A client who is recently diagnosed with stage IV ovarian cancer tells the practical nurse (PN) that the staff on the unit are insensitive and begins to cry. Which intervention(s) should the PN implement? Select all that apply.

Show acceptance of the client's current feelings.

Share a similar personal experience.

Document the behavior in the client's record.

Ask the palliative care nurse to see the client.

Allow the client a time to continue crying.

Answer and Explanation

Correct Answer : A,C,D,E

A. Show acceptance of the client's current feelings: Accepting the client’s emotional response without judgment builds trust and provides emotional support, which is critical when coping with a new diagnosis of advanced cancer.
B. Share a similar personal experience: Sharing personal experiences shifts the focus away from the client’s feelings and can be perceived as minimizing their unique emotional response. It is more therapeutic to focus entirely on the client’s experience.
C. Document the behavior in the client's record: Accurate documentation of the client's emotional state ensures continuity of care and alerts other healthcare providers to the client's need for emotional support and potential interventions.
D. Ask the palliative care nurse to see the client: Involving a palliative care specialist provides expert emotional, spiritual, and symptom management support, which is appropriate for a client newly diagnosed with stage IV cancer.
E. Allow the client a time to continue crying: Allowing the client to cry acknowledges their need to express grief and emotion. It helps the client begin processing the overwhelming news and supports healthy emotional expression.

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Correct Answer is B

Explanation

A. High school: Beginning screening at the high school level is too late for early intervention. By adolescence, many obesity-related habits and risk factors are already established, making prevention efforts less effective compared to earlier childhood interventions.
B. Elementary school: Screening during elementary school years is best because it allows early identification of unhealthy weight patterns. Early detection helps in promoting healthy lifestyle habits before adolescence, improving long-term outcomes and reducing the risk of chronic diseases.
C. Onset of puberty: While puberty brings significant physical changes, waiting until this stage may miss earlier opportunities for preventive education and intervention. Early habits formed in childhood often persist into adolescence and adulthood.
D. Kindergarten: Although health education can start early, formal obesity screening at kindergarten may be premature since normal variations in growth patterns are common at that age. Targeting elementary-aged children provides a better balance between early intervention and developmental appropriateness.

A. The amount of fluid the client drank today. B. When the client wants to be weighed. C. When the client was last weighed. D. The amount of food the client ate today

Correct Answer is C

Explanation

A. The amount of fluid the client drank today: Although fluid intake affects weight, daily weights are intended to reflect overall fluid and nutritional changes over time, not just today's intake. Monitoring intake is important but not the most critical factor in conducting daily weights consistently.
B. When the client wants to be weighed: While respecting the client's preferences is important for cooperation, clinical accuracy requires consistency in timing and conditions, not simply weighing at the client's preferred time.
C. When the client was last weighed: Knowing when the client was last weighed ensures consistency and accuracy for monitoring trends. Daily weights should be taken at the same time each day, ideally in the morning before eating and after voiding, to accurately track fluid balance and body mass changes.
D. The amount of food the client ate today: Food intake affects weight slightly, but the purpose of daily weights is to detect significant changes, such as fluid retention or loss. Weighing under consistent conditions matters more than focusing on the day's food intake.

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A client who is recently diagnosed with stage IV ovarian cancer tells the practical nurse (PN) that the staff on the unit are insensitive and begins to cry. Which intervention(s) should the PN implement? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The practical nurse is assisting with the implementation of an obesity screening program in a pediatric clinic. It is best to begin the screening program with which group?

Correct Answer is B

Explanation

The practical nurse (PN) is implementing a nursing care plan that requires daily weights. Which factor is most important for the PN to consider regarding daily weights?

Correct Answer is C

Explanation

The practical nurse (PN) is preparing to provide a change of shift report when an oncoming nurse arrives, appearing intoxicated, and who describes to another colleague about drinking all afternoon and almost forgetting to come to work. Which action should the PN take first?

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