A faith community nurse is planning care for a client who has been diagnosed with end-stage breast cancer. Which of the following interventions should the nurse include in the plan?
Initiate topics of conversation that avoid the client's health status.
Recommend the client seek out hospice services rather than seek treatment.
Provide quiet time during visits for prayer or meditation.
Place the client's name and medical condition on an online prayer chain.
The Correct Answer is C
Choice A reason: Initiating topics of conversation that avoid the client's health status is not an appropriate intervention. The nurse should respect the client's wishes and preferences regarding the communication of their condition. The nurse should also provide emotional support and information as needed.
Choice B reason: Recommending the client seek out hospice services rather than seek treatment is not an appropriate intervention. The nurse should not impose their own values or beliefs on the client's decision-making process. The nurse should also respect the client's autonomy and right to self-determination.
Choice C reason: Providing quiet time during visits for prayer or meditation is an appropriate intervention. The nurse should acknowledge and support the client's spiritual needs and practices. The nurse should also facilitate the client's access to spiritual resources and counselors.
Choice D reason: Placing the client's name and medical condition on an online prayer chain is not an appropriate intervention. The nurse should protect the client's privacy and confidentiality and obtain their consent before sharing any personal information. The nurse should also respect the client's cultural and religious diversity and avoid any assumptions or stereotypes.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Ensuring client adherence to the medication regimen is crucial in the treatment of tuberculosis. However, this action alone does not prevent the spread of the disease within the community. Adherence ensures that the client's condition improves and reduces the risk of developing drug-resistant strains of tuberculosis.
Choice B reason: Performing tuberculosis screenings throughout the community is a proactive measure to identify new cases, but it is not the most immediate action required when a nurse learns of an active case. Screenings are part of a broader strategy to control tuberculosis.
Choice C reason: Reporting the active case to the public health department is the correct action. It allows for the implementation of public health measures to prevent the spread of tuberculosis. The health department can initiate contact tracing and ensure that those exposed are tested and treated if necessary.
Choice D reason: Providing education about the manifestations of tuberculosis is important for community awareness, but it is not the immediate action required to prevent the spread. Education is a long-term strategy to help the community recognize symptoms and seek early treatment.
Correct Answer is B
Explanation
Choice A reason: This is incorrect. Hospice care does not provide life extending interventions, but rather focuses on comfort and quality of life for the client and their family⁴⁵.
Choice B reason: This is correct. Hospice care is for people who are in the final stages of an incurable illness and have a life expectancy of 6 months or less⁴⁶. Hospice care helps ease symptoms and provide emotional and spiritual support⁵.
Choice C reason: This is partially correct. Hospice care does allow families to participate in the client's care, but this is not the main goal of hospice care⁴⁵. Hospice care also involves a team of professionals who provide medical, social, and practical support to the client and their family⁴.
Choice D reason: This is incorrect. Hospice services do not end when the client dies, but continue to provide bereavement support to the family for up to a year after the client's death⁴⁵..
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