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?
Provide quiet time during visits for prayer or meditation.
Recommend the client seek hospice services rather than seek treatment.
Place the client's name and medical condition on an online prayer chain.
Initiate topics of conversation that avoid the client's health status.
The Correct Answer is A
The correct answer is choice A. Providing quiet time during visits for prayer or meditation is an appropriate intervention for a client who has been diagnosed with end-stage breast cancer. This intervention helps the client reduce stress, anxiety, and promote spiritual well-being. The faith community nurse should aim to provide holistic care that addresses the physical, emotional, social, and spiritual aspects of the client's health. The nurse should be aware of the client's cultural and religious beliefs and support the client in a way that aligns with these beliefs.
Choice B is not the correct answer. Hospice services should be recommended based on the client's wishes and not suggested without discussion with the client. The nurse should provide the client with information about all available options and allow the client to make an informed decision.
Choice C is not the correct answer. Placing the client's name and medical condition on an online prayer chain violates the client's privacy and confidentiality. The nurse should respect the client's wishes regarding sharing health information.
Choice D is not the correct answer. The nurse should encourage the client to express feelings and concerns about their health status. The nurse should be an active listener and provide emotional support to the client.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
The correct answer is Choice D because "Explore possible solutions with the partner." When a hospice nurse is concerned that the partner of a client is experiencing caregiver burden, the first step is to explore possible solutions with the partner. This involves assessing the partner's needs, concerns, and limitations, and working collaboratively to develop a plan of care that meets the needs of both the client and the partner. This may involve arranging for additional support, such as respite care or home health services, or modifying the care plan to make it more manageable for the partner.
Choice A is wrong because Suggesting assistive personnel visits daily to provide client care (Choice A is wrong because) may provide additional support, but it does not address the partner's caregiver burden.
Choice B is wrong because Teaching the partner about getting enough rest (Choice B is wrong because) may be helpful, but it does not address the underlying caregiver burden and may be perceived as dismissive of the partner's concerns.
Choice C is wrong because Encouraging the partner to invite family members to assist with client care (Choice C is wrong because) may provide additional support, but it assumes that the partner has family members who are available and willing to assist and does not address the underlying caregiver burden.
Correct Answer is A
Explanation
The correct answer is Choice A because, "I am obese because it's in my genes." The client is using rationalization as a coping mechanism by justifying their obesity as being predetermined by their genes, rather than acknowledging their personal responsibility in managing their weight. Rationalization is a defense mechanism in which a person gives a false or socially acceptable explanation for an unacceptable behavior or situation.
Choice B is wrong because, "I have difficulty resisting the items in vending machines," is not the correct answer because it is an excuse rather than a rationalization.
Choice C is wrong because, "I know you don't like me because I am obese," is not the correct answer because it is an example of projection, in which the client attributes their own feelings of dislike to others.
Choice D is wrong because, "I have lots of health problems from being obese," is not the correct answer because it is a justification, not a rationalization
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