A nurse is providing counseling to a client with advanced-stage lung cancer about palliative care. Which statement from the client shows they have understood the information?
“If I choose palliative care, I can only go to the hospital if I stop breathing.”.
“I need to stop treatments for my cancer before beginning palliative care.”.
“If my oncologist recommends palliative care, it means that I have about 6 months or less to live.”.
“The purpose of palliative care is to provide comfort measures for cancer.”.
The Correct Answer is D
Choice A rationale
The statement about only going to the hospital if the client stops breathing is incorrect. Palliative care is not limited to end-of-life care and does not restrict hospital visits to only life- threatening situations. It is a comprehensive approach to treatment that focuses on improving quality of life for patients and their families, addressing physical, psychosocial, and spiritual problems.
Choice B rationale
The statement about needing to stop treatments for cancer before beginning palliative care is incorrect. Palliative care can be provided alongside curative treatment and is not dependent on the cessation of other treatments. It is designed to alleviate symptoms and improve quality of life at any stage of illness, not just at the end of life.
Choice C rationale
The statement about having about 6 months or less to live if the oncologist recommends palliative care is incorrect. Palliative care is not only for end-of-life situations. It can be introduced at any stage of illness, even at the same time as treatment aimed at curing the disease. The goal of palliative care is to improve quality of life by providing relief from the symptoms and stress of the illness.
Choice D rationale
The statement about the purpose of palliative care being to provide comfort measures for cancer is correct. Palliative care aims to relieve symptoms and improve the quality of life for patients with serious illnesses, including advanced-stage lung cancer. It can help manage
symptoms such as pain, shortness of breath, fatigue, nausea, loss of appetite, problems with sleep, and emotional issues like anxiety and depression.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
The correct answer is Choice B
Choice A rationale: Turning the patient every 4 hours may prevent pressure ulcers, but it can cause discomfort for a near-death patient. Less frequent repositioning might be more suitable for maintaining comfort during the end-of-life stage.
Choice B rationale: Elevating the head of the patient's bed can help ease breathing difficulties by reducing the pressure on the diaphragm and enhancing lung expansion. This position promotes comfort and reduces the work of breathing, which is beneficial for near-death patients.
Choice C rationale: Offering the patient ice chips can provide temporary relief from dry mouth, but it may not be the most effective measure for ensuring comfort. Adequate hydration and regular oral care are generally more beneficial for maintaining patient comfort.
Choice D rationale: Providing oral care every 6 hours might not be frequent enough to ensure comfort. More frequent oral care, such as every 2 hours, helps maintain moisture in the mouth, reduces discomfort, and prevents infections, enhancing the patient's overall comfort
Correct Answer is A
Explanation
Choice A rationale
A website that provides a peer-review process for publishing information is likely to offer reliable and accurate content. This is crucial when selecting resources for a client undergoing dialysis.
Choice B rationale
A website that is updated every 5 years may not provide the most current and relevant information. In the field of healthcare, information and best practices can change rapidly.
Choice C rationale
A website hosted by a dialysis equipment marketing group may have a commercial bias, which could affect the objectivity and reliability of the information provided.
Choice D rationale
A website sponsored by a health care political action committee may focus more on policy and advocacy issues rather than providing comprehensive, unbiased health information.
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