A nurse is caring for a client who has just received a terminal cancer diagnosis from their provider. Which of the following actions should the nurse take?

Offer the client advice about various treatment choices.

Discourage the client from forming new relationships.

Allow the client unlimited time for the grieving process.

Change the subject when the client becomes upset.

Answer and Explanation

The Correct Answer is C

Choice A reason:
Offering the client advice about various treatment choices is not the most appropriate action for a nurse to take immediately after a terminal diagnosis. While it is important to discuss treatment options, the timing of this discussion should be sensitive to the client's emotional state. The nurse should provide support and allow the client to lead the conversation about treatment when they are ready.

Choice B reason:
Discouraging the client from forming new relationships is not a supportive action. It is important for individuals facing a terminal illness to feel connected and supported. Encouraging the client to maintain and form new relationships can provide emotional support and improve their quality of life.

Choice C reason:
Allowing the client unlimited time for the grieving process is essential. Grief is a personal experience and can vary greatly in duration and expression. The nurse should support the client through their grief, providing a safe space for them to express their emotions and move through the grieving process at their own pace.

Choice D reason:
Changing the subject when the client becomes upset is not a therapeutic communication technique. It is important for the nurse to acknowledge the client's feelings and provide a supportive presence. The nurse should listen actively and empathetically, allowing the client to share their concerns and emotions.

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Correct Answer is C

Explanation

Choice A reason:
Telling a client that they cannot refuse treatment because they were admitted involuntarily is incorrect. Even if a client is admitted involuntarily, they still have the right to refuse treatment unless they are deemed incompetent or a danger to themselves or others. It is essential to respect the client's autonomy and rights.

Choice B reason:
While it may be true that the client could feel better after ECT, this statement dismisses the client's current concerns and does not acknowledge their right to refuse treatment. It is important to address the client's feelings and provide support rather than making promises about the outcome.

Choice C reason:
This is the correct response because it respects the client's decision and autonomy. It also involves the provider, who can discuss the decision with the client, provide more information, or explore other options. It is a nurse's responsibility to communicate the client's decisions to the provider.

Choice D reason:
Administering medication to help the client relax without addressing their concerns about the treatment is not appropriate. It does not respect the client's right to refuse treatment and could be considered coercive.

A. Inform the client that they have the legal right to refuse treatment at any time. B. Encourage the client to have the procedure. C. Obtain consent from the client's family member. D. Request another nurse to review the procedure with the client.

Correct Answer is A

Explanation

Choice A reason:
It is essential to respect the client's autonomy and right to make decisions about their own health care. Informing the client of their legal right to refuse treatment empowers them to make an informed choice and ensures that their rights are upheld. The nurse should also explore the client's concerns and provide support and information to help alleviate any anxiety related to the procedure.

Choice B reason:
While it may be beneficial for the client's health to have the procedure, the nurse should not simply encourage the procedure without addressing the client's concerns. The nurse's role includes providing information and support to help the client make an informed decision, rather than persuading them to agree to the procedure.

Choice C reason:
Obtaining consent from a family member is not appropriate unless the client is legally unable to make their own medical decisions. The client's right to consent or refuse treatment should be respected, and the nurse should work directly with the client to address their concerns and provide necessary information.

Choice D reason:
Requesting another nurse to review the procedure with the client may be helpful if the client is seeking additional information or if there is a communication barrier. However, this should not replace the client's right to refuse treatment. The primary action should be to inform the client of their rights and address their concerns directly.

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A nurse is caring for a client who has just received a terminal cancer diagnosis from their provider. Which of the following actions should the nurse take?

Nursing Test Bank

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