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.

Answer and Explanation

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.

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Correct Answer is C

Explanation

A. Shut all the doors on the unit. Shutting doors helps to contain the fire and prevent its spread, but it is not the immediate priority.
B. Initiate the facility's fire alarm. Initiating the fire alarm is crucial for alerting others and ensuring the safety of everyone in the facility. However, immediate action should focus on client safety.
C. Evacuate the client's room. Evacuating the client's room is the priority for ensuring the client's safety in the event of a fire. This action should be taken before attempting to address the fire or other tasks.
D. Extinguish the fire. While extinguishing the fire is important, the immediate priority should be the safety of individuals in the room. Extinguishing the fire can be attempted if safe to do so, but evacuation comes first.

A. Keeping a record of dry nights in a daily diary B. Beginning medication therapy to inhibit urination C. Using an alarm to wake the child at the onset of urination D. Using stickers as positive reinforcement for dry nights

Correct Answer is C

Explanation

A. Keeping a record of dry nights in a daily diary: This can be helpful for tracking progress but is not the most effective intervention for treating enuresis.
B. Beginning medication therapy to inhibit urination: Medication can be used in some cases, but it is typically not the first-line treatment for enuresis.
C. Using an alarm to wake the child at the onset of urination: This is correct. Bedwetting alarms are considered the most effective intervention for treating enuresis. They condition the child to wake up or hold urine when the bladder is full.
D. Using stickers as positive reinforcement for dry nights: This can be useful as part of a behavioral approach but is not as effective as using a bedwetting alarm.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching about environmental safety issues to a group of assistive personnel. Which of the following actions should the nurse include as the priority in the event of a fire in a client's room?

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Explanation

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