The nurse is caring for a seriously ill patient with a terminal disease who states, "I do not want to eat anymore, I cannot prolong this agony." Which of the following interventions should the nurse do first?

Assess the patient's decision to ensure this is an informed and voluntary choice.

Tell the patient that this decision is a form of suicide and is not permitted in the hospital.

Immediately support the patient's wishes by removing food and water from the room.

Explain to the patient that their feelings are part of the grieving process.

Answer and Explanation

The Correct Answer is A

A. Assess the patient's decision to ensure this is an informed and voluntary choice. This option ensures that the patient’s choice is informed and voluntary, which is crucial for respecting patient autonomy and making sure that the decision aligns with their wishes and understanding.

B. Tell the patient that this decision is a form of suicide and is not permitted in the hospital. This response dismisses the patient’s feelings and fails to address the underlying issues. It also does not respect patient autonomy or provide compassionate care.

C. Immediately support the patient's wishes by removing food and water from the room. This action might not be appropriate without first ensuring that the decision is informed and voluntary. The patient’s needs and feelings should be fully explored first.

D. Explain to the patient that their feelings are part of the grieving process. This response might minimize the patient’s current experience and needs. While feelings of distress may be part of the process, addressing the patient’s wishes and ensuring informed consent is more crucial.

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Correct Answer is C

Explanation

A. "Have you been trying to lose weight?" This response does not address the caregiver’s concern about losing weight due to lack of time and may seem to dismiss their situation.

B. "You must take care of yourself or you will not be able to care for your partner." While this statement is true, it may be perceived as accusatory and could lead to feelings of guilt or resentment.

C. "What are some things you are doing to take care of yourself?" This is a good response as it encourages the caregiver to think about their self-care practices and opens a dialogue about their well-being.

D. "It is often easy to lose weight when we become busy and distracted." This response might minimize the caregiver’s concern and does not provide practical support or solutions.

A. "I can provide resistance bands for you to use while performing range-of-motion exercises." B. “I want you to walk the hallways twice per day to increase your endurance." C. “I can provide some simple yoga poses for you to practice as this will increase muscle mass." D. “Physical therapy will perform passive-range-of-motion with you each day."

Correct Answer is C

Explanation

A. "I can provide resistance bands for you to use while performing range-of-motion exercises." Resistance bands are typically used for strengthening exercises, not specifically for isometric exercises.

B. “I want you to walk the hallways twice per day to increase your endurance." Walking is an aerobic exercise and does not represent isometric exercises, which involve static muscle contraction without movement.

C. “I can provide some simple yoga poses for you to practice as this will increase muscle mass." Yoga poses often involve holding positions that engage muscles without movement, which is characteristic of isometric exercises.

D. “Physical therapy will perform passive-range-of-motion with you each day." Passive-range-of-motion exercises are not isometric exercises, as they involve movement of the joints rather than muscle contraction without movement.

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The nurse is caring for a seriously ill patient with a terminal disease who states, "I do not want to eat anymore, I cannot prolong this agony." Which of the following interventions should the nurse do first?

Nursing Test Bank

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