A nurse is setting goals for a patient who has Stage 4 Breast cancer, is in hospice care, and is at the end of life.
Which of the following are realistic goals?

The patient will increase attendance at community social activities.

The patient will receive medication to minimize episodes of breakthrough pain.

The patient will experience a weight gain of one to two pounds per week.

The patient will verbalize an understanding of the mode of disease transmission.

Answer and Explanation

The Correct Answer is B

Choice A rationale
Increasing attendance at community social activities may not be a realistic goal for a patient in hospice care with Stage 4 breast cancer. The patient’s physical condition and energy levels may limit their ability to participate in such activities.
Choice B rationale
Receiving medication to minimize episodes of breakthrough pain is a realistic and important goal for a patient in hospice care. Effective pain management is a key aspect of end-of-life care.
Choice C rationale
Experiencing a weight gain of one to two pounds per week may not be a realistic goal for a patient in hospice care with Stage 4 breast cancer. Patients at this stage of illness often experience weight loss, not gain.
Choice D rationale
Verbalizing an understanding of the mode of disease transmission may not be a relevant goal for a patient in hospice care with Stage 4 breast cancer. The focus of care at this stage is typically on comfort and quality of life, rather than disease education.

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Correct Answer is A

Explanation

Choice A rationale
For a client with Parkinson’s disease who has difficulty swallowing or chewing due to muscle rigidity, semi-solid food with thick liquids can be easier to swallow and reduce the risk of choking.
Choice B rationale
Minced foods and fluid restriction may not provide the necessary nutrients and hydration for a client with Parkinson’s disease.
Choice C rationale
A low-residue diet, which is low in fiber, may not be appropriate for a client with Parkinson’s disease, as constipation is a common symptom of the disease and fiber can help alleviate this.
Choice D rationale
Total parenteral nutrition (TPN) is a method of feeding that bypasses the gastrointestinal tract. It is typically reserved for clients who cannot or should not get their nutrition through eating.

A. Open shades on windows in the patient’s room to provide direct lighting. B. Face the patient when speaking to them. C. Use gestures to communicate with the patient. D. Speak loudly when talking to the patient. E. Answer and explanation The

Correct Answer is B

Explanation

Choice A rationale
While adequate lighting is important for people with vision impairment, direct lighting from open window shades can create glare, which can make vision problems worse.
Choice B rationale
Facing the patient when speaking to them can help the patient use visual cues to better understand the conversation.
Choice C rationale
Using gestures can be helpful for some patients with vision impairment, but it may not be beneficial for a patient with moderate vision impairment who may not be able to see the gestures clearly.
Choice D rationale
Speaking loudly is not necessary for a patient with vision impairment unless they also have a hearing impairment.

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A nurse is setting goals for a patient who has Stage 4 Breast cancer, is in hospice care, and is at the end of life. Which of the following are realistic goals?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is B

Explanation

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A nurse is setting goals for a patient who has Stage 4 Breast cancer, is in hospice care, and is at the end of life.
Which of the following are realistic goals?