The nurse is assessing a group of clients for psychosocial stressors. Which of the following client's should the nurse identify as having this type of stressor?

The client with breast cancer who had a mastectomy.

The client with chronic obstructive pulmonary disease who requires oxygen therapy.

The client with colon cancer who has a colostomy.

The client with a left upper arm fracture who was a victim of a crime.

Answer and Explanation

The Correct Answer is D

A. The client with breast cancer who had a mastectomy. This client is facing a significant life change and physical alteration that may lead to psychosocial stressors such as body image issues and emotional distress.

B. The client with chronic obstructive pulmonary disease who requires oxygen therapy. Although this condition is challenging, the primary stressors are often physical and related to the management of the disease rather than psychosocial stressors.

C. The client with colon cancer who has a colostomy. A colostomy can affect body image and self-esteem, potentially leading to psychosocial stressors such as anxiety or social isolation.

D. The client with a left upper arm fracture who was a victim of a crime. The fracture and the trauma of being a crime victim are significant psychosocial stressors. The emotional and psychological impact of the crime can affect the client’s overall mental health.

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Correct Answer is C

Explanation

A. Assess the patient for physiological indicators of pain. While assessing physiological indicators (such as increased heart rate, blood pressure, or sweating) can provide clues about pain, these signs are not always reliable and can be influenced by other factors. This option does not directly address the patient’s verbal and non-verbal communication about their pain.

B. Observe the patient for behavior that is indicative of pain. Observing the patient’s behavior can be helpful, but it is not sufficient on its own. The patient’s cultural background may influence how they express pain, and relying solely on observation might lead to underestimating their pain.

C. Involve the patient in the pain assessment by asking more direct questions. This is the best option because it respects the patient’s cultural background and encourages a more accurate and detailed assessment of their pain. By asking direct questions, the nurse can gain a better understanding of the patient’s pain experience and provide appropriate care.

D. Compare the patient's facial expression to a FACES pain scale. Using a FACES pain scale can be useful, especially for patients who have difficulty verbalizing their pain. However, this option does not involve the patient in a more detailed discussion about their pain, which is crucial given the cultural context and the patient’s reluctance to openly admit to pain.

A. DNR prevents resuscitation while AND allows for feeding tubes only. B. Both orders require healthcare professionals do everything possible to save the patient. C. Both orders prevent resuscitation, however, AND is more perceived to be more helpful. D. DNR allows mechanical ventilation while AND prevents all resuscitation efforts.

Correct Answer is C

Explanation

A. "DNR prevents resuscitation while AND allows for feeding tubes only." This is incorrect as the Allow Natural Death (AND) order does not specifically address feeding tubes; it focuses on allowing natural death without aggressive life-sustaining interventions.

B. "Both orders require healthcare professionals do everything possible to save the patient." This is incorrect because both DNR and AND orders are intended to prevent certain resuscitation efforts. The goal of both is to limit or avoid aggressive interventions, though AND is more focused on allowing natural death with comfort care.

C. "Both orders prevent resuscitation; however, AND is more perceived to be more helpful." Both DNR and AND orders prevent resuscitation efforts, but AND is often perceived as a more comprehensive approach to end-of-life care, focusing on comfort and allowing a natural death.

D. "DNR allows mechanical ventilation while AND prevents all resuscitation efforts." This is incorrect because a DNR order specifically addresses not performing CPR, but it does not necessarily prevent other forms of life support such as mechanical ventilation. AND is a broader term that generally aims to limit all forms of aggressive treatment, including mechanical ventilation.

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The nurse is assessing a group of clients for psychosocial stressors. Which of the following client's should the nurse identify as having this type of stressor?

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Naxlex Comprehensive Predictor Exams

Correct Answer is C

Explanation

The nurse is discussing the difference between a Do Not Resuscitate (DNR) order and a Allow Natural Death (AND) order to a patient with a terminal illness. Which of the following correctly explains the difference of these two orders?

Correct Answer is C

Explanation

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