A nurse is caring for a client who has cancer and is being transferred to hospice care. The client’s daughter tells the nurse, “I’m not sure what to say to my mom if she asks me about dying.” Which of the following responses by the nurse is appropriate? (Select all that apply)

Tell her not to worry about it right now.

You sound like you have questions about your mom dying. Let’s talk about it.

Let’s talk about your mom’s cancer and what it means.

Encourage her to focus on the present and not think about dying.

Answer and Explanation

Correct Answer : B,C

Choice A reason: Telling the daughter not to worry dismisses her emotional concerns and does not facilitate open communication. Addressing fears about a loved one’s death requires empathy and discussion to process grief and understand hospice care, which focuses on comfort. This response is inappropriate, as it avoids addressing the daughter’s needs.
Choice B reason: Acknowledging the daughter’s concerns about her mother’s death and inviting discussion is therapeutic. It validates her emotions, encouraging open dialogue about grief, hospice care, and end-of-life expectations. This approach supports psychological coping, aligns with palliative care principles, and helps the daughter prepare for her mother’s transition, making it appropriate.
Choice C reason: Discussing the mother’s cancer and its implications helps the daughter understand the disease progression and hospice care’s role in symptom management. This fosters informed communication, addressing fears and clarifying expectations. It supports emotional preparation for end-of-life discussions, making this response appropriate for facilitating understanding and coping.
Choice D reason: Encouraging the daughter to avoid thinking about dying dismisses the reality of the situation and hinders emotional processing. Hospice care involves preparing for end-of-life, and open discussions about death are therapeutic. This response is inappropriate, as it discourages necessary conversations about the mother’s condition and prognosis.

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Correct Answer is C

Explanation

Choice A reason: Experiencing delusions can contribute to agitation, but it is not the strongest predictor of violence. Delusions may lead to unpredictable behavior, but past actions are more reliable indicators, so this factor is less definitive, making it incorrect.
Choice B reason: A history of being in prison indicates past legal issues but not necessarily violent behavior. Incarceration alone is not a direct predictor of future violence, so this factor is less reliable than actual violent history, making it incorrect.
Choice C reason: A history of violent behavior is the best predictor of future violence, as past actions strongly correlate with recurrence, per evidence-based risk assessments. This reliable indicator guides safety planning, making it the correct factor to emphasize in teaching.
Choice D reason: Substance use disorder increases impulsivity and aggression risk, but it is less predictive than a documented history of violence. Substance use is a contributing factor, not the strongest indicator, so this is incorrect compared to past behavior.

A. A single light fixture hangs along the sidewalk to the house. B. The batteries in the smoke alarms are changed annually. C. A small area rug is placed at the front door. D. Electrical cords are secured under furniture.

Correct Answer is B

Explanation

Choice A reason: A single light fixture along the sidewalk provides limited illumination, insufficient for comprehensive safety. Multiple, evenly spaced lights are needed to prevent falls, especially for older adults. Inadequate lighting increases risks of trips or assaults, indicating the client’s understanding of outdoor safety is incomplete and does not fully address home safety needs.
Choice B reason: Changing smoke alarm batteries annually ensures functional alarms, reducing fire-related mortality by 50%. Regular maintenance supports early smoke detection, enabling timely evacuation or response. This action reflects a strong understanding of fire safety, a critical home safety component, making it the best indicator of the client’s safety awareness.
Choice C reason: A small area rug at the front door poses a tripping hazard, particularly for those with mobility issues. Loose rugs can lead to falls, causing injuries like fractures. This finding suggests the client does not fully understand fall prevention, a key aspect of home safety, making it an incorrect indicator of safety awareness.
Choice D reason: Securing electrical cords under furniture risks fire hazards if cords are damaged or pinched, potentially causing electrical shorts. Cords should be secured along walls or with covers to prevent tripping without compromising safety. This indicates a misunderstanding of electrical safety, increasing fire or injury risks, and is not a correct safety measure.

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A nurse is caring for a client who has cancer and is being transferred to hospice care. The client’s daughter tells the nurse, “I’m not sure what to say to my mom if she asks me about dying.” Which of the following responses by the nurse is appropriate? (Select all that apply)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A charge nurse is teaching new staff members about factors that increase a client’s risk to become violent. Which of the following risk factors should the nurse include as the best predictor of future violence?

Correct Answer is C

Explanation

A community health nurse is performing a home visit for a client and is evaluating the home environment for safety. Which of the following findings would indicate to the nurse that the client has a proper understanding of safety in the home?

Correct Answer is B

Explanation

A nurse is providing teaching to the parents of a newborn about newborn genetic screening. Which of the following statements should the nurse include in the teaching?

A nurse is evaluating a client who received intermittent IV fluids. Which of the following findings indicates the client has a fluid overload?

A nurse is caring for an infant who has coarctation of the aorta. Which of the following should the nurse identify as an expected finding?

A nurse is reviewing the medication administration record of a client who has benign prostatic hyperplasia (BPH). The client asks the nurse about taking saw palmetto. The nurse should instruct the client that which of the following medications interacts adversely with saw palmetto?

A nurse is providing teaching to a client who is experiencing preterm contractions and dehydration. Which of the following statements should the nurse make?

A nurse is providing education to a client who is reviewing a consent form for a surgical procedure. Which of the following statements by the client indicates an understanding of the consent?

A nurse is caring for a client who is 2 hr postoperative. Which of the following findings should the nurse report to the provider?

A nurse on a medical-surgical unit is notified that a mass casualty event has occurred in the community. Which of the following actions should the nurse plan to take?