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 information on hospice care?"
"Would you like to talk to a counselor about advance directives?"
"Would you like to speak to a spiritual advisor?"
"Do you need a prescription for an antianxiety medication?"
None
None
The Correct Answer is C
A. While hospice care may be appropriate for the client, it does not directly address the client's reported depression.
B. Discussing advance directives is important for end-of-life care planning, but it may not address the client's current emotional needs.
C. Offering spiritual support acknowledges the client's emotional distress and provides an opportunity for comfort and guidance that aligns with the client's values and beliefs.
D. Offering medication without further assessment or exploration of the client's feelings may not be the most therapeutic response to the reported depression.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is []
Explanation
Based on the provided nurses' notes, the client exhibits symptoms that may suggest a brief psychotic disorder, characterized by delusions, hallucinations, disorganized speech, or grossly disorganized or catatonic behavior. The client's history of similar episodes and family history could support this diagnosis. To assess the client's progress, the nurse should monitor the client's ability to care for themselves and assess any suicide risk due to the client's recent stressors and emotional state. Actions that could be beneficial include reducing external stimuli to prevent sensory overload and engaging with the client several times each day to establish trust, which can help alleviate anxiety and foster a therapeutic environment.
Correct Answer is A
Explanation
A: Naloxone is an opioid antagonist used to reverse opioid overdose, including respiratory depression caused by opioids such as hydromorphone.
B: Flumazenil is used to reverse benzodiazepine overdoses, not opioid overdoses.
C: Acetylcysteine is an antidote for acetaminophen overdose.
D: Protamine is used to reverse the effects of heparin, an anticoagulant
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