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A nurse in an acute care facility is caring for a preschool-age child who is terminally ill and receiving palliative care. The parents tell the nurse that they have decided to take their child home. Which of the following responses should the nurse make?

"Tell me why you want to take your child home."

"l will help you get ready to leave."

"You have not given the medication a chance to work."

"The pediatrician is the only one Who can discharge your child."

Answer and Explanation

The Correct Answer is B

Answer: B

Rationale:

A) "Tell me why you want to take your child home."

This response could be perceived as questioning or challenging the parents' decision, potentially causing them to feel defensive or unsupported. It does not provide immediate assistance or support for their decision.

B) "I will help you get ready to leave."

This response shows support and understanding for the parents' decision. It offers practical assistance, helping the family transition smoothly from the hospital to home care, which is important for their emotional and logistical needs during this difficult time.

C) "You have not given the medication a chance to work."

This response may come across as dismissive of the parents' wishes and could imply that their decision is not valid. It does not acknowledge the parents' right to make decisions about their child's care, especially in a palliative context.

D) "The pediatrician is the only one who can discharge your child."

While it is true that discharge typically requires a physician's order, this response does not offer the supportive tone needed in this situation. It places an unnecessary barrier between the parents and their goal without providing assistance or comfort.

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Correct Answer is A

Explanation

A. "I am hoping this will help relieve my discomfort": This statement reflects an understanding of the palliative nature of the care the client is receiving. The client acknowledges the goal of palliative care, which is focused on symptom management and improving quality of life rather than curative treatment. By expressing hope for relief from discomfort, the client demonstrates acceptance of the prognosis and is aligning with the goals of palliative care.

B. "This is not working, and I plan to stop treatment" : This statement suggests frustration with the current treatment but does not necessarily indicate acceptance of the prognosis. The client may still be seeking alternative treatments or may not fully understand the terminal nature of their condition.

C. "This is making me stronger every day": This statement implies a belief in the effectiveness of the treatment and a focus on improvement rather than acceptance of the prognosis. It does not address the client's understanding of their condition or prognosis.

D. "I am thinking of getting a second opinion": This statement indicates that the client is considering alternative perspectives on their diagnosis and treatment plan. While seeking a second opinion is a valid decision, it does not necessarily reflect acceptance of the prognosis. It suggests a desire for further information or clarification rather than a recognition of the terminal nature of the illness.

A. The respiratory rate increases B. The shoulders droop C. The facial muscles relax D. The client draws his legs up into a fetal position E. The pulse is within the expected range

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

Explanation

A. The respiratory rate increasing may indicate discomfort or agitation rather than a therapeutic response to the massage.

B. The shoulders drooping may indicate relaxation, a release of tension and potentially improved comfort.

C. The relaxation of facial muscles indicates a therapeutic response to the back massage, as it suggests the client is experiencing relief from tension or discomfort.

D. Drawing the legs up into a fetal position may indicate discomfort or agitation rather than a therapeutic response to the massage.

E. The pulse remaining within the expected range suggests that the client is not experiencing undue stress or discomfort in response to the massage, indicating a therapeutic response.

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A nurse in an acute care facility is caring for a preschool-age child who is terminally ill and receiving palliative care. The parents tell the nurse that they have decided to take their child home. Which of the following responses should the nurse make?

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has cancer and is receiving palliative care. Which of the following statements should the nurse identify as an indication that the client understands and accepts his prognosis?

Correct Answer is A

Explanation

A nurse provides a back massage as palliative care to an unconscious client who is grimacing and restless. Which of the following indicates a therapeutic response? (Select all that apply.)

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

Explanation

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A nurse in an acute care facility is caring for a preschool-age child who is terminally ill and receiving palliative care. The parents tell the nurse that they have decided to take their child home. Which of the following responses should the nurse make?

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