A hospice nurse is caring for a client who is terminally ill.
The client says they wish for a miracle cure.
Which of the following actions by the client demonstrates that they are effectively coping?
The client plans a family reunion in 6 months.
The client journals about the experience of dying.
The client expresses anger frequently.
The client says they have accepted their condition.
The Correct Answer is B
Choice A rationale
Planning a family reunion in 6 months may indicate a form of denial, which is a common but not always an effective coping mechanism in the face of a terminal illness. This behavior suggests a refusal to accept the reality of the prognosis, potentially hindering the client's ability to engage in end-of-life planning and emotional processing. Effective coping involves acceptance and dealing with the present reality.
Choice B rationale
Journaling about the experience of dying is a constructive and effective coping mechanism. It allows the client to process and express their emotions, fears, and thoughts in a private and reflective manner. This action promotes self-awareness and can lead to a deeper acceptance of their condition, which is a crucial aspect of the dying process as described by Kubler-Ross's stages.
Choice C rationale
Frequent expression of anger is a stage of grief, but it is not necessarily a sign of effective coping. While anger is a valid emotion, if it is persistent and overwhelming, it may prevent the client from moving toward acceptance and finding peace. Effective coping involves working through such emotions to reach a state of acceptance and resolution.
Choice D rationale
While stating they have accepted their condition may seem like effective coping, it could be a verbal statement without true emotional processing. The client's wish for a miracle cure contradicts this statement, suggesting a conflict between verbalized acceptance and underlying hope or denial. Effective coping is demonstrated through actions that align with this acceptance, such as journaling, not just words.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is {"A":{"answers":"A"},"B":{"answers":"B"},"C":{"answers":"C"},"D":{"answers":"B"},"E":{"answers":"C"},"F":{"answers":"B"},"G":{"answers":"C"},"H":{"answers":"C"},"I":{"answers":"A"},"J":{"answers":"A"}}
Explanation
🟩 Primary Prevention
These interventions aim to prevent disease or injury before it occurs. They focus on health promotion and risk reduction.
|
Intervention |
Explanation |
|
Prenatal program to provide routine prenatal care |
This is classic primary prevention. It promotes maternal and fetal health before complications arise. Routine checkups, nutrition advice, and early education help prevent adverse outcomes. |
|
Mobile emergency medical services |
While it may sound reactive, this setup increases access to urgent care and stabilizes emergencies before they escalate. In rural settings, this is a proactive infrastructure investment that prevents death or disability. |
|
Educational materials regarding accident prevention |
Health education is a textbook example of primary prevention. Teaching safe practices (e.g., farm equipment safety, road safety) reduces injury risk before it happens. |
🟨 Secondary Prevention
These interventions focus on early detection and prompt treatment to halt disease progression.
|
Intervention |
Explanation |
|
Prenatal diagnostic testing |
This detects fetal or maternal complications early (e.g., gestational diabetes, congenital anomalies), allowing timely intervention before full-blown disease or disability. |
|
Tuberculosis testing program |
TB screening identifies latent or early-stage infections before symptoms worsen or transmission occurs. |
|
Screening for pesticide exposure |
This detects early signs of toxic exposure in agricultural workers. It’s crucial for catching subclinical effects before they become debilitating. |
🟥 Tertiary Prevention
These interventions manage established disease to prevent complications and restore function.
|
Intervention |
Explanation |
|
Treatment services provided for prenatal complications |
Once complications (e.g., preeclampsia, anemia) are diagnosed, treatment aims to prevent worsening and ensure safe delivery. |
|
Treatment for tuberculosis at local health department |
This is disease management—providing antibiotics, monitoring adherence, and preventing long-term lung damage or community spread. |
|
Treatment for clients with pesticide manifestations |
Once symptoms (e.g., neurotoxicity, skin lesions) appear, treatment mitigates damage and prevents chronic illness. |
|
Nutrition teaching for clients with diabetes mellitus |
This supports disease self-management, preventing complications like neuropathy, retinopathy, or cardiovascular disease. It’s a cornerstone of tertiary care. |
Correct Answer is D
Explanation
Choice A rationale
Securing electrical cords to the edges of the floor can create a tripping hazard, as cords can still be lifted or become loose, potentially causing falls for an older adult with impaired gait or balance. Instead, cords should be tucked away or routed along the baseboards to minimize any elevated surfaces that could obstruct movement and lead to injury. This prevents falls.
Choice B rationale
Using tape that is gray, a color often found on floors, can decrease visibility of the stair edges, making it difficult for an older adult to perceive the steps, especially if they have age-related vision changes. Markings should be in a contrasting, bright color to enhance visual cues and improve depth perception, thus reducing the risk of missteps and falls.
Choice C rationale
Bathmats with foam backing are generally not recommended because they can be slippery when wet and may not provide sufficient grip, increasing the risk of falls in the bathroom. Additionally, foam backing can degrade over time and lose its non-slip properties. A better option is a bathmat with a rubberized or suction-cup backing.
Choice D rationale
Keeping the water heater temperature below 49°C (120°F) is a crucial safety measure to prevent scalding and burns, which can be more severe in older adults due to thinner skin. At temperatures above this threshold, a third-degree burn can occur in as little as 5 seconds. This simple modification greatly reduces the risk of accidental thermal injury.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.