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 B
Explanation
Choice A reason:
Feeling angry at the world is a common reaction to grief and loss. Anger is one of the stages of grief and does not necessarily indicate clinical depression. While it is important to monitor the client's emotional state, anger alone is not a definitive sign of depression.
Choice B reason:
Expressing a sense of numbness and an inability to feel emotions is a significant indicator of clinical depression. This symptom, known as anhedonia, reflects a loss of interest or pleasure in most activities and is a core feature of major depressive disorder. It is crucial to report this to the provider for further evaluation and intervention.
Choice C reason:
Acknowledging the importance of family support is a positive coping mechanism. This statement indicates that the client recognizes their support system, which is beneficial for managing grief. It does not suggest clinical depression.
Choice D reason:
Feeling that it will take a long time to be happy again is a normal part of the grieving process. Grief can be prolonged, and it is natural for clients to feel that their happiness is distant. This statement alone does not indicate clinical depression
Correct Answer is ["A","B","E","F"]
Explanation
Choice A:
GHB (gamma-hydroxybutyric acid) is known to cause nausea and vomiting, especially at higher doses. These symptoms are common side effects of GHB ingestion and can be distressing for the patient.
Choice B:
Confusion is a significant complication associated with GHB use. GHB acts as a central nervous system depressant, leading to altered mental status and confusion. This can impair the patient’s ability to communicate effectively and understand their surroundings.
Choice C:
Tachycardia, or an abnormally fast heart rate, is not typically associated with GHB use. GHB tends to cause bradycardia (slowed heart rate) rather than tachycardia. Therefore, this option is not a correct answer.
Choice D:
Hypothermia, or abnormally low body temperature, is not a common complication of GHB use. GHB does not typically affect body temperature regulation in a way that would lead to hypothermia. Thus, this option is not a correct answer.
Choice E:
Amnesia is a well-documented effect of GHB, often referred to as the “date rape drug” due to its ability to cause memory loss1. This can result in the patient having no recollection of events that occurred while under the influence of the drug.
Choice F:
Respiratory depression is a severe and potentially life-threatening complication of GHB use. GHB can depress the central nervous system to the point where breathing becomes slow and shallow, which can lead to respiratory failure5. This is a critical concern in managing patients who have ingested GHB.
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