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:
The infant's provider (doctor or healthcare professional) is responsible for explaining the surgical procedure, risks, and benefits to the parents or legal guardians. The provider does not typically sign the informed consent form on behalf of the infant.
Choice B Reason:
When an infant is to undergo surgery, the person who should sign the informed consent form on behalf of the infant is typically a parent or legal guardian. Therefore, option B, "The infant's 17-year-old mother," is the person who should sign the form, assuming that she is the infant's legal guardian.
In many jurisdictions, a parent is automatically considered the legal guardian of their child. However, if there are legal complications or questions about guardianship, it's important to follow local legal regulations and hospital policies to determine who is authorized to provide informed consent on the infant's behalf
Choice C Reason:
The mother's 21-year-old sibling does not automatically have legal authority to sign the informed consent form for the infant unless they have been granted legal guardianship or power of attorney for medical decisions.
Choice D Reason:
The infant's grandparent, like the sibling, does not automatically have legal authority to sign the informed consent form for the infant unless they have been granted legal guardianship or power of attorney for medical decisions.
Correct Answer is D
Explanation
Choice A Reason:
Pouring the sterile solution with the bottle held 20 cm (8 in) above the sterile bowl is a correct action, but it doesn't address maintaining sterility.
Choice B Reason:
Applying sterile gloves before opening the bottle of sterile solution is generally recommended to maintain sterility but is not specific to the action of holding the bottle.
Choice C Reason:
Placing the lid of the sterile solution bottle face down on the sterile drape is not recommended because the inside of the lid is sterile, and placing it face down could result in contamination when removed.
Choice D Reason:
Hold the bottle of sterile solution so that the label is facing the palm of the hand. This ensures that the label, which is a non-sterile part of the bottle, faces inward and away from the sterile field, reducing the risk of contamination. Keeping the label facing the palm helps maintain sterility.
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