A nurse is caring for a client who has just received a terminal cancer diagnosis from his 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 rationale:

The nurse should not offer advice about various treatment choices to the client who has just received a terminal cancer diagnosis. At this point, the client should be provided with information about available treatment options by the healthcare provider. The nurse's role is to offer support, empathy, and help facilitate communication between the client and the provider. Offering advice about treatment choices is beyond the scope of the nurse's role in this situation.

Choice B rationale:

Discouraging the client from forming new relationships is not appropriate. The client's emotional and psychosocial needs are important, and it's essential to encourage meaningful connections and relationships, especially in a difficult time like receiving a terminal diagnosis. Isolation can have negative effects on the client's emotional well-being, so the nurse should support the client in maintaining relationships.

Choice D rationale:

Changing the subject when the client becomes upset is not an appropriate action. It's important for the nurse to provide emotional support and a listening ear to the client during this challenging time. Changing the subject may come across as dismissive or uncaring, and it does not address the client's emotional needs.

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Correct Answer is B

Explanation

Choice A rationale:

(Statement then rationale) Choice A is not the correct option. Involuntary commitment does not strip a person of their right to refuse treatment. It is essential to respect the client's autonomy and their right to refuse treatment, even in the case of involuntary commitment. This approach promotes ethical and legal principles related to informed consent and patient rights.

Choice C rationale:

(Statement then rationale) Choice C is also not the correct option. Electroconvulsive therapy (ECT) does indeed require client consent. Informed consent is a fundamental aspect of medical treatment, and healthcare providers must obtain the patient's permission before administering any procedure or treatment, including ECT.

Choice D rationale:

(Statement then rationale) Choice D is not the correct answer either. Involving the client's family without their consent is not appropriate. The decision to accept or refuse treatment should remain with the client, and their autonomy should be respected. Coercing the client through their family would be ethically and legally problematic. Now, let's move on to the next question.

A. Denial. B. Compensation. C. Rationalization. D. Displacement.

Correct Answer is D

Explanation

Answer is: d. Displacement.

Explanation: Displacement is a defense mechanism in which an individual redirects their emotions, feelings, or impulses from their original source to a less threatening target. In this case, the client is redirecting his anger toward his partner onto the nurse, making displacement the defense mechanism being demonstrated.

Choice a. is wrong because denial involves refusing to accept or acknowledge reality, often to protect oneself from emotional distress. There is no indication that the client is denying his situation or feelings in this scenario.

Choice b. is wrong because compensation involves making up for perceived weaknesses or deficiencies in one area by excelling in another. The client's behavior does not reflect an attempt to compensate for any shortcomings.

Choice c. is wrong because rationalization is a defense mechanism where an individual justifies their actions or feelings using seemingly logical reasons to avoid self-criticism or emotional discomfort. The client's behavior in this scenario does not involve providing any logical explanation for his anger.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who was involuntarily committed and is scheduled to receive electroconvulsive therapy (ECT). The client refuses the treatment and will not discuss why with the health care team.Which of the following actions should the nurse take?

Correct Answer is B

Explanation

A nurse is caring for a client who reports that he is angry with his partner because she thinks he is just trying to gain attention. When the nurse attempts to talk to the client, he becomes angry and tells her to leave. Which of the following defense mechanisms is the client demonstrating?

Correct Answer is D

Explanation

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