPD
and develops signs of a respiratory infection, as this is not sufficient or effective in managing
the condition. Acetaminophen may help reduce fever, but it does not address the underlying cause of infection or relieve other symptoms such as cough or dyspnea.
D) The nurse should not increase fluid intake as tolerated for a client who has COPD and develops signs of a respiratory infection, as this may worsen dyspnea or cause fluid overload. Fluid intake should be individualized
Correct Answer is B
Explanation
The nurse should encourage the spouse to communicate with the client about their preferences for end-of-life care, and express their love and support. This can help the client feel more comfortable and respected, and reduce the risk of conflicts or regrets later on.
Answer A is incorrect because it does not respect the client's autonomy or right to make informed decisions about their own care.
Answer C is incorrect because it may delay or prevent important conversations that need to happen before the client's condition worsens.
Answer D is incorrect because it violates the client's legal and ethical rights, and may cause resentment or anger from the client.
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