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.

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

Discuss the client's wishes with their provider.

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

Answer and Explanation

The Correct Answer is C

A. Request a referral for a social worker.

While involving a social worker may be beneficial for additional support, the initial step should be to discuss the client's wishes with the healthcare provider.

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

Changing advance directives is a process that involves legal and ethical considerations. However, the immediate concern is to have a conversation with the healthcare provider to understand the client's current wishes.

C. Discuss the client's wishes with their provider.

Explanation: When a client expresses a desire to discontinue treatment, it is important for the nurse to facilitate open communication between the client and their healthcare provider. This discussion allows the healthcare provider to explore the client's reasons for refusing further treatment, provide information about potential consequences, and address any concerns. It ensures that the client's wishes are fully understood, and decisions are made collaboratively with the healthcare team

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

While understanding the client's reasons is important, initiating a conversation with the healthcare provider should precede further exploration of the client's preferences and concerns.

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Correct Answer is A

Explanation

A. The community adapts to a new state of normalcy.

Explanation: The recovery phase of a disaster involves the community's efforts to rebuild, restore, and adapt to a new normal. During this phase, communities work towards returning to a stable condition and addressing long-term needs. Adapting to a new state of normalcy signifies progress in the recovery process.

B. Survivors are thankful for having survived the disaster.

Thankfulness among survivors can occur in various phases of a disaster, including the immediate aftermath. It is not specific to the recovery phase.

C. Outside responders are working long hours each day.

The involvement of outside responders working long hours is more indicative of the response phase, where immediate actions are taken to address the impact of the disaster.

D. Volunteers are experiencing burnout.

Volunteer burnout may occur during the response phase, especially when the demand for assistance is high. It is not a specific indicator of the recovery phase.

A. Provide oral care to the client every 6 hr. B. Elevate the head of the client's bed. C. Turn the client every 4 hr. D. Offer the client ice chips

Correct Answer is B

Explanation

A. Provide oral care to the client every 6 hr:

While oral care is important for comfort, a fixed time interval may not be sufficient. Clients near death may experience increased oral secretions, and providing oral care should be based on the individual's needs. It's more appropriate to provide oral care as needed rather than adhering strictly to a 6-hour schedule.

B. Elevate the head of the client's bed

Elevating the head of the bed can help ease breathing and reduce the sensation of breathlessness, which is a common issue for clients who are near death. This position can also prevent aspiration if the client has difficulty swallowing.

C. Turn the client every 4 hr.

Turning the client every 4 hours is important for preventing pressure ulcers, but in the context of a client who is near death, comfort measures take precedence. Frequent turning might cause unnecessary discomfort or pain.

D. Offer the client ice chips:

Offering ice chips may not be appropriate for a client near death. In the final stages of life, maintaining comfort is crucial, and ice chips may not contribute positively to the overall comfort of the client. Hydration and nutritional needs are often reassessed in the context of end-of-life care, and other comfort measures may be prioritized over offering ice chips.

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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?

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