A nurse is caring for a client who has a new diagnosis of terminal cancer. Which of the following interventions is the appropriate one?
Help the client to find a local support group.
Discuss the client's prior coping mechanisms.
Develop a list of goals with the client.
Teach the client to use progressive relaxation techniques.
The Correct Answer is A
Choice A Reason:
Help the client to find a local support group. This is an appropriate intervention. Support groups can offer emotional support, a sense of community, and an opportunity to share experiences with others who are facing similar challenges. It can be particularly valuable for individuals dealing with a terminal diagnosis as it helps them connect with others who can relate to their situation.
Choice B Reason:
Discussing the client's prior coping mechanisms can be beneficial, but it should be done when the client is ready and willing to discuss it. It's essential to respect the client's readiness for such conversations.
Choice C Reason:
Developing a list of goals with the client is important for their end-of-life care, but it should be done in a sensitive and individualized manner, considering the client's preferences and wishes.
Choice D Reason:
Teaching the client relaxation techniques, such as progressive relaxation, can be helpful for managing anxiety and distress, but it should be offered in conjunction with other forms of emotional and psychological support.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A Reason:
Placing an oval corn pad over toes with corns is not recommended because it can cause further pressure and discomfort. Corn pads should be used with caution and under the guidance of a healthcare professional.
Choice B Reason:
"I can apply lotion to soften calluses as long as I don't put lotion between my toes." is the safest and most appropriate self-care measure for calluses, emphasizing the importance of not applying lotion between the toes, which can lead to moisture retention and skin issues. However, it's always best for the client to consult with a healthcare provider for specific guidance on corn and callus care, as individual situations may vary.
Choice C Reason:
Using over-the-counter liquid medications to remove corns is not typically recommended without consulting a healthcare professional. It's best to have corns assessed and treated by a healthcare provider.
Choice D Reason:
Soaking the feet in warm water daily can help soften corns and calluses, but it should be done with caution. Excessive soaking can lead to skin maceration and should not be done daily. It's essential to follow a healthcare provider's recommendations for soaking and corn/callus care.
Correct Answer is B
Explanation
Choice A Reason:
The client laughing at a television show might be a sign of improved mood or distraction but does not necessarily indicate pain relief.
Choice B Reason:
The client's skin on the lower back is intact without redness. An effective warm, moist compress should provide pain relief without causing skin irritation or damage. The absence of redness or skin breakdown suggests that the compress is not causing harm and is achieving its intended purpose.
Choice C Reason:
The client stating that they can concentrate while reading may suggest improved focus but does not directly address pain relief.
Choice D Reason:
The client's vital signs being within the expected reference range is a general assessment of physiological stability but does not specifically measure pain relief or the effectiveness of the warm, moist compress.
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