A terminally ill patient expresses concerns about leaving their young children behind. What is the best action the nurse can take to provide patient-centered care?
Suggest that the patient focus on their medical condition rather than family concerns.
Encourage the patient to discuss their feelings openly and involve the family in the care process
Avoid discussing emotional concerns to prevent upsetting the patient further,
Refer the patient to pastoral care without addressing their com concerns directly
The Correct Answer is B
A. Suggest that the patient focus on their medical condition rather than family concerns: Redirecting the patient away from their emotional concerns dismisses their feelings and does not provide holistic, patient-centered care. Emotional support is essential in terminal illness.
B. Encourage the patient to discuss their feelings openly and involve the family in the care process: Facilitating open discussion allows the patient to express fears and emotions, strengthens family communication, and provides psychological support. This approach respects the patient’s values and promotes holistic care.
C. Avoid discussing emotional concerns to prevent upsetting the patient further: Avoidance can increase anxiety and isolation. Addressing emotional concerns directly, with empathy, supports coping and provides comfort during end-of-life care.
D. Refer the patient to pastoral care without addressing their concerns directly: Referral can be beneficial, but it should complement—not replace—the nurse’s direct engagement. The nurse should first acknowledge and validate the patient’s feelings before involving additional resources.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Checking for intact skin with a reddish-pink wound bed: In patients with dark skin tones, color changes such as redness or pinkness may not be visible, making this an unreliable indicator of deep tissue injury.
B. Palpating for changes in skin temperature and moisture: For dark-skinned patients, tactile assessment—such as detecting warmth, coolness, induration, or bogginess—is more reliable for identifying underlying tissue damage. Palpation helps identify early deep tissue injury that may not be apparent visually.
C. Noting slough or eschar over the wound bed: Slough or eschar indicates more advanced pressure injury (Stage III or IV). It is not a primary method for detecting early deep tissue injury, which occurs beneath intact skin.
D. Inspecting for erythema around bony prominences: Erythema may be difficult to detect in darker skin tones, as the skin may appear darker, purple, or even as a different hue. Visual inspection alone is insufficient and should be supplemented with palpation and other assessment methods.
Correct Answer is B
Explanation
A. Document in the medical record that the client refused to complete an advance directive: While documentation is important, it is not the priority action. The nurse should first provide education and offer support to help the client make an informed decision before noting refusal.
B. Provide the client with written information about advance directives and offer assistance: Educating the client about advance directives respects autonomy and promotes informed decision-making. Providing resources and guidance ensures the client understands their rights and options, making this the priority action.
C. Inform the client that completing an advance directive is mandatory: Advance directives are voluntary; requiring completion violates legal and ethical standards. The nurse’s role is to inform and support, not coerce.
D. Ask the client's family to complete the forms on their behalf: Family involvement may be appropriate only if the client is unable to make decisions. Without the client’s consent, this action undermines autonomy and legal rights. Education and voluntary completion should come first.
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