A nurse is caring for a client who has terminal cancer and has decided to stop treatment and enter hospice care. The client's family members express anger and disbelief at the client's decision. How should the nurse respond?

"I understand how you feel, but you have to respect your loved one's wishes."

"It sounds like you are having a hard time accepting your loved one's decision."

"Why are you angry? Don't you want your loved one to be comfortable?"

"You should talk to your loved one and try to change their mind."

Answer and Explanation

The Correct Answer is B

Rationale: The nurse should use active listening and empathy skills to acknowledge and validate the family members' feelings, without judging or dismissing them. The nurse should also avoid giving advice or opinions that may conflict with the client's wishes.

Incorrect options:

A) "I understand how you feel, but you have to respect your loved one's wishes." - This statement may sound patronizing or insensitive, as it implies that the nurse knows how the family members feel and that they are not respecting the client's wishes. The nurse should avoid using "but" statements, as they can negate or minimize the previous statement.

C) "Why are you angry? Don't you want your loved one to be comfortable?" - This statement may sound accusatory or defensive, as it questions the family members' motives and emotions. The nurse should avoid using "why" questions, as they can sound confrontational or judgmental.

D) "You should talk to your loved one and try to change their mind." - This statement may sound disrespectful or inappropriate, as it suggests that the nurse does not support the client's decision and that the family members should persuade the client otherwise. The nurse should avoid giving unsolicited advice or opinions that may interfere with the client's autonomy and dignity.

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Correct Answer is D

Explanation

Rationale: The client is experiencing chronic stress, which can have negative effects on their physical and mental health. The nurse should suggest professional counseling services, which can provide emotional support, coping strategies, and referrals to other resources that may help the client.

Incorrect options:

A) "You should try to find some time for yourself every day." - This is a helpful suggestion, as self-care is important for reducing stress and enhancing well-being. However, this statement may not be realistic or feasible for the client, who may not have any available time or resources to do so.

B) "You are doing a great job managing everything on your own." - This is a supportive statement, as it acknowledges the client's efforts and challenges. However, this statement may not address the client's needs or concerns, and may imply that they do not need any help or assistance.

C) "You need to prioritize your tasks and delegate what you can." - This is a practical suggestion, as prioritizing and delegating tasks can help reduce stress and workload. However, this statement may not be helpful or appropriate for the client, who may not have anyone to delegate to or may feel guilty or inadequate for doing so.

A. Refer the client to a support group for caregivers. B. Educate the client on the stages and progression of Alzheimer's disease. C. Arrange for respite care services for the client's spouse. D. Assess the client for signs of depression and suicidal ideation.

Correct Answer is D

Explanation

Rationale: The client is showing signs of caregiver stress, which can lead to depression and increased risk of suicide. The priority nursing intervention is to assess the client's mental health status and provide appropriate referrals and interventions as needed.

Incorrect options:

A) Refer the client to a support group for caregivers. - This is an appropriate intervention, as support groups can provide emotional and social support, as well as information and resources, for caregivers. However, this is not the priority intervention, as the client's mental health needs to be addressed first.

B) Educate the client on the stages and progression of Alzheimer's disease. - This is an appropriate intervention, as education can help the client understand and cope with the challenges of caring for a spouse with Alzheimer's disease. However, this is not the priority intervention, as the client's mental health needs to be addressed first.

C) Arrange for respite care services for the client's spouse. - This is an appropriate intervention, as respite care can provide temporary relief and assistance for caregivers, allowing them to rest and attend to their own needs. However, this is not the priority intervention, as the client's mental health needs to be addressed first.

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A nurse is caring for a client who has terminal cancer and has decided to stop treatment and enter hospice care. The client's family members express anger and disbelief at the client's decision. How should the nurse respond?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client who is a single parent of three children tells the nurse that they have been feeling stressed and overwhelmed lately. The client says that they have no one to help them with childcare or household chores. Which of the following statements by the nurse is most appropriate?

Correct Answer is D

Explanation

A nurse is assessing a client who is a caregiver for his spouse with Alzheimer's disease. The nurse notices that the client has lost weight, appears fatigued, and reports feeling overwhelmed. What is the priority nursing intervention for this client?

Correct Answer is D

Explanation

A nurse is caring for a client who has terminal cancer and has decided to stop treatment and enter hospice care. The client's family members express anger and disbelief at the client's decision. How should the nurse respond?

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