A home health nurse is visiting a client who has colon cancer. The client states, "I do not want any further treatment." Which of the following actions should the nurse take?

Request a referral for a social worker.

Ask the client why they do not want to continue treatment.

Discuss the client's wishes with their provider.

Instruct the client that they need to change their advance directives first.

Answer and Explanation

The Correct Answer is C

Choice A reason: While involving a social worker can provide additional support, it is secondary to first communicating the client's treatment decisions to the primary healthcare provider.

Choice B reason: Understanding the client's reasoning is important; however, the priority is to respect their decision and communicate it to the provider.

Choice C reason: Respect for Autonomy: Clients have the right to make informed decisions about their healthcare, including the refusal of treatment. Effective Communication: By discussing the client's wishes with their healthcare provider, the nurse facilitates a collaborative approach to care planning, ensuring that the client's preferences are acknowledged and respected.

Choice D reason: Instructing the client to change their advance directives may be necessary if the client decides to refuse all treatments, but it is not the first action the nurse should take. Understanding the client's wishes should be the priority.

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Correct Answer is A

Explanation

Choice A reason: Elevating the head of the bed can help ease breathing and promote comfort for a client who is near death. This position can reduce the work of breathing and help prevent aspiration, which is crucial for clients with diminished consciousness or swallowing reflexes.

Choice B reason: Offering ice chips may provide some moisture and comfort to the client, but it is not the primary action to promote comfort for a client who is near death. Ice chips should be used cautiously, especially if the client has difficulty swallowing or is unconscious.

Choice C reason: Turning the client every 4 hours is important to prevent pressure ulcers and promote circulation. However, for a client who is near death, repositioning should be done with consideration for the client's comfort and any pain they may be experiencing.

Choice D reason: Providing oral care every 6 hours can help maintain oral hygiene and comfort, especially if the client is unable to perform this task themselves. It can also help prevent infections and manage any discomfort from dryness or buildup in the mouth.

A. Palliative care services end for my family upon my death. B. Palliative care is reserved for end-of-life. C. Palliative care will help to postpone my death. D. Palliative care aims to improve my quality of life.

Correct Answer is D

Explanation

Choice A reason : Palliative care does not end immediately upon the patient's death; it also supports the family through the bereavement process. This choice does not reflect an understanding of the full scope of palliative care services.

Choice B reason : While palliative care includes end-of-life care, it is not exclusively reserved for this period. It can be initiated at any stage of a serious illness, with the goal of improving quality of life and providing symptom relief.

Choice C reason : Palliative care does not aim to postpone death. Instead, it focuses on providing relief from the symptoms, pain, and stress of a serious illness, regardless of the diagnosis or stage of the disease.

Choice D reason : This statement accurately reflects the primary goal of palliative care, which is to improve the quality of life for both the patient and the family, by addressing physical, emotional, and spiritual needs.

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A home health nurse is visiting a client who has colon cancer. The client states, "I do not want any further treatment." Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

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