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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. The child has recent onset of urinary incontinence.
Correct: The sudden onset of urinary incontinence may be a sign of emotional or physical abuse, and it warrants further investigation.
B. The child has bruises on both knees.
Incorrect: Bruises on the knees might be common in children due to regular activities like playing. While bruises can be a concern, they may not necessarily indicate maltreatment.
C. The child reports having a toothache.
Incorrect: A toothache, on its own, is not a typical sign of maltreatment. It may be related to dental issues or other health factors.
D. The child receives free lunches at school.
Incorrect: Receiving free lunches does not indicate maltreatment. It may be a sign of economic need, but it is not directly related to potential abuse.
Correct Answer is D
Explanation
A. The website is sponsored by a health care political action committee.
Explanation: Sponsorship by a health care political action committee does not necessarily guarantee the accuracy or objectivity of the information. Political action committees may have specific agendas that could influence the content, making it important to verify the source's credibility.
B. The website is updated every 5 years.
Explanation: Timeliness is a critical factor in healthcare information. Waiting for updates every 5 years may lead to outdated information. Current and regularly updated resources are essential to ensure the information is relevant and reflects the latest evidence and guidelines.
C. The website is hosted by a dialysis equipment marketing group.
Explanation: Websites hosted by marketing groups may have a commercial bias, potentially influencing the information provided. It is important to seek information from unbiased sources to ensure that the content is based on the best interests of the patient rather than promoting specific products or services.
D. The website provides a peer review process for publishing information.
Explanation: Utilizing web-based information resources with a peer review process helps ensure the credibility and reliability of the information. Peer-reviewed content undergoes evaluation by experts in the field before publication, enhancing the accuracy and trustworthiness of the information. This is particularly important in healthcare, where accurate and evidence-based information is crucial.
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