A nurse is discharging a client with a terminal diagnosis to hospice care. During discharge, the client states, “I am so happy to be going home. Fighting this disease was exhausting.” The nurse disagrees with the client’s decision to stop treatment and leave the hospital. What action should the nurse take?
Ask the healthcare provider to speak with the client.
Collaborate with the team to convince the client to stay.
Examine one’s values and beliefs on death and dying.
Consult the ethics committee to review the client’s case.
The Correct Answer is C
Choice A reason:
Asking the healthcare provider to speak with the client implies an attempt to change or challenge the client’s decision. The client has expressed acceptance of their prognosis and a clear preference for hospice care. In this situation, the issue is not lack of understanding or need for further medical clarification, but rather the nurse’s internal disagreement. Therefore, involving the provider is not the most appropriate initial action.
Choice B reason:
Collaborating with the team to convince the client to stay violates the ethical principle of autonomy. Clients with decision-making capacity have the right to refuse further treatment and choose hospice care. Attempting to persuade or pressure the client to continue treatment disregards their expressed wishes and may cause emotional distress.
Choice C reason:
When a nurse disagrees with a client’s end-of-life decision, the appropriate action is self-reflection. Examining one’s own values and beliefs about death and dying allows the nurse to provide nonjudgmental, client-centered care. This promotes professional boundaries, respects client autonomy, and ensures that personal beliefs do not interfere with ethical nursing practice.
Choice D reason:
Consulting the ethics committee is appropriate when there is an ethical conflict, uncertainty about decision-making capacity, or disagreement among parties regarding care. In this case, the client’s wishes are clear and ethically sound. The conflict exists within the nurse, not the care plan, making an ethics consultation unnecessary.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason:
Teaching clients, especially regarding medications such as insulin, requires nursing judgment, assessment of understanding, and evaluation of learning. This responsibility falls within the scope of practice of a licensed nurse, not UAP.
Choice B reason:
Sterile wound care requires clinical judgment, assessment of the wound, and evaluation for signs of infection. These tasks are outside the scope of practice for UAP and must be performed by a licensed nurse.
Choice C reason:
Assisting a stable client with ambulation is a routine, noninvasive task that does not require nursing assessment or clinical judgment. This is an appropriate delegation to UAP, provided the client is stable and mobility assistance has been deemed safe.
Choice D reason:
Assessing lung sounds involves interpretation of clinical findings and evaluation of respiratory status, which are components of nursing assessment. This task must be performed by a licensed nurse.
Correct Answer is C
Explanation
Choice A reason:
Caregivers should never attempt to reinsert a PICC line if it becomes dislodged. Reinsertion requires sterile technique and trained personnel due to the risk of infection, air embolism, and vessel injury. This statement indicates incorrect and unsafe understanding of PICC care.
Choice B reason:
While flushing with normal saline is correct, the volume and frequency depend on institutional policy and the type of catheter. Additionally, this statement addresses only one lumen and does not demonstrate full understanding of double-lumen PICC maintenance.
Choice C reason:
Both lumens of a double-lumen PICC must be flushed routinely, even if only one lumen is used. This prevents clot formation, catheter occlusion, and infection. This statement reflects accurate understanding of PICC maintenance and indicates effective learning.
Choice D reason:
PICC dressings are typically changed every 7 days or sooner if they become loose, damp, or soiled. Waiting 8–10 days increases the risk of infection. This statement demonstrates incorrect knowledge regarding dressing change frequency.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.