An adult client was diagnosed with stage IV lung cancer three weeks ago. The client's spouse approaches the nurse and asks how to know that the spouse's death is imminent because their two adult children want to be there when the client dies. Which is the best response by the nurse?

Explain the client will start to lose consciousness and the body systems will slow down.

Offer to discuss the client's health status with each of the adult children.

Gather information regarding how long it will take for the children to arrive.

Reassure the spouse that the healthcare provider will notify when to call the children.

Answer and Explanation

The Correct Answer is A

A. Explaining the physiological signs of imminent death helps prepare the spouse and family for what to expect, allowing them to gather as needed.

B. While discussing the client’s health status may be supportive, it does not directly address the spouse’s request for understanding signs of impending death.

C. Gathering information about how long it will take for the children to arrive is important but secondary to providing the spouse with information about impending signs of death.

D. While reassuring the spouse is important, it may not provide the immediate information they seek about recognizing the signs of dying.

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Correct Answer is ["A","E"]

Explanation

A. This statement reflects a misunderstanding of the diagnosis. Acute stress disorder (ASD) does not mean the client is "crazy." ASD is a normal reaction to an abnormal situation, and it is important for the nurse to clarify that mental health diagnoses do not equate to losing control or being "crazy." Follow-up teaching should focus on reducing stigma and providing accurate information about the diagnosis.

B. This statement is generally accurate, as many individuals may experience similar symptoms after a traumatic event. Normalizing the client's feelings can help reduce isolation and encourage engagement in treatment, so no follow-up teaching is needed here.

C. This statement is correct; individuals with ASD are at increased risk for developing post-traumatic stress disorder (PTSD) if their symptoms persist. The nurse can confirm this information and discuss monitoring for ongoing symptoms.

D. This statement is appropriate, as holistic approaches such as meditation can complement traditional treatment for anxiety and stress. The nurse should encourage the use of these techniques and provide resources if necessary.

E. This statement requires follow-up teaching, as it may promote a negative outlook on treatment. While some individuals may need long-term medication, many people can successfully manage their symptoms through therapy and may not require lifelong medication. The nurse should discuss the importance of reevaluation and ongoing assessment of the need for medication.

F. This statement is accurate and encourages proactive engagement in treatment. Cognitive-behavioral therapy and other therapeutic techniques can help the client manage distressing thoughts, so no follow-up teaching is necessary.

A. Fall at home as reason for admission. B. Increasing confusion of the client. C. Client's healthcare power of attorney. D. Currently prescribed medications.

Correct Answer is B

Explanation

A. While the fall at home provides background information, it is not the immediate concern for the healthcare provider regarding the current change in the client's status.

B. The increasing confusion of the client is the most critical and urgent information that should be communicated first, as it indicates a potential change in the client's neurological status.

C. The client's healthcare power of attorney is important but not relevant to the immediate medical situation.

D. While understanding the currently prescribed medications is useful, it does not take precedence over addressing the client's acute change in mental status.

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An adult client was diagnosed with stage IV lung cancer three weeks ago. The client's spouse approaches the nurse and asks how to know that the spouse's death is imminent because their two adult children want to be there when the client dies. Which is the best response by the nurse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Exhibits Which client statement(s) require(s) follow up teaching by the nurse? Select all that apply.

Correct Answer is ["A","E"]

Explanation

Correct Answer is B

Explanation

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