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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. Spirituality can increase the quality of life: Spirituality plays a significant role in end-of-life care and can positively impact a client's well-being. Engaging in spiritual practices, finding meaning and purpose, and connecting with one's beliefs or faith can enhance the overall quality of life for individuals facing the end of life. Research has shown that spiritual beliefs and practices can provide comfort, hope, and a sense of peace, contributing to a higher quality of life during this challenging time.

B. Spirituality can increase feelings of hopelessness: While spirituality generally fosters feelings of hope and comfort, it is possible for individuals to experience spiritual distress or questioning that may temporarily increase feelings of hopelessness. However, this is not the typical outcome of spiritual engagement for most individuals near the end of life.

C. Spirituality can increase depression: Engaging in spirituality and connecting with one's beliefs or faith often serves as a source of solace and support, which can help alleviate symptoms of depression. While spiritual struggles or existential questions may arise, spirituality is more commonly associated with reducing depressive symptoms rather than increasing them.

D. Spirituality can increase the desire to hasten death: Spirituality often provides individuals with a sense of meaning, purpose, and hope, which can serve as protective factors against the desire to hasten death. While spiritual distress or questioning may occur, it is not typically associated with an increased desire to hasten death.

A. Anger B. Bargaining C. Depression D. Acceptance E. Denial

Correct Answer is B

Explanation

A. Anger: Anger typically involves feelings of frustration, resentment, or hostility towards others or the situation. The behavior described does not express anger but rather attempts to negotiate or make deals with a higher power.

B. Bargaining: Bargaining is a stage where individuals attempt to negotiate or make deals to change the outcome of a situation. The behavior described, making a deal with God in exchange for a desired outcome, aligns with the bargaining stage of Kübler-Ross's stages of dying.

C. Depression: Depression involves feelings of sadness, hopelessness, and despair. While the behavior described may indicate emotional distress, it is more reflective of bargaining rather than depression.

D. Acceptance: Acceptance involves coming to terms with the reality of a situation, including one's own mortality. The behavior described does not indicate acceptance but rather a desire to alter the situation through bargaining.

E. Denial: Denial is characterized by refusing to accept the reality of the situation. The behavior described involves acknowledging the situation but attempting to change it through bargaining, indicating a stage beyond denial.

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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 assisting with teaching a class about the effects of spirituality for clients who are near the end of life. Which of the following information should the nurse include?

Correct Answer is A

Explanation

Directions: Correlate the behavior with KübIer-Ross's stages of dying from the choices below. Tells God: "If I quit smoking I can just live until after my daughter's wedding."

Correct Answer is B

Explanation

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