A nurse is caring for an older adult client who shares being depressed because many friends have died in the past few years. How will the nurse respond?

"You will need to get used to this at your age."

"Perhaps you need to make friends with younger people."

"That must be hard for you."

"That is to be expected."

Answer and Explanation

The Correct Answer is C

A. "You will need to get used to this at your age." - This response is dismissive and invalidating. It implies that the client's feelings of depression and grief are simply a natural part of aging that they should accept or become accustomed to. It fails to acknowledge the client's emotions and does not offer any support or empathy.

B. "Perhaps you need to make friends with younger people." - This response is not empathetic and fails to address the client's feelings. It suggests a solution that may not be feasible or appropriate for the client's situation. Additionally, it overlooks the importance of the client's existing relationships and the impact of losing friends.

C. "That must be hard for you." - This response demonstrates empathy and validation of the client's feelings. It acknowledges the difficulty of losing friends and the impact it may have on the client's emotional well-being. By expressing understanding and sympathy, the nurse shows willingness to listen and provide support.

D. "That is to be expected." - While this response acknowledges the client's experience, it may come across as somewhat dismissive. It suggests that feeling depressed due to the loss of friends is a normal and expected reaction for an older adult, but it doesn't offer much in the way of validation or support for the client's emotions.

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Correct Answer is B

Explanation

A. Absolutism: This philosophical perspective holds that certain actions or principles are universally true or right, regardless of context or circumstances. In the context of the scenario, if the client believed in absolutism, they would likely insist that their discharge readiness is determined by fixed criteria, such as medical parameters, regardless of external factors like the waiting list in the emergency department.

B. Relativism: Relativism is the belief that truth, morality, or judgments are not absolute but are relative to individuals, cultures, or situations. In this scenario, the client's statement reflects a relativistic perspective because they assert that their readiness for discharge depends on their own health status and needs, rather than external factors like the waiting list in the emergency department.

C. Egoism: Egoism is a philosophical theory that prioritizes self-interest as the primary motivation for human actions. While the client's statement may indirectly reflect a concern for their own well-being, it does not necessarily imply that they are acting purely out of self-interest or egoism.

D. Beneficence: Beneficence is an ethical principle that emphasizes the obligation to do good and promote the well-being of others. While the client's statement may align with the idea of advocating for their own well-being, it does not directly relate to the ethical principle of beneficence, which typically involves actions taken to benefit others rather than oneself.

A. Spiritual care in line with the family's belief system. B. Surgery to remove plaques from the client's cerebral arteries to prevent future strokes. C. Psychosocial support aimed at the family's response to their loved one's imminent death. D. A primary focus on the client's quality of life in the time until the client's death

Correct Answer is B

Explanation

A. Spiritual care in line with the family's belief system: This option aligns with the principles of hospice care, which emphasize holistic support for both the patient and their family, including addressing spiritual needs. Therefore, this intervention is appropriate and should be included in hospice care.

B. Surgery to remove plaques from the client's cerebral arteries to prevent future strokes: This intervention contradicts the philosophy of hospice care, which prioritizes comfort and quality of life for patients with life-limiting illnesses rather than aggressive treatments aimed at prolonging life or preventing future complications. Therefore, this intervention would not be included in hospice care and indicates a need for further teaching.

C. Psychosocial support aimed at the family's response to their loved one's imminent death: Hospice care recognizes the significant impact of a terminal illness on the patient's family and provides psychosocial support to help them cope with their emotions and prepare for the patient's death. This intervention is consistent with hospice principles and should be included in the care plan.

D. A primary focus on the client's quality of life in the time until the client's death: This is a fundamental aspect of hospice care, which prioritizes the patient's comfort, dignity, and overall well-being during their remaining time. Therefore, this intervention is appropriate and aligns with hospice philosophy.

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A nurse is caring for an older adult client who shares being depressed because many friends have died in the past few years. How will the nurse respond?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is B

Explanation

Correct Answer is B

Explanation

An 85-year-old client has been admitted to the hospital with exacerbation of chronic obstructive pulmonary disease (COPD). The family has expressed concern about their ability to pay for present and future care. Which guidance will the nurse provide?

A 90-year-old client is admitted to a hospital medical unit with a high population of older adults. The nurse notes that the client has been talking about death frequently. Which response by the nurse would be appropriate?

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A nurse is teaching a 90-year-old client about a new medication regimen. Which principle would be most important for the nurse to integrate into the teaching session?

During a busy shift, a registered nurse directed an unlicensed care provider to change a dressing and perform wound care on an older adult client's surgical incision. This action exists outside of the unlicensed care provider's scope of practice. Which concept would apply to this situation?