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 D
Explanation
A. Airborne precautions are used for diseases that spread through airborne particles, such as tuberculosis and varicella, not bacterial meningitis.
B. Protective environment precautions are used for clients with severely compromised immune systems, not for preventing the spread of bacterial meningitis.
C. Contact: Contact precautions are used for infections spread by direct contact with the patient or their environment, such as MRSA or C. difficile, not bacterial meningitis.
D. Droplet: This is correct. Droplet precautions are required for bacterial meningitis as it spreads through large respiratory droplets.
Correct Answer is C
Explanation
A. "Once the form has been signed, you cannot change your mind." This is incorrect as the client has the right to change their mind and withdraw consent at any time.
B. "I will explain the complications of the procedure." The nurse’s role in informed consent is to witness the signing and ensure the client understands, not to explain the procedure's details, which is the provider’s responsibility.
C. "I will obtain your signature which states that you understand the procedure." This is correct. The nurse’s role is to witness the client’s signature on the informed consent form, indicating that the client has understood the information provided by the provider.
D. "I can explain alternative treatments to you."Explaining alternative treatments is the responsibility of the provider, not the nurse.
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