An oncologist has recommended that a hospice patient receives palliative radiation to reduce the pain of bony metastases. The patient reacts with anger, saying, "l don't want any more treatments that don't cure my cancer!" The hospice nurse tells the patient that the use of radiation:

Of this type is not curative and may help reduce the pain he is experiencing

Will be used as a single treatment measure. Previous medications will be discontinued.

May disqualify him from receiving hospice care.

May halt the metastatic process

Answer and Explanation

The Correct Answer is A

A. Of this type is not curative and may help reduce the pain he is experiencing: This response provides accurate information about the purpose of palliative radiation therapy for bony metastases. It acknowledges the patient's concerns about treatment not curing the cancer while emphasizing the potential benefit of radiation therapy in reducing pain and improving quality of life.

B. Will be used as a single treatment measure. Previous medications will be discontinued: This statement is inaccurate and may cause confusion for the patient. Palliative radiation therapy is often used in conjunction with other pain management strategies, and discontinuing previous medications without a proper assessment and plan may not be appropriate.

C. May disqualify him from receiving hospice care: This statement is incorrect. Receiving palliative radiation therapy does not automatically disqualify a patient from hospice care. Hospice care focuses on providing comfort and support to terminally ill patients, and decisions about treatments such as radiation therapy are made based on the patient's goals and preferences.

D. May halt the metastatic process: Palliative radiation therapy is not typically used with the intention of halting the metastatic process. Its primary goal is to alleviate symptoms such as pain and improve the patient's quality of life. While radiation therapy may shrink tumors in some cases, it is not considered a curative treatment for metastatic cancer.

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Correct Answer is A

Explanation

A. "I am hoping this will help relieve my discomfort": This statement reflects an understanding of the palliative nature of the care the client is receiving. The client acknowledges the goal of palliative care, which is focused on symptom management and improving quality of life rather than curative treatment. By expressing hope for relief from discomfort, the client demonstrates acceptance of the prognosis and is aligning with the goals of palliative care.

B. "This is not working, and I plan to stop treatment" : This statement suggests frustration with the current treatment but does not necessarily indicate acceptance of the prognosis. The client may still be seeking alternative treatments or may not fully understand the terminal nature of their condition.

C. "This is making me stronger every day": This statement implies a belief in the effectiveness of the treatment and a focus on improvement rather than acceptance of the prognosis. It does not address the client's understanding of their condition or prognosis.

D. "I am thinking of getting a second opinion": This statement indicates that the client is considering alternative perspectives on their diagnosis and treatment plan. While seeking a second opinion is a valid decision, it does not necessarily reflect acceptance of the prognosis. It suggests a desire for further information or clarification rather than a recognition of the terminal nature of the illness.

A. Depression B. Anger C. Bargaining D. Acceptance E. Denial

Correct Answer is A

Explanation

A. Depression: The statement expresses feelings of hopelessness, which is characteristic of depression. Depression is a stage in Kübler-Ross's model where individuals may experience sadness, despair, and a sense of loss.

B. Anger: While hopelessness can sometimes lead to feelings of anger, the statement primarily conveys a sense of despair rather than anger towards the situation.

C. Bargaining: Bargaining involves attempting to negotiate or make deals to change the outcome of a situation. The statement does not suggest bargaining behavior.

D. Acceptance: Acceptance is characterized by coming to terms with one's impending death or loss. The statement does not indicate acceptance of the situation.

E. Denial: Denial is the initial stage where individuals refuse to accept the reality of their situation. The statement acknowledges the reality of the situation (Mom's condition) rather than denying it.

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An oncologist has recommended that a hospice patient receives palliative radiation to reduce the pain of bony metastases. The patient reacts with anger, saying, "l don't want any more treatments that don't cure my cancer!" The hospice nurse tells the patient that the use of radiation:

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has cancer and is receiving palliative care. Which of the following statements should the nurse identify as an indication that the client understands and accepts his prognosis?

Correct Answer is A

Explanation

Directions: Correlate the behavior with Kübler-Ross's stages of dying from the choices below. "l feel so hopeless about Mom's condition. "

Correct Answer is A

Explanation

A nurse is providing postmortem care for a client. Identify the sequence of steps the nurse should follow. (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)

A nurse is caring for an older adult client who expresses feelings of grief for his earlier life. Which of the following actions should the nurse take to help the client cope with his feelings of loss?

A dying patient who verbalizes that he “is ready” is indicating that he is in the following stage.

A patient tells the nurse during an admission interview that his wife "went on to her reward." The nurse assesses that this statement is an indication that the patient:

The relief of symptoms when a cure is no longer possible is known as:

Directions: Correlate the behavior with KübIer-Ross's stages of dying from the choices below. pleads "If Mom will just be OK. I'll do my homework every day."

The nurse is aware that in order to provide effective support to grieving patients and families, the nurse must?

After a patient death, the nurse is preparing to perform postmortem care. The body is placed supine with the head raised so that: