A nurse is caring for a patient who has cancer and is receiving palliative care.
Which of the following statements by the patient indicates an understanding of this type of treatment?
“This treatment should help me live a little longer and give me hope for a cure.”.
“I will continue my strict dietary plan.”.
“I am hoping this will limit my discomfort and give me the best quality of life for me.”.
“This is not working and I plan to stop treatment.”.
The Correct Answer is C
Choice A rationale
While palliative care can indeed help improve a patient’s quality of life, it is not typically aimed at curing the disease or significantly prolonging life. Instead, the focus is on managing symptoms and improving comfort. Therefore, the statement “This treatment should help me live a little longer and give me hope for a cure” does not accurately reflect the goals of palliative care.
Choice B rationale
The statement “I will continue my strict dietary plan” does not necessarily indicate an understanding of palliative care. While maintaining good nutrition can be an important part of managing some conditions, palliative care is more focused on symptom management and improving quality of life. Strict dietary restrictions may not be necessary or beneficial in a palliative care context.
Choice C rationale
The statement “I am hoping this will limit my discomfort and give me the best quality of life for me” accurately reflects the goals of palliative care. Palliative care aims to manage symptoms, including pain and discomfort, and to improve the patient’s quality of life.
Choice D rationale
The statement “This is not working and I plan to stop treatment” does not necessarily reflect an understanding of palliative care. While a patient has the right to stop treatment at any time, this decision should be based on a thorough understanding of their condition and the potential benefits and drawbacks of continuing or discontinuing treatment.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C","D","E"]
Explanation
Choice A rationale
High glucose levels can indicate uncontrolled diabetes, which can increase the risk of surgical complications such as infection and poor wound healing.
Choice B rationale
Metformin is a medication used to treat type 2 diabetes. It can increase the risk of lactic acidosis, especially in patients undergoing procedures that involve the use of contrast dye.
Choice C rationale
A history of smoking can increase the risk of surgical complications, including poor wound healing, infection, and lung problems.
Choice D rationale
An elevated white blood cell (WBC) count can indicate an infection or inflammation in the body, which can increase the risk of surgical complications.
Choice E rationale
Type 2 diabetes mellitus can increase the risk of surgical complications, including infection, poor wound healing, and cardiovascular complications.
Correct Answer is B
Explanation
Choice A rationale
Experiencing poverty can indeed be a source of chronic stress due to the ongoing hardships and struggles associated with financial instability. However, it is not typically classified as an example of acute stress, which is usually associated with a specific event or situation that causes a sudden and intense reaction.
Choice B rationale
Being a victim of a crime is a prime example of an acute stressor. This is because it is a specific event that can cause immediate emotional and physiological reactions. The individual may experience intense feelings of fear, shock, or distress, and these reactions typically occur immediately after the event.
Choice C rationale
Being part of a dysfunctional family can lead to chronic stress due to ongoing family conflicts, communication problems, or other issues. While specific incidents within the family context (like a heated argument) could potentially trigger acute stress responses, the overall experience of living in a dysfunctional family is more commonly associated with chronic stress.
Choice D rationale
Experiencing racism can lead to both acute and chronic stress. Acute stress might occur in response to a specific incident of racial discrimination, while chronic stress could result from living in a society where racism is pervasive. However, without a specific incident mentioned, it is less likely to be considered an example of acute stress compared to being a victim of a crime.
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