A client who has inoperable cancer tells the nurse that she does not want to pursue the recommended treatment. She asks if the provider can force her to have the treatment. Which of the following is an appropriate response by the nurse?
"You have the right to refuse the recommended treatment plan."
"I will have to tell your provider right away that you are considering this."
"You have to consider the medical consequences of not treating this cancer."
"In cases like yours, it is best to talk with your clergyperson before deciding this."
The Correct Answer is A
A. This response respects the client's autonomy and right to make decisions about their own healthcare. It acknowledges the client's right to refuse treatment, even if it is recommended by healthcare providers.
B. While it is important to communicate the client's wishes to the healthcare provider, the nurse should not threaten to report the client's decision without their consent. This could undermine trust between the nurse and the client.
C. While it is true that refusing treatment may have medical consequences, this statement may come across as judgmental or coercive. The nurse should provide information about the potential consequences of refusing treatment in a supportive and non-coercive manner.
D. Suggesting that the client consult with a clergyperson before making a treatment decision is not necessarily relevant to the client's medical decision-making process. It may also imply that the decision should be based on religious beliefs rather than personal values and preferences.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
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Correct Answer is B
Explanation
A) Allowing the infant to have soft foods is not recommended immediately following surgery to protect the surgical site.
B) Maintaining elbow restraints prevents the infant from touching or injuring the repair site, which is crucial for proper healing.
C) Feeding the infant with a spoon could disrupt the surgical site and is not advised until cleared by a healthcare provider.
D) While oral hygiene is important, brushing the infant's teeth could harm the repair site; however, specific post-operative care instructions regarding oral hygiene should be provided by the healthcare provider, which may or may not include a temporary cessation of brushing.
Correct Answer is B
Explanation
A. History of renal calculi is not a contraindication to the use of oral contraceptives.
B. Migraines with aura are considered a contraindication to the use of estrogen-containing oral contraceptives due to an increased risk of stroke and other cardiovascular events.
C. BMI of 26 is not a contraindication to the use of oral contraceptives.
D. History of cholecystectomy is not a contraindication to the use of oral contraceptives.
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