A nurse is caring for a client who has lung cancer. The client tells the nurse they do not want to be resuscitated in the event of a cardiac arrest. Which of the following statements should the nurse make?
"Let me explain the pros and cons of your decision."
"I will support your decision and help you explain it to others."
"I will send the social worker in to discuss this decision with you."
"I suggest you discuss this decision with your family first."
The Correct Answer is B
Choice A reason: Explaining pros and cons informs but may pressure the client. Supporting autonomy respects their choice, aligning with lung cancer end-of-life preferences better.
Choice B reason: Supporting the client’s DNR decision upholds autonomy and aids communication. In lung cancer, respecting end-of-life wishes is critical, making this the best response.
Choice C reason: Involving a social worker delegates support, not directly honoring the client’s wish. Nurses should first affirm autonomy in such terminal cancer scenarios.
Choice D reason: Suggesting family discussion undermines autonomy, adding burden. The client’s decision in advanced cancer should be respected without implying external validation needs.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: A space heater 5 feet from a bed is relatively safe if unobstructed, not a leading fire cause. Scientifically, heaters rank lower than smoking, as ignition requires closer flammable contact, making this less statistically significant per fire safety data.
Choice B reason: Smoking in bed is a top cause of residential fires, as embers easily ignite bedding. Scientifically, NFPA data show it’s a leading ignition source due to direct fuel contact, causing rapid flame spread, making it a critical hazard to highlight.
Choice C reason: Leaving the stove on causes kitchen fires, but smoking surpasses it in residential fatalities. Scientifically, unattended cooking ranks high, yet smoking’s bedroom context increases risk of sleeping victims, amplifying danger per fire incidence studies.
Choice D reason: Lack of smoke detectors increases fire deaths, not ignition. It’s a detection failure, not a cause. Scientifically, this affects outcomes, not initiation, making it irrelevant to identifying the leading hazard source per fire safety causation statistics.
Correct Answer is D
Explanation
Choice A reason: Voice alteration isn’t linked to ECT; it affects brain function, not vocal cords. Post-procedure, neurological effects dominate, not laryngeal changes.
Choice B reason: Neck pain may occur from positioning, but it’s not a primary ECT reaction. Muscle relaxants minimize strain, making this less common.
Choice C reason: Scalp tingling could stem from electrodes, but it’s rare and minor. ECT’s electrical impact targets memory and mood, not sensory nerves.
Choice D reason: Temporary memory loss is a well-documented ECT side effect, from disrupted hippocampal function. It’s expected, often resolving, and key to inform clients.
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