A practical nurse (PN) is providing care to a client who recently received a terminal illness diagnosis. Which question by the PN is the highest priority when assessing anticipatory grief?
"Have you experienced anxiety or anger?"
"Have you been able perform daily activities?"
"Have you had suicidal thoughts?"
"Have you joined any support groups?"
The Correct Answer is C
A. "Have you experienced anxiety or anger?": Feelings of anxiety and anger are common in anticipatory grief, but while important, they do not represent the most urgent safety concern compared to assessing for suicidal ideation.
B. "Have you been able to perform daily activities?": Evaluating functional status is important but is not the highest priority when first assessing a client’s emotional and psychological response to a terminal diagnosis.
C. "Have you had suicidal thoughts?": Assessing for suicidal ideation is the highest priority because clients facing a terminal illness may experience overwhelming despair. Ensuring the client’s immediate safety must come before addressing emotional support or coping mechanisms.
D. "Have you joined any support groups?": Participation in support groups is helpful for emotional healing, but determining the client's current mental health status and safety must be addressed before exploring support resources.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C","D"]
Explanation
A. Medications are limited to managing pain: While pain management is a key component of hospice care, medications are not limited only to pain management. Hospice care also addresses other symptoms like shortness of breath, nausea, and anxiety to improve comfort.
B. Care can be provided in the home: Hospice care can indeed be provided in the home, allowing the client to remain in a familiar environment while receiving palliative care. This is a central aspect of hospice services.
C. Care focuses on quality of life at the end of life: Hospice care prioritizes comfort and quality of life, providing emotional, spiritual, and physical support for both the client and family at the end of life.
D. Curative measures are optional: In hospice care, curative treatments are typically discontinued because the focus shifts to palliative care aimed at comfort and symptom relief rather than attempting to cure the illness.
E. Family is responsible for care decisions: While families are involved in decisions, hospice care involves collaboration with the healthcare team, and decisions are made based on the patient's wishes and comfort, not solely by the family.
Correct Answer is ["840"]
Explanation
Convert each fluid intake into mL:
At 0730, the client consumed 120 mL of orange juice.
At 1130, the client consumed 1 cup of broth (1 cup = 240 mL) and 120 mL of apple juice.
At 1400, the client consumed a 12-ounce can of soft drink. Since 1 ounce = 30 mL, 12 ounces equals 360 mL.
Total fluid intake:
120 mL (orange juice)
240 mL (broth)
120 mL (apple juice)
360 mL (soft drink)
Add the total fluid intake:
120 mL + 240 mL + 120 mL + 360 mL = 840 mL
Answer: 840 mL
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