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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is A
Explanation
A. The client with a left lower extremity fracture. Somatic pain is related to damage to body tissues, such as fractures. This type of pain is typically localized and can be acute or chronic.
B. The client with a bowel obstruction. Pain from a bowel obstruction is typically visceral rather than somatic, as it involves internal organs.
C. The client with a skin tear to the upper extremity. While this involves the skin, it is typically considered superficial somatic pain, but the context of the question suggests a deeper musculoskeletal issue.
D. The client with pneumonia. Pain from pneumonia is usually visceral due to inflammation in the lungs.
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