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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.”. What should the nurse do?

A.

Request a referral for a social worker.

B.

Discuss the client’s wishes with their provider.

C.

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

D.

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

Answer and Explanation

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.


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Related Questions

Correct Answer is C

Explanation

Choice A rationale

Implementing a disaster triage plan with a local medical facility is an important part of disaster response, but it is not necessarily indicative of disaster preparedness. Disaster preparedness involves planning and preparing for potential disasters before they occur.

Choice B rationale

Assisting with the identification of a biological agent is more related to disaster response than disaster preparedness. While it is important for nurses to be knowledgeable about potential biological threats, this action does not necessarily indicate that they are participating in disaster preparedness efforts.

Choice C rationale

This is the correct answer. Organizing a mass casualty drill for community members is a clear indication of disaster preparedness. These drills help to prepare the community for potential disasters and ensure that everyone knows what to do in the event of a disaster.

Choice D rationale

Functioning as a manager at a temporary shelter is an important role during a disaster response, but it does not necessarily indicate participation in disaster preparedness efforts. Disaster preparedness involves actions taken before a disaster occurs to ensure an effective response.

Correct Answer is ["73.3"]

Explanation

To calculate the prevalence proportion, we need to consider the total number of existing cases within the population at a given time. Here's how we can approach this:

  • Understanding Prevalence:

    • Prevalence measures the proportion of a population that has a specific condition at a particular time. It includes both new and existing cases.

  • Calculations:

    • First, we need to determine the total number of diabetes cases. In this scenario we must add the new cases to the already existing cases. So 6+5 = 11 cases.
    • Then, we divide the total number of cases by the total population.
    • Prevalence Proportion = (Total Number of Cases) / (Total Population)
    • Prevalence Proportion = 11 / 15,000
    • Prevalence proportion= 0.0007333333333333333

  • Result:

    • The prevalence proportion of diabetes mellitus in the community is approximately 0.000733. This can also be expressed as 73.3 cases per 100,000 people.

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