A home health nurse is visiting a client who has colon cancer.
The client states, “I do not want any further treatment.”. What should the nurse do?
Request a referral for a social worker.
Discuss the client’s wishes with their provider.
Ask the client why they do not want to continue treatment.
Instruct the client that they need to change their advance directives first.
The Correct Answer is C
Choice A rationale
Requesting a referral for a social worker may be beneficial in some cases, but it is not the most appropriate initial response. The nurse should first seek to understand the client’s feelings and concerns.
Choice B rationale
Discussing the client’s wishes with their provider is important, but it should come after understanding the client’s perspective. The nurse should respect the client’s autonomy and privacy.
Choice C rationale
This is the correct answer. The nurse should ask the client why they do not want to continue treatment. This allows the nurse to understand the client’s perspective, provide emotional support, and ensure that the client is making an informed decision.
Choice D rationale
Instructing the client to change their advance directives first is not the most appropriate initial response. While advance directives are important legal documents that express a client’s wishes for medical treatment, the nurse should first seek to understand the client’s feelings and concerns.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C","D","E","F","G","H"]
Explanation
Choice A rationale: The client’s persistent fever is a common symptom of the plague and many other infections.
Choice B rationale: The client’s statement about getting flea bites during their trip is significant because the plague is often transmitted through the bite of an infected flea.
Choice C rationale: The client’s recent travel to South Asia could have exposed them to areas where plague is endemic or there are ongoing outbreaks.
Choice D rationale: The presence of tender, inguinal lymphadenitis (swollen lymph nodes in the groin area) is a classic sign of bubonic plague.
Choice E rationale: Body aches can be a symptom of the systemic infection caused by the plague.
Choice F rationale: New onset of weakness can be a symptom of the systemic infection caused by the plague.
Choice G rationale: Headache and chills are common symptoms of the plague and many other infections.
Choice H rationale: Pruritic (itchy) lesions on the right leg could be the site of the flea bites that transmitted the plague bacteria.
Choice I rationale: Clear lungs to auscultation bilaterally does not necessarily rule out the plague. While pneumonic plague does affect the lungs, bubonic plague (the most common form) primarily causes lymphadenitis and does not typically present with respiratory symptoms in the early stages.
Correct Answer is D
Explanation
Choice A rationale
The statement about only going to the hospital if the client stops breathing is incorrect. Palliative care is not limited to end-of-life care and does not restrict hospital visits to only life- threatening situations. It is a comprehensive approach to treatment that focuses on improving quality of life for patients and their families, addressing physical, psychosocial, and spiritual problems.
Choice B rationale
The statement about needing to stop treatments for cancer before beginning palliative care is incorrect. Palliative care can be provided alongside curative treatment and is not dependent on the cessation of other treatments. It is designed to alleviate symptoms and improve quality of life at any stage of illness, not just at the end of life.
Choice C rationale
The statement about having about 6 months or less to live if the oncologist recommends palliative care is incorrect. Palliative care is not only for end-of-life situations. It can be introduced at any stage of illness, even at the same time as treatment aimed at curing the disease. The goal of palliative care is to improve quality of life by providing relief from the symptoms and stress of the illness.
Choice D rationale
The statement about the purpose of palliative care being to provide comfort measures for cancer is correct. Palliative care aims to relieve symptoms and improve the quality of life for patients with serious illnesses, including advanced-stage lung cancer. It can help manage
symptoms such as pain, shortness of breath, fatigue, nausea, loss of appetite, problems with sleep, and emotional issues like anxiety and depression.
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