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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason:
While being oriented to person, place, and time is important, it does not necessarily indicate that the client is no longer a risk to themselves or others. Orientation alone does not ensure that the client can safely be without restraints.
Choice B reason:
Refusing medication unless released from restraints is a form of coercion and does not indicate that the client is safe to be without restraints. The decision to remove restraints should be based on the client's ability to follow commands and demonstrate safe behavior, not on their demands.
Choice C reason:
If a client states that they will harm themselves unless the restraints are removed, this indicates a high risk of self-harm. In such cases, restraints should not be removed until the client is assessed and deemed safe by a healthcare professional.
Choice D reason:
The ability to follow commands is a key indicator that the client can be safely managed without restraints. This demonstrates that the client is cooperative and can adhere to safety instructions, reducing the risk of harm to themselves or others.
Correct Answer is A
Explanation
Choice A reason:
Informing the client that they have the legal right to refuse treatment at any time is the correct action. Patients have the right to make decisions about their own healthcare, including the right to refuse treatment. This respects their autonomy and ensures that they are making informed decisions about their care.
Choice B reason:
Encouraging the client to have the procedure without addressing their concerns can be seen as coercive. It is important to understand the client's reasons for refusing the procedure and to provide information and support to help them make an informed decision.
Choice C reason:
Obtaining consent from the client's family member is not appropriate unless the client is unable to make decisions for themselves. If the client is competent, their decision should be respected, and family members should not be asked to override their wishes.
Choice D reason:
Requesting another nurse to review the procedure with the client might be helpful in providing additional information, but it should not be done with the intention of pressuring the client into agreeing to the procedure. The client's right to refuse should still be respected.
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