A nurse is caring for a client who has been diagnosed with breast cancer. After months of treatment, the client refuses to undergo further radiation therapy. Which of the following actions by the nurse is appropriate?

Support the client in her personal decision.

Refer the client to a counselor.

Encourage the client not to give up.

Suggest that the client talk with a breast cancer survivor.

Answer and Explanation

The Correct Answer is A

A.   Supporting the client in her personal decision respects her autonomy and right to make decisions about her own healthcare.
B.   Referring the client to a counselor can be appropriate, but the primary response should be to support the client's decision.
C.   Encouraging the client not to give up may not be appropriate if the client has made a well- considered decision to refuse further treatment.
D.   Suggesting that the client talk with a breast cancer survivor may provide emotional support but should not be used as a means to persuade the client to undergo further treatment if she has made an informed decision to refuse.

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Correct Answer is A

Explanation

A. The client's belief that his needs will be met through education reflects intrinsic motivation, which is likely to enhance the client's commitment to learning and self-care.
B. Seeking family approval may be a motivator, but it is an external factor, and intrinsic motivation is generally more effective for sustained behavior change.
C. While the nurse explaining the need for education is important, the client's personal belief and understanding of the value of education are key for motivation.
D. The nurse's empathy is essential for building rapport, but the client's belief in the benefits of education is more directly related to motivation.

A. "I will have my vision checked." B. "I will put socks on when I get out of bed." C. "I will put a safety bar near my toilet." D. "I will put a night-light in the hallway."

Correct Answer is B

Explanation

A. Having vision checked is a positive step to prevent falls by addressing potential visual impairments.
B. Wearing socks when getting out of bed increases the risk of slipping, indicating a need for further teaching.
C. Placing a safety bar near the toilet is a preventive measure against falls.
D. Putting a night-light in the hallway helps improve visibility and reduce the risk of tripping

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A nurse is caring for a client who has been diagnosed with breast cancer. After months of treatment, the client refuses to undergo further radiation therapy. Which of the following actions by the nurse is appropriate?

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Naxlex Comprehensive Predictor Exams

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