A man is terminally ill with end-stage prostate cancer. Which statement best describes the nurse’s role regarding this man’s wellness?

Educating the client that wellness is dependent upon the absence of disease.

Providing the client with aggressive medical interventions.

It is not a real option for this client because he is terminally ill.

Providing nursing interventions that can help empower the client to achieve his highest level of wellness.

Answer and Explanation

The Correct Answer is D

Choice A reason: This statement is incorrect because wellness is not only dependent on the absence of disease, but also on the physical, mental, emotional, social, and spiritual aspects of health. The nurse should educate the client on how to cope with his condition and enhance his quality of life, not focus on the negative aspects of his disease.

Choice B reason: This statement is incorrect because aggressive medical interventions may not be appropriate or beneficial for a terminally ill client. The nurse should respect the client's wishes and preferences regarding his care, and provide comfort and palliative measures, not cause unnecessary pain or suffering.

Choice C reason: This statement is incorrect because wellness is still a real option for a terminally ill client. The nurse should not assume that the client has given up on his health or happiness, but rather support him in finding meaning and purpose in his life, and achieving his goals and values.

Choice D reason: This statement is correct because it reflects the nurse's role in promoting wellness for a terminally ill client. The nurse should provide nursing interventions that can help the client maintain his dignity, autonomy, and sense of control, as well as address his physical, emotional, social, and spiritual needs. The nurse should also empower the client to make informed decisions about his care, and facilitate his communication with his family and health care team.

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Correct Answer is D

Explanation

Choice A reason: Teaching the client alternative comfort measures is not the best recommendation for the nurse to implement, as it may imply that the client's pain is not taken seriously or that the nurse is reluctant to provide pain relief. The nurse would teach the client alternative comfort measures, such as relaxation techniques, distraction, or massage, as a supplement to the pain medication, not as a substitute.

Choice B reason: Telling the client that it is too soon for pain medication is not a good recommendation for the nurse to implement, as it may make the client feel dismissed, ignored, or judged. The nurse would follow the prescribed pain medication schedule, but also consider the client's individual needs and preferences, and adjust the dosage or frequency as needed, with the doctor's approval.

Choice C reason: Administering the pain medication as requested by the client is not a safe recommendation for the nurse to implement, as it may cause overdose, addiction, or adverse effects. The nurse would administer the pain medication as prescribed by the doctor, and monitor the client's response, side effects, and vital signs.

Choice D reason: Validating the pain with other assessment data is the best recommendation for the nurse to implement, as it shows respect, empathy, and professionalism. The nurse would acknowledge the client's pain, ask about the location, intensity, quality, and duration of the pain, and use a pain scale or a pain assessment tool to measure the pain. The nurse would also check for any physical or behavioral signs of pain, such as grimacing, guarding, or restlessness. The nurse would document the pain assessment and report any changes or concerns to the doctor.

A. Heart failure B. Functional impairments C. Longitudinal furrows on the tongue D. Hypertension E. Diabetes

Correct Answer is ["A","B","C","E"]

Explanation

Choice A reason: Heart failure can cause fluid retention, which can lead to dehydration if the fluid is not properly balanced.

Choice B reason: Functional impairments can limit the ability to drink or access fluids, which can increase the risk of dehydration.

Choice C reason: Longitudinal furrows on the tongue are a sign of dehydration, as the tongue loses moisture and becomes dry and cracked.

Choice D reason: Hypertension is not directly related to dehydration, although it can be affected by fluid intake and electrolyte balance.

Choice E reason: Diabetes can cause increased urination, which can lead to dehydration if the fluid loss is not replaced.

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A man is terminally ill with end-stage prostate cancer. Which statement best describes the nurse’s role regarding this man’s wellness?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

An older adult admitted for back surgery asks for opioid pain medication. The nurse knows the client asks for pain medication 30 minutes before it is due. Which recommendation should the nurse implement?

Correct Answer is D

Explanation

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Correct Answer is ["A","B","C","E"]

Explanation

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