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?

Change the subject when the client becomes upset.

Discourage the client from forming new relationships.

Allow the client unlimited time for the grieving process

Offer the client advice about various treatment choices.

Answer and Explanation

The Correct Answer is C

A.   Changing the subject when the client becomes upset may invalidate their feelings and hinder emotional expression and processing.
B.   Discouraging the client from forming new relationships may deprive the client of potentially meaningful connections during their remaining time.
C.   Allowing the client unlimited time for the grieving process acknowledges the client's emotional response to their diagnosis and respects their individual needs and coping mechanisms.

D. Offering advice about treatment choices may be appropriate in some situations but should be done in collaboration with the client's healthcare team and in consideration of their wishes and values.

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Correct Answer is D

Explanation

A. Compensation involves overachieving in one area to make up for deficiencies in another area, which is not evident in the client's statement.
B. Sublimation involves channeling unacceptable impulses into socially acceptable activities, which is not demonstrated in the client's statement.
C. Regression involves reverting to an earlier stage of development in the face of stress, which is not evident in the client's statement.
D. Suppression involves consciously avoiding or postponing dealing with a stressor, which aligns with the client's statement of delaying thinking about their diagnosis until after a significant event.

A. Jaundice B. Urinary retention C. Bruising D. Decreased libido

Correct Answer is D

Explanation

A. Jaundice is not a commonly reported adverse effect of citalopram. It is more commonly associated with liver dysfunction or other medications.
B. Urinary retention is not a commonly reported adverse effect of citalopram. It is more commonly associated with anticholinergic medications.
C. Bruising is not a commonly reported adverse effect of citalopram. It is more commonly associated with medications that affect platelet function or clotting factors.
D. Decreased libido (reduced sexual desire) is a potential adverse effect of citalopram, as it is with other selective serotonin reuptake inhibitors (SSRIs). Monitoring for changes in sexual function is important because it can affect quality of life and treatment adherence.

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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?

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Naxlex Comprehensive Predictor Exams

Correct Answer is D

Explanation

A nurse is caring for a client who is taking citalopram. For which of the following adverse effects should the nurse monitor the client?

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?