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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 B

Explanation

A. Bargaining: Bargaining refers to a stage in Kübler-Ross's model of grief and acceptance, where individuals attempt to negotiate or make deals to change the outcome of a situation.

B. Palliation: Palliation refers to the relief of symptoms when a cure is no longer possible. It focuses on providing comfort and improving the quality of life for individuals with serious illnesses, particularly in the end stages of life.

C. Reorganization: Reorganization, also known as the reconstruction stage, is part of Worden's Four Tasks of Mourning model. It involves integrating the loss into one's life and forming new roles, routines, and relationships in the absence of the deceased.

D. Assisted Suicide: Assisted suicide involves intentionally helping a person end their life, typically due to incurable suffering or terminal illness. It is a highly controversial and legally restricted practice in many jurisdictions.

A. "l can’t believe that doctor graduated from medical school! He doesn’t know a thing about treating cancer. B. "The doctor has been so good to me. know he has tried everything he can. It is just my time." C. "The doctor says I only have a few months to live, but know he is exaggerating to get me to take my medication,' D. "Even though I am not hurting right now, I don't feel like I have the energy to get Out Of bed."

Correct Answer is C

Explanation

A. "l can’t believe that doctor graduated from medical school! He doesn’t know a thing about treating cancer. This statement expresses frustration or disbelief towards the doctor's competence rather than denial of the terminal diagnosis.

B. "The doctor has been so good to me. know he has tried everything he can. It is just my time." This statement acknowledges the terminal nature of the illness and indicates acceptance rather than denial.

C. "The doctor says I only have a few months to live, but know he is exaggerating to get me to take my medication. This statement suggests denial by questioning the doctor's prognosis and attributing it to an ulterior motive, such as getting the patient to take medication. The client is unable to accept the reality of the limited life expectancy despite being informed by the doctor.

D. "Even though I am not hurting right now, I don't feel like I have the energy to get Out Of bed."

This statement reflects physical symptoms and lack of energy rather than denial of the illness.

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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

The relief of symptoms when a cure is no longer possible is known as:

Correct Answer is B

Explanation

A nurse is caring for a client who has been diagnosed with end-stage liver cancer. Which of the following statements by the client indicates that the client is in the denial phase of the grief process?

Correct Answer is C

Explanation

A dying patient who verbalizes that he “is ready” is indicating that he is in the following stage.

Breathing called the death rattle is characterized by

The type of grief that happens before the actual loss is known as:

Directions: Correlate the behavior with Kübler-Ross's stages of dying from the choices below. "I’ve had stomach problems for years. I don't have cancer."

The examination of body organs and tissues after death is known as a/an:

A death that occurs under suspicious circumstances should be reported to the

Directions: Correlate the behavior with Kübler-Ross's stages of dying from the choices below. "l feel so hopeless about Mom's condition. "

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.)