A nurse is caring for a client who has a new diagnosis of terminal cancer. Which of the following interventions is the
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 rationale:
Helping the client find a local support group is an appropriate intervention. Support groups provide emotional support, shared experiences, and coping strategies for individuals facing terminal illness, promoting a sense of community.
Choice B rationale:
Discussing the client's prior coping mechanisms is relevant and can provide insight into effective strategies. However, it might not be the first step in the immediate response to a new diagnosis of terminal cancer.
Choice C rationale:
Developing a list of goals with the client might be premature at this stage, as the client may need time to process the diagnosis and express their concerns and priorities.
Choice D rationale:
Teaching the client to use progressive relaxation techniques is a valuable intervention for managing anxiety and promoting relaxation. However, immediate emotional support and connection through a support group may be more appropriate initially.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale:
A flat, nonpalpable, dark-colored area of skin on the trunk is likely a benign nevus, or mole, that does not pose a serious threat.
Choice B rationale:
An atrophic wart on the left index finger is also a benign growth that can be removed by cryotherapy or surgery.
Choice C rationale:
Skin tags in the nose region are harmless skin protrusions that are common in older adults and can be removed for cosmetic reasons.
Choice D rationale:
The nurse's priority is to assess the mole on the shoulder that has changed in appearance. This could indicate a malignant melanoma, which is a type of skin cancer that can spread quickly and be fatal.
Correct Answer is D
Explanation
Choice A rationale:
Hyperextending the client's back is not necessary and may cause discomfort or harm. Proper positioning is essential for the client's comfort and safety.
Choice B rationale:
Encouraging the client to try to defecate for an extended period may lead to unnecessary strain and discomfort. It's important to promote optimal conditions for toileting without excessive strain.
Choice C rationale:
Keeping the bed flat while the client is on the fracture pan is a correct action. Maintaining the bed's flat position facilitates proper use of the fracture pan and enhances the client's comfort.
Choice D rationale:
Placing the shallow end of the fracture pan under the client's buttocks is the correct way to position the pan for effective use. Proper use of the fracture pan is essential for its intended function in clients with immobility or limited mobility due to a cast.
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