A nurse is caring for a client who has a terminal illness and requests palliative care. The client's family disagrees with this decision and wants aggressive treatment. How should the nurse handle this situation?
Support the client's decision and explain it to the family
Support the family's decision and persuade the client to change their mind
Respect both the client's and the family's decisions and refer them to an ethics committee
Respect neither the client's nor the family's decisions and follow the health care provider's orders
The Correct Answer is A
Rationale: The nurse should support the client's decision and explain it to the family, as this respects the client's autonomy and dignity. The nurse should also provide emotional support and education to both the client and the family about palliative care, which focuses on relieving pain and suffering and improving quality of life.
Incorrect options:
B) Support the family's decision and persuade the client to change their mind - This is inappropriate, as it violates the client's autonomy and dignity. The nurse should not coerce or pressure the client to accept a treatment that they do not want.
C) Respect both the client's and the family's decisions and refer them to an ethics committee - This is unnecessary, as there is no ethical dilemma or conflict in this situation. The client has a right to refuse treatment and choose palliative care.
D) Respect neither the client's nor the family's decisions and follow the health care provider's orders - This is unethical, as it disregards both the client's and the family's wishes and preferences. The nurse should not follow orders that are contrary to what the client wants.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Rationale: The nurse should support the client's decision and explain it to the family, as this respects the client's autonomy and dignity. The nurse should also provide emotional support and education to both the client and the family about palliative care, which focuses on relieving pain and suffering and improving quality of life.
Incorrect options:
B) Support the family's decision and persuade the client to change their mind - This is inappropriate, as it violates the client's autonomy and dignity. The nurse should not coerce or pressure the client to accept a treatment that they do not want.
C) Respect both the client's and the family's decisions and refer them to an ethics committee - This is unnecessary, as there is no ethical dilemma or conflict in this situation. The client has a right to refuse treatment and choose palliative care.
D) Respect neither the client's nor the family's decisions and follow the health care provider's orders - This is unethical, as it disregards both the client's and the family's wishes and preferences. The nurse should not follow orders that are contrary to what the client wants.
Correct Answer is B
Explanation
Rationale: The nurse should include foods that are compatible with both the diabetic and kosher diets. A kosher diet prohibits the consumption of pork, shellfish, and meat and dairy products together. A diabetic diet emphasizes complex carbohydrates, lean protein, and fiber-rich foods.
Incorrect options:
A) Cheeseburger with whole wheat bun - This food violates both the diabetic and kosher diets. It contains simple carbohydrates, saturated fat, and meat and dairy products together.
C) Ham and cheese sandwich with fruit salad - This food violates both the diabetic and kosher diets. It contains pork, simple carbohydrates, saturated fat, and meat and dairy products together.
D) Spaghetti with meatballs and tomato sauce - This food violates both the diabetic and kosher diets. It contains simple carbohydrates, saturated fat, and meat and dairy products together.
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