The nurse is interviewing a client who says. "Today is the two-month anniversary of my wife's death from cancer". Select the most therapeutic response by the nurse

"Would you like to discuss this with the doctor?"

"How long were you married?"

"What type of cancer did your wife have?"

"How does that make you feel?"

Answer and Explanation

The Correct Answer is D

A) "Would you like to discuss this with the doctor?": This response may imply that the nurse is not equipped to handle the emotional aspect of the conversation, potentially minimizing the client's feelings and discouraging further sharing.
B) "How long were you married?": While this question seeks to gather more information, it does not directly address the client's emotional experience or feelings related to their wife's death, which is the primary concern in this context.
C) "What type of cancer did your wife have?": This question may shift the focus to medical details rather than the client's emotional state, which is crucial in a therapeutic conversation about grief and loss.
D) "How does that make you feel?": This response is the most therapeutic as it invites the client to express their emotions and thoughts about their loss. It acknowledges their pain and encourages them to explore their feelings, which is essential for processing grief.

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Correct Answer is A

Explanation

A) "Women should be familiar with their own breasts so that they can report any changes to their provider": This statement aligns with current recommendations emphasizing the importance of breast self-awareness. Women are encouraged to be familiar with their breast tissue so they can recognize any changes, such as lumps or alterations in size or shape, and report these changes to their healthcare provider. This proactive approach can lead to earlier detection of breast cancer.

B) "All women should have a breast screening with an MRI beginning at age 40": This statement is misleading, as the American Cancer Society does not recommend routine MRI screenings for all women. MRI is typically reserved for women at high risk for breast cancer. The standard guideline includes annual mammograms starting at age 40, but not MRI for all.

C) "Mammograms do not help with detecting breast cancer until after age 54": This statement is incorrect. Mammograms are effective in detecting breast cancer well before age 54, and the American Cancer Society recommends that women start getting annual mammograms at age 40. Early detection through regular screenings is critical for improving outcomes.

D) "Mammograms are only indicated if there is a strong family history": This statement is also inaccurate. While family history can increase the risk for breast cancer and may influence screening frequency, all women are encouraged to have regular mammograms starting at age 40, regardless of family history. This guideline aims to catch potential cancers early in all women.

A. Short stature B. Anorexia C. 39 years of age D. Female gender

Correct Answer is C

Explanation

A) Short stature: While body height can play a role in overall musculoskeletal health, short stature is not specifically identified as a risk factor for disc herniation. Other physical characteristics have a more direct impact on spinal issues.

B) Anorexia: Although nutritional status is important for general health, anorexia is not a recognized risk factor for disc herniation. The condition is more related to physical stressors and age rather than dietary habits alone.

C) 39 years of age: Age is a significant risk factor for disc herniation. Most cases occur in adults aged 30 to 50, as degenerative changes in the spine increase vulnerability to herniation. At 39, the client falls within this high-risk age range.

D) Female gender: While certain musculoskeletal conditions may vary by gender, disc herniation does not have a strong gender predisposition. Both men and women are equally affected, making this option less relevant as a specific risk factor.

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The nurse is interviewing a client who says. "Today is the two-month anniversary of my wife's death from cancer". Select the most therapeutic response by the nurse

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is educating a group of women about breast health. Which statement by the nurse accurately reflects the current American Cancer Society breast cancer screening guidelines?

Correct Answer is A

Explanation

The nurse is providing care to a client who is experiencing back pain. Which of the following in the client's history is a known risk factor for disc herniation?

Correct Answer is C

Explanation

The nurse is performing an integumentary system assessment of a patient who has smoked for the last 40 years. The patient has clubbing of the fingernails. What does this finding indicate to the nurse?

A client tells the nurse that they are experiencing discomfort above their elbow. Which medical terminology should the nurse use to describe the location of discomfort?

The nurse is preparing a client for a thorough assessment of the integumentary system. Which instructions should the nurse provide the client? Select all that apply.

The nurse is caring for a client who has pain due to sickle cell anemia. The patient rates the pain as a 7 out of 10 (O is no pain and 10 is the worst pain possible). The client is moving around easily and smiling. She is asking for pain medication. Which action by the nurse is most appropriate?

A patient who is diagnosed with a cervical herniated disc complains of pain. The nurse concludes that the patient's pain is caused by which of the following?

What is an expected finding when palpating the sinuses?

A client is brought to the emergency department (ED) by ambulance after being found on the floor by a family member. The nurse begins the assessment of the client. Which finding would indicate the need for a more focused neurological assessment of this client?

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