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 B

Explanation

A. "Family members should provide financial assistance during times of increased gambling."

Providing financial assistance during times of increased gambling can enable and worsen the gambling disorder. It is important for family members to establish boundaries and encourage responsible behavior rather than enabling the addiction.

B. "Gambling behaviors can increase during times of stress."

Explanation: This statement demonstrates an understanding of the fact that stress can contribute to increased gambling behaviors, which is a characteristic feature of gambling disorders. Stressors in a person's life may exacerbate or trigger problematic gambling habits.

C. "There is no genetic link to an increased risk for a gambling disorder."

There is evidence suggesting a genetic predisposition to gambling disorders. Individuals with a family history of gambling disorders may be at a higher risk, indicating a genetic link.

D. "A person must gamble at least four to six times per month to have a gambling disorder."

The frequency of gambling is not the only criterion for diagnosing a gambling disorder. The Diagnostic and Statistical Manual of Mental Disorders (DSM-5) outlines specific criteria, including loss of control, preoccupation with gambling, and negative consequences, to determine the presence of a gambling disorder. The frequency mentioned in the statement is not accurate for diagnosis.

A. Survey workers about job-related emotional stress. B. Measure noise levels at various locations in the facility C. Identify industrial toxins that are present in the environment. D. Track rates of illness caused by infection among employees

Correct Answer is B

Explanation

A. Survey workers about job-related emotional stress.

Explanation: This action is more focused on assessing psychosocial or emotional stressors rather than physical hazards.

B. Measure noise levels at various locations in the facility.

Explanation: Measuring noise levels at various locations in the facility is a direct way to assess a physical hazard, which is excessive noise in the workplace. Occupational health nurses often conduct environmental assessments to identify potential physical hazards such as noise, temperature extremes, ergonomic issues, and more.

C. Identify industrial toxins that are present in the environment.

Explanation: Identifying industrial toxins is related to chemical hazards, not physical hazards. While important, it does not directly address physical hazards like noise.

D. Track rates of illness caused by infection among employees.

Explanation: Tracking rates of illness caused by infection is related to biological hazards, not physical hazards. It is essential for preventing the spread of infectious diseases in the workplace but is not directly associated with physical hazards.

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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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