A nurse is caring for a client whose family just learned that he has terminal pancreatic cancer. The family requests the diagnosis be withheld from the client. Which of the following actions should the nurse take first?
Assist the client to make autonomous decisions about his treatment options.
Reflect on her own opinion about withholding the diagnosis from him.
Inform the family that he has a legal right to be informed of his diagnosis.
Determine the family's reasons for not telling him about his diagnosis.
The Correct Answer is D
A. Assist the client to make autonomous decisions about his treatment options. Assisting the client to make autonomous decisions is important, but it cannot be done effectively until the client is aware of his diagnosis. This action would follow once the client is informed.
B. Reflect on her own opinion about withholding the diagnosis from him. Reflecting on her own opinion can help the nurse understand her biases but does not directly address the family's request or the client's immediate needs.
C. Inform the family that he has a legal right to be informed of his diagnosis. Informing the family about the client's legal right is essential, but first, the nurse should understand the family's perspective and concerns.
D. Determine the family's reasons for not telling him about his diagnosis. This is correct. Understanding the family's reasons provides context and helps the nurse address their concerns appropriately while advocating for the client’s right to know his diagnosis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Keep daily cholesterol intake between 500 to 750 mg. The recommended daily cholesterol intake is less than 300 mg.
B. Keep daily fat intake between 20% to 35% of total calories. This is the recommended range for fat intake according to dietary guidelines.
C. Keep daily protein intake between 40% to 50% of total calories. The recommended range for protein intake is about 10% to 35% of total calories.
D. Keep daily sodium intake between 2,000 to 2,500 mg. The recommended daily sodium intake is less than 2,300 mg, and ideally less than 1,500 mg for most adults.
Correct Answer is D
Explanation
A. Secure the cord with electrical tape under area rugs. This is incorrect. Securing the cord under rugs can create a fire hazard.
B. Plug the device into the outlet closest to the tub when bathing. This is incorrect and dangerous as water and electricity should never come into contact.
C. Grasp the cord to unplug the device. The correct method is to grasp the plug, not the cord, to avoid damaging the cord and causing a potential electrical hazard.
D. Tape the cord of the device against the baseboard with electrical tape. This is correct. Taping the cord to the baseboard can help prevent tripping hazards and keep the cord secure.
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