A nurse is caring for a client who has cancer and is terminally ill. The client reports feeling depressed. Which of the following statements should the nurse make?
"Do you need a prescription for an antianxiety medication?"
"Do you need information on hospice care?"
"Would you like to talk to a counselor about advance directives?"
"Would you like to speak to a spiritual advisor?"
The Correct Answer is B
A. While medication for anxiety may be appropriate, focusing on the emotional and spiritual aspects of care is essential for clients with terminal cancer.
B. Offering information on hospice care is an appropriate and compassionate response that provides the client with options for managing symptoms and improving quality of life at the end of life.
C. Discussing advance directives may be appropriate, but offering hospice care is a more direct and empathetic response for terminally ill clients.
D. While speaking to a spiritual advisor may be helpful, it is not the first step in addressing the client’s
expressed feelings of depression.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. While it is important to assess the duration of symptoms, it is more important to understand the content and context of the voices to determine potential risks.
B. Acknowledging that the voices are real to the client, while not hearing them, shows empathy and avoids invalidating the client's experience.
C. Understanding what the voices are saying helps assess the potential for harm and allows for appropriate intervention.
D. While checking on medication adherence is important, it does not address the immediate concern of what the voices may be telling the client.
Correct Answer is {"dropdown-group-1":"C","dropdown-group-2":"B"}
Explanation
The nurse should recognize that the client is experiencing preterm labor due toprevious preterm birth.
Rationale
Option 1: Preterm labor
The client’s symptoms are most consistent with preterm labor. Preterm labor is characterized by regular
uterine contractions before 37 weeks of gestation, cervical dilation and effacement, and sometimes vaginal discharge. In this case, the client has lower back pain, uterine contractions every 8 minutes, cervical dilation of 2 cm, and 50% effacement—all indicative of preterm labor.
Option 2: Previous Preterm Birth
The client's history of a preterm spontaneous vaginal birth at 30 weeks gestation increases the risk of preterm labor in the current pregnancy. The previous preterm birth is a known risk factor for future preterm labor.
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