Following a uterine biopsy, a client asks a nurse, “Do you think I have cancer?” Which response by the nurse would most likely prompt the client to elaborate on their concerns?
“I don’t know.Biopsies are often negative.”.
“I can’t say. Did your health care provider tell you?”.
“No one knows yet. I’d like to hear what you are thinking.”.
“Everyone thinks about that. Don’t worry until the final report is back.”.
The Correct Answer is C
I’d like to hear what you are thinking.” This response by the nurse would most likely prompt the client to elaborate on their concerns because it acknowledges the uncertainty of the situation and invites the client to share their feelings and thoughts.
It also shows empathy and respect for the client’s perspective.
Choice A is wrong because it may give false reassurance or minimize the client’s anxiety. Biopsies are not always negative and the nurse cannot predict the outcome.
Choice B is wrong because it may imply that the nurse is avoiding the question or shifting the responsibility to the health care provider.
It also does not address the client’s emotional state or encourage communication.
Choice D is wrong because it may dismiss the client’s fears or imply that they are irrational. It also does not explore the client’s understanding of the procedure or the possible results.
A uterine biopsy is a procedure that involves removing a small piece of tissue from the lining of the uterus (endometrium) for examination under a microscope. It is usually done to diagnose abnormal bleeding, infections, or cancer. The normal range of endometrial thickness varies depending on the menstrual cycle, age, and hormonal status of the woman.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
This is because gelatin is a low-fat dessert that contains only 0.1 grams of fat per cup.
It is also low in calories and can be flavored with fruit juice or fresh fruits for added nutrition.
Choice A is wrong because a slice of fruit pie contains about 14 grams of fat per slice, which is high for a low-fat diet.
Fruit pies also have added sugar and refined flour that can increase the calorie intake.
Choice C is wrong because a bran muffin contains about 9 grams of fat per muffin, which is also high for a low-fat diet.
Bran muffins may have some fiber benefits, but they also have added sugar and oil that can make them less healthy.
Choice D is wrong because one plain doughnut contains about 11 grams of fat per doughnut, which is also high for a low-fat diet.
Doughnuts are deep-fried and have a lot of sugar and refined flour that can contribute to weight gain and health problems.
Some other examples of low-fat dessert choices are sorbet, fruit salad, yogurt, pudding, and angel food cake.
These desserts are lower in fat and calories than pies, muffins, and doughnuts, and can satisfy a sweet tooth without compromising the dietary instructions.
Correct Answer is B
Explanation
Using teach back method to assess understanding. This method involves asking the client to repeat back the information or demonstrate the skill that was taught, which helps to evaluate their comprehension and retention.
It also allows the nurse to correct any misunderstandings and reinforce key points.
Choice A is wrong because teaching handouts are written on an eighth grade reading level may not be appropriate for older adult clients who may have lower literacy levels or cognitive impairments. The nurse should use simple, common language and large-print handouts that reflect the verbal information presented.
Choice C is wrong because the teaching plan is based on nutrition, medications, and safety may not address the individual needs and preferences of the older adult clients. The nurse should consider the preadmission functional abilities, health goals, and learning styles of each client when developing the plan of care.
Choice D is wrong because websites, video chats, and cell phone applications are introduced for learning may not be suitable or accessible for older adult clients who may have limited technology skills or sensory impairments. The nurse should use visual aids, face-to-face communication, and written instructions to enhance learning.
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