A nurse is caring for a client who lost a guardian to cancer last month. The client states, "I'd still have my guardian if the doctor would have made a diagnosis sooner." Which of the following responses should the nurse make?

"I think you would feel better if you talked about your feelings with a support group."

"Do other members of your family also feel this way?"

"You sound angry. Anger is a normal feeling associated with loss."

"I understand just how you feel. I felt the same when my guardian died."

Answer and Explanation

The Correct Answer is C

Rationale:

A. This response minimizes the client’s current feelings and redirects them without first acknowledging or validating the emotion. While support groups are helpful, immediately suggesting them may make the client feel dismissed or unheard.

B. This response shifts focus to others rather than addressing the client’s personal feelings. At this stage of grief, the client needs validation and emotional support, not comparison with family members.

C. This response demonstrates therapeutic communication by acknowledging and validating the client’s feelings. Labeling the emotion as anger normalizes the reaction, helps the client feel understood, and encourages further expression. It supports the grieving process by recognizing emotions as part of normal bereavement.

D. This response is non-therapeutic because it shifts the focus to the nurse’s personal experience rather than the client’s feelings. It can unintentionally minimize the client’s unique grief and may make the client feel that their emotions are less important.

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Correct Answer is C

Explanation

Rationale:

A. Spirituality generally mitigates feelings of hopelessness rather than exacerbating them. While spiritual distress can occur, most clients experience hope, comfort, and meaning through spiritual practices, especially near the end of life.

B. Spirituality usually fosters acceptance, peace, and coping, which help clients manage terminal illness without increasing the desire to hasten death. It supports healthy adjustment to end-of-life challenges.

C. Spirituality plays a significant role in enhancing the quality of life for clients near the end of life. It provides comfort, hope, and a sense of meaning, helping clients cope with pain, stress, and fear of death. By addressing emotional, psychological, and relational needs alongside physical care, spiritual support contributes to holistic, client-centered care and promotes dignity, resilience, and overall well-being.

D. Spiritual practices and beliefs are typically associated with lower levels of depression and anxiety. Spirituality provides connection, hope, and inner peace, which enhance mental and emotional health rather than worsen it.

A. Perceptual-motor B. Complex attention C. Executive function D. Learning and memory

Correct Answer is C

Explanation

Rationale:

A. Perceptual-motor deficits involve coordinating sensory input with motor activity, such as navigating around objects or performing tasks requiring fine motor skills. Difficulty with multitasking does not primarily involve motor coordination; therefore, this is not the correct category.

B. Complex attention refers to the ability to maintain focus, shift attention, and process information simultaneously. While related to multitasking, difficulty with multitasking in Alzheimer’s disease is more specifically associated with higher-order planning and decision-making, not attention span alone.

C. Executive function includes planning, organizing, problem-solving, decision-making, and multitasking. Difficulty performing multiple tasks at once is a hallmark of executive dysfunction, which is commonly seen in Alzheimer’s disease as the prefrontal cortex and related neural networks are affected. Assessing executive function helps nurses identify safety risks, plan interventions, and support independence in daily activities.

D. Learning and memory deficits primarily involve difficulty acquiring new information or recalling previously learned information. While memory impairments are central to Alzheimer’s disease, multitasking difficulty is more directly linked to impaired executive function rather than memory alone.

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A nurse is caring for a client who lost a guardian to cancer last month. The client states, "I'd still have my guardian if the doctor would have made a diagnosis sooner." Which of the following responses should the nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assisting with teaching a class about the effects of spirituality for clients who are near the end of life. Which of the following information should the nurse include?

Correct Answer is C

Explanation

A nurse is caring for a client who has Alzheimer's disease and is having difficulty with multitasking. Which of the following cognitive deficits is the client experiencing?

Correct Answer is C

Explanation

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A nurse is caring for a client who lost a guardian to cancer last month. The client states, "I'd still have my guardian if the doctor would have made a diagnosis sooner." Which of the following responses should the nurse make?

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A nurse is contributing to the plan of care for a client who has Alzheimer's disease and is in the terminal phase. Which of the following findings should the nurse expect?

A nurse is caring for a client who has a terminal illness. Death is expected within 24 hours. The client’s family is at the bedside and asks the nurse about anticipated findings at this time. Which of the following findings should the nurse include in the discussion?