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.”.

Answer and Explanation

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.

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Correct Answer is B

Explanation

Choice A rationale

Asking the client to describe how they are feeling today is an important part of the assessment. However, when dealing with a client who is managing depression, the nurse’s first priority should be to ensure the safety of the client.

Choice B rationale

Asking if the client is having any thoughts about hurting themselves is the first question the nurse should ask. This is because safety is always the top priority, and clients dealing with depression may be at risk for self-harm or suicide.

Choice C rationale

While it’s important to understand what makes the client feel less depressed, this question is not as immediately critical as assessing for potential self-harm or suicide risk.

Choice D rationale

Understanding the client’s support system is an important part of the assessment, but it is not the first priority. The nurse’s initial focus should be on assessing the client’s immediate safety and mental health status.

A. HIPAA rules vary from state to state. B. A client’s diagnosis can be posted on the communication board inside the client’s room. C. We should share our computer passwords with our manager. D. HIPAA rules allow clients to receive a copy of their medical records.

Correct Answer is D

Explanation

Choice A rationale

HIPAA rules do not vary from state to state. They are federal laws that apply uniformly across all states. However, states may have additional laws related to health information privacy that provide further protections.

Choice B rationale

A client’s diagnosis cannot be posted on the communication board inside the client’s room. This would be a violation of HIPAA rules, which protect the privacy of a patient’s health information.

Choice C rationale

Sharing computer passwords with a manager is not in line with HIPAA regulations. Each healthcare provider should have their own unique login credentials to access electronic health records. This helps ensure the security of health information and allows for tracking of access to patient records.

Choice D rationale

HIPAA rules do indeed allow clients to receive a copy of their medical records. This is part of the patient’s right to access their own health information.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is D

Explanation

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