A faith community nurse is preparing to meet with the family of an adolescent who has leukemia. Which of the following actions should the nurse plan to take?
Focus the discussion on the adolescent's future career plans.
Determine how the adolescent's health has affected family roles.
Ask another family from the same faith congregation to attend the meeting for support.
Direct conversation to the parents to avoid embarrassing the adolescent.
The Correct Answer is B
A. Focus the discussion on the adolescent's future career plans.
Explanation: While discussing the adolescent's future career plans may be important, it may not be the primary focus when addressing the immediate impact of a serious illness on the family.
B. Determine how the adolescent's health has affected family roles.
Explanation: When dealing with a serious illness such as leukemia, understanding how the adolescent's health has affected family roles is crucial. Serious illnesses can impact various aspects of family life, including roles, responsibilities, and dynamics. Assessing these changes can help the nurse provide holistic support to the entire family
C. Ask another family from the same faith congregation to attend the meeting for support.
Explanation: While support from the faith community is valuable, introducing another family may not be appropriate without the explicit consent of the family in question. It's important to respect the privacy and preferences of the affected family.
D. Direct conversation to the parents to avoid embarrassing the adolescent.
Explanation: While considering the adolescent's comfort is important, excluding the adolescent from the conversation may not be conducive to a holistic understanding of the family's experience. Engaging the adolescent in a sensitive and respectful manner is crucial for providing comprehensive support.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Notify spiritual support personnel about a client who requests a visit.
While spiritual support is essential for some patients, it is not the priority in this situation where the focus is on physical and functional recovery after hip arthroplasty.
B. Ask social services to inform a client about community support organizations.
Community support organizations are valuable, but the immediate concern for a post-hip arthroplasty patient is more about the physical and rehabilitation aspects.
C. Request a dietitian consult for a client who asks for information about a vegan diet.
Dietary concerns are important, but in the context of post-hip arthroplasty, the primary focus is on activity restrictions and rehabilitation.
D. Inform the physical therapist of activity restrictions for a client following a hip arthroplasty.
This is the priority action. After a hip arthroplasty, restrictions on certain activities and the need for rehabilitation and physical therapy are crucial for the patient's recovery and prevention of complications.
Correct Answer is B
Explanation
A. The client has documentation stating he has less than 12 months to live:
While a prognosis of less than 12 months to live is often considered when determining eligibility for hospice care, it is not the sole criterion. The key factor is the client's choice to forgo aggressive treatments and focus on palliative care.
B. The client has declined additional life-prolonging treatments.
Hospice care is typically provided for individuals who have a terminal illness and have chosen to forgo aggressive, curative treatments. Acceptance of the terminal prognosis and a decision to focus on comfort and quality of life are crucial criteria for hospice eligibility.
C. The client's insurance provides coverage for palliative care:
Insurance coverage is not the primary determinant for hospice eligibility. The decision to enter hospice care is based on the client's clinical condition, prognosis, and their choice to shift the focus from curative to palliative care. Insurance coverage may be a consideration, but it's not the qualifying factor.
D. The client requires inpatient care due to the lack of a caregiver:
Hospice care can be provided in various settings, including inpatient facilities, but the need for inpatient care due to a lack of a caregiver is not a specific criterion for hospice eligibility. The decision to enter hospice is primarily based on the client's clinical condition and their choice to receive palliative rather than life-prolonging care.
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