The practical nurse (PN) is caring for an older client who was informed about a diagnosis of terminal cancer two days ago. Which intervention would be most helpful for the client's spouse at this time?
Participating in the client's care within his/her capabilities and desires.
Information about palliative and hospice care services.
Consultation with the case manager and hospital chaplain.
Visiting after procedures are done to avoid seeing the client in pain.
The Correct Answer is A
A. Participating in the client's care within his/her capabilities and desires: Involving the spouse supports coping, emotional connection, and shared decision-making.
B. Information about palliative and hospice care services: Important but may be more helpful once the family has processed the diagnosis further.
C. Consultation with the case manager and hospital chaplain: Useful but not the most immediate supportive intervention.
D. Visiting after procedures are done to avoid seeing the client in pain: Avoidance can increase anxiety and feelings of helplessness.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. "This is the only required injection your baby has to receive while in the newborn nursery.": Incorrect, because newborns are often offered hepatitis B vaccination before discharge.
B. "An immunization may be administered for hepatitis B and a consent form must be signed.": The hepatitis B vaccine is commonly given before discharge with parental consent.
C. "If your newborn gets sick or has a complication, injectable therapy may be prescribed and given.": True, but does not directly address the father’s question about routine injections.
D. "Blood specimens will be collected to test for glucose levels and if low, glucose injection is given.": Glucose testing is done for at-risk infants, but glucose is usually given orally or IV, not routinely by injection.
Correct Answer is B
Explanation
A. Recommend analgesic perineal spray: Helps pain but not top priority for preventing complications.
B. Administer stool softener: Prevents strain that could disrupt complex repair.
C. Give PRN sleep medication: Comfort measure but low priority.
D. Encourage breastfeeding: Helps uterine involution but unrelated to laceration healing.
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