A nurse is assessing a client who is recently widowed. History reveals that the client worked at home as a full-time wife and mother throughout her adult life. Based on this information, the nurse would most likely expect the client to experience which situation?

A sense of loss of her established social roles

Relief at being freed from the responsibilities of childrearing

A desire to obtain employment outside the home

An interest in meeting men her own age and remarrying

Answer and Explanation

The Correct Answer is A

A. A sense of loss of her established social roles: Given that the client worked at home as a full-time wife and mother, her primary social roles were likely centered around her family. With the loss of her spouse, she may experience a significant shift in her social roles and identity, leading to feelings of loss and adjustment.

B. Relief at being freed from the responsibilities of childrearing: While this could be a possibility for some individuals, it is less likely given that the client's primary role was as a caregiver at home. The loss of her spouse may not necessarily lead to relief from these responsibilities, especially if she valued her role as a wife and mother.

C. A desire to obtain employment outside the home: This may not be the immediate response, especially if the client has not previously been employed outside the home. Adjusting to widowhood and coping with grief may take precedence over seeking employment outside the home.

D. An interest in meeting men her own age and remarrying: While this is a possibility for some widows, it is not necessarily the most likely scenario for every individual. The client may be more focused on coping with her loss and adjusting to life without her spouse rather than immediately seeking out a new romantic relationship.

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Correct Answer is B

Explanation

A. Spiritual care in line with the family's belief system: This option aligns with the principles of hospice care, which emphasize holistic support for both the patient and their family, including addressing spiritual needs. Therefore, this intervention is appropriate and should be included in hospice care.

B. Surgery to remove plaques from the client's cerebral arteries to prevent future strokes: This intervention contradicts the philosophy of hospice care, which prioritizes comfort and quality of life for patients with life-limiting illnesses rather than aggressive treatments aimed at prolonging life or preventing future complications. Therefore, this intervention would not be included in hospice care and indicates a need for further teaching.

C. Psychosocial support aimed at the family's response to their loved one's imminent death: Hospice care recognizes the significant impact of a terminal illness on the patient's family and provides psychosocial support to help them cope with their emotions and prepare for the patient's death. This intervention is consistent with hospice principles and should be included in the care plan.

D. A primary focus on the client's quality of life in the time until the client's death: This is a fundamental aspect of hospice care, which prioritizes the patient's comfort, dignity, and overall well-being during their remaining time. Therefore, this intervention is appropriate and aligns with hospice philosophy.

A. Ensure that medical treatments comply with cultural expectations B. Increase compliance among minority clients C. Provide individualized and culturally sensitive care D. Ensure that clients get the respect customary in their own ethnic group

Correct Answer is C

Explanation

A. Ensure that medical treatments comply with cultural expectations:

- This choice suggests the importance of aligning medical treatments with the cultural expectations of patients. While it's crucial to consider cultural factors when providing healthcare, the primary goal is not just to comply with cultural expectations, but rather to ensure that care is effective, respectful, and aligned with the individual's values and preferences within their cultural context.

B. Increase compliance among minority clients:

- This choice implies a focus on increasing adherence or compliance with medical recommendations among minority clients. While improving compliance is an important aspect of healthcare delivery, it should not be the sole focus when considering cultural factors. Instead, understanding culture should aim to provide culturally competent care that respects the beliefs, values, and preferences of minority clients, thereby fostering trust, engagement, and better health outcomes.

C. Provide individualized and culturally sensitive care:

- This choice accurately reflects the essence of understanding culture in healthcare. Providing individualized and culturally sensitive care involves recognizing and respecting the unique cultural backgrounds, beliefs, values, and preferences of each patient. It emphasizes the importance of tailoring care to meet the specific needs and preferences of diverse older adults within their cultural context, thereby promoting effective communication, engagement, and trust in the healthcare provider.

D. Ensure that clients get the respect customary in their own ethnic group:

- While ensuring respect for clients is indeed important, focusing solely on the respect customary in their own ethnic group may overlook the diversity of cultural backgrounds and preferences within that group. Understanding culture in healthcare goes beyond adherence to specific customs or norms and involves recognizing and respecting the individuality and diversity of each patient's cultural background and preferences. Therefore, while respect is important, the broader goal is to provide individualized and culturally sensitive care that respects the unique cultural perspectives and preferences of each patient.

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A nurse is assessing a client who is recently widowed. History reveals that the client worked at home as a full-time wife and mother throughout her adult life. Based on this information, the nurse would most likely expect the client to experience which situation?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is B

Explanation

Correct Answer is C

Explanation

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