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.

Answer and Explanation

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.

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Correct Answer is A

Explanation

A. Primary prevention: This strategy aims to prevent the onset of disease or injury before it occurs. By educating adolescents on the dangers of smoking, the nurse is promoting behaviors that reduce the risk of starting tobacco use, thereby preventing potential health issues like cancer or cardiovascular disease.

B. Tertiary prevention: This involves managing and reducing complications in individuals who already have a disease. The nurse is not treating or managing existing health issues related to smoking but is trying to prevent tobacco use entirely.

C. Screening: Screening identifies individuals who may have a disease or risk factor early on. No diagnostic or early detection efforts are involved in this educational session.

D. Case findings: Case finding involves actively identifying individuals with a specific condition, often through outreach or assessment. The nurse is not identifying smokers or tobacco-related illness in this scenario.

A. Disregard differences in the nurse's and clients' beliefs. B. Reassess the social demographics of the faith community. C. Apply objective measurements for the outcomes. D. Provide programs without an emphasis on spiritual care.

Correct Answer is B

Explanation

A. Disregard differences in the nurse's and clients' beliefs: Ignoring differences in beliefs can create barriers to effective spiritual care and decrease client engagement. Understanding and respecting clients' beliefs is essential for meaningful outcomes.

B. Reassess the social demographics of the faith community: If outcomes are not met, it’s important to review characteristics like age, culture, language, and spiritual needs of the community. This helps tailor the program to better fit the population and increase its relevance and effectiveness.

C. Apply objective measurements for the outcomes: While measuring outcomes is important, if initial goals were not achieved, reassessment of the community context is necessary before changing measurement methods.

D. Provide programs without an emphasis on spiritual care: Removing spiritual care defeats the purpose of the program and may decrease client satisfaction and holistic support. Instead, adaptations should enhance relevance, not eliminate focus.

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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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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