The nurse is caring for a client who has been newly diagnosed with cancer. The client has become withdrawn from family members. Which strategy will the nurse use to assist the client at this time?
Request the physician order an antidepressant medication for the client
Encourage the client to verbalize feelings about the diagnosis
Explain the improved prognosis for colon cancer with new treatment
Allow the client time to reflect on the diagnosis
The Correct Answer is B
A. Requesting antidepressant medication may be appropriate later, but it does not address the immediate need for emotional support and communication.
B. Encouraging the client to verbalize feelings about their diagnosis provides an opportunity for the client to express their concerns and emotions, fostering a therapeutic relationship and aiding in emotional processing.
C. While explaining improved prognosis can provide hope, it may minimize the client’s feelings of fear and uncertainty and could be perceived as dismissive.
D. Allowing time for reflection is important, but it should be balanced with the need for communication and support to prevent isolation.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Limiting visits by family members and friends is not necessary for managing ascites and could hinder the client's emotional support.
B. While amylase and lipase are important in assessing pancreatic function, they are not directly relevant to ascites management or liver cancer.
C. An abdominal assessment including abdominal girth is crucial for monitoring ascites, as changes in girth can indicate fluid accumulation or changes in the client's condition.
D. Continuous cardiac monitoring is not typically indicated for clients with liver cancer experiencing ascites unless there are specific cardiac concerns.
Correct Answer is ["A","B","D","E"]
Explanation
A. Pain control options should be appropriate to the setting because different environments (e.g., home vs. hospital) may require different approaches to pain management, ensuring that the interventions align with the patient's needs and the context.
B. Timely and logical delivery of pain relief interventions is critical for effective pain management. Delays in treatment can lead to unnecessary suffering and complicate the overall management of the patient's condition.
C. Asking about pain only once a shift is insufficient for effective pain management. Pain can fluctuate frequently, especially in a client with cancer, so regular assessment is essential to address pain promptly.
D. Believing that pain is what the client reports it to be is fundamental to effective pain management. Pain is subjective, and clients' experiences and expressions of pain should be taken seriously to guide appropriate interventions.
E. A team approach is often the most effective for pain management, as it allows for a comprehensive plan that integrates multiple perspectives and disciplines, including nursing, medical, and possibly palliative care professionals, ensuring a holistic approach to managing pain.
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