A nurse is caring for a client who has a terminal illness. Which of the following statements by the client would require referral to a social work
"I really hope that I can live another 2 weeks, so I can see my child graduate high school."
"I don't have health insurance, and now I am leaving my family with such a mess."
"I am so proud of my child who promised to step up and help my spouse after I am gone."
"I am angry and cannot believe this is happening to me at such a young age.
The Correct Answer is B
A. "I really hope that I can live another 2 weeks, so I can see my child graduate high school." This statement expresses a hopeful and realistic goal reflecting emotional coping with the terminal illness. It does not necessarily indicate a need for social work referral.
B. "I don't have health insurance, and now I am leaving my family with such a mess." Concerns about financial issues and lack of health insurance suggest the client may need assistance with resources, financial planning, or accessing support services, which falls within the social worker’s role.
C. "I am so proud of my child who promised to step up and help my spouse after I am gone." This statement reflects pride and positive family support, indicating emotional coping rather than a need for social work referral.
D. "I am angry and cannot believe this is happening to me at such a young age." Expressing anger is a common emotional response to terminal illness and can be addressed through nursing support and counseling; it does not automatically require social work involvement.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C","E"]
Explanation
A. Limit screen use to 2 hr per day: Limiting screen time to no more than 2 hours daily aligns with pediatric guidelines and supports healthy brain development, social interaction, and physical activity in toddlers.
B. Encourage supervised outdoor exploration: Supervised outdoor play promotes physical development, gross motor skills, and sensory experiences while ensuring safety. It supports curiosity and learning in toddlers.
C. Participate in loosely structured play settings: Loosely structured play allows toddlers to explore creatively and develop social skills without rigid rules, fostering cognitive and emotional growth appropriate for their developmental stage.
D. Sign up for organized sports: Organized sports are generally not recommended for toddlers due to their limited attention span, motor skills, and the structured nature of sports. This is more appropriate for older children.
E. Introduce items of various textures for tactile play: Tactile play with varied textures enhances sensory processing, fine motor skills, and cognitive development, which are crucial during the toddler years.
Correct Answer is D
Explanation
A. Refer the clients for financial assistance to receive medications: While financial support is important for accessing treatment, it is not the immediate priority during an active outbreak. The nurse must first assess the scope and potential cause of the diarrhea to prevent further spread and guide appropriate interventions.
B. Arrange for the clients to see a health care provider: Medical evaluation is essential, especially if symptoms worsen or complications arise. However, this step should follow a thorough assessment of exposure to identify patterns, potential sources, and the need for urgent containment or broader screening efforts.
C. Provide teaching about hand washing for the clients: Hand hygiene is critical in preventing the transmission of infectious diarrhea. However, client education should come after identifying the exposure route to ensure teaching is targeted and effective in addressing the specific mode of transmission.
D. Obtain an individual client exposure history: The nurse’s first priority should be to gather detailed information about each client's symptoms, recent meals, travel, and contacts. This assessment helps identify common exposures, guides immediate containment efforts, and directs appropriate medical or public health responses to control a potential outbreak.
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