Which intervention is most appropriate for a nurse to implement when a client is experiencing anticipatory grief due to a terminal illness diagnosis?

Focus solely on providing physical symptom management for the client.

Advise the client to avoid thinking about the loss to prevent emotional distress.

Encourage the client to discuss their feelings openly with loved ones.

Recommend the client to isolate themselves to cope privately with their grief

Answer and Explanation

The Correct Answer is C

A. Focus solely on providing physical symptom management for the client: Addressing physical symptoms is important, but anticipatory grief involves emotional and psychological processes. Limiting care to physical management neglects the client’s emotional needs.

B. Advise the client to avoid thinking about the loss to prevent emotional distress: Encouraging avoidance can suppress emotions, increase anxiety, and impede healthy grieving. Anticipatory grief is best addressed through acknowledgment and expression of feelings.

C. Encourage the client to discuss their feelings openly with loved ones: Facilitating open communication helps the client process emotions, strengthens social support, and promotes coping during the terminal illness. Sharing feelings aligns with therapeutic interventions for anticipatory grief.

D. Recommend the client to isolate themselves to cope privately with their grief: Isolation can exacerbate feelings of loneliness and depression. Supportive interaction with family, friends, or counselors is generally more beneficial for emotional well-being during anticipatory grief.

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Correct Answer is C

Explanation

A. The rule regarding portability of health insurance coverage: This provision addresses the ability to maintain health insurance when changing jobs or coverage, and is unrelated to unauthorized access of patient records.

B. The Security Rule regarding administrative safeguards: The Security Rule focuses on protecting electronic health information through administrative, physical, and technical measures. While security is involved, the primary issue here is unauthorized disclosure, not system safeguards.

C. The Privacy Rule regarding patient authorization and disclosure: HIPAA’s Privacy Rule governs the use and disclosure of protected health information. Accessing a patient’s electronic health record without consent violates the requirement that patients authorize who can view or use their information.

D. The rule concerning breach notification requirements: Breach notification addresses required reporting after a confirmed compromise of PHI. The student’s unauthorized access is a violation of privacy, not a post-breach reporting issue.

A. Ignore the client's mention of folk practices and focus solely on professional care. B. Collaborate with the client to integrate folk healing practices into the treatment plan alongside professional care C. Encourage the client to stop all folk practices and rely solely on evidence-based medical treatments D. Advise the client to use folk healing practices only after professional care has been completed

Correct Answer is B

Explanation

A. Ignore the client's mention of folk practices and focus solely on professional care: Ignoring cultural beliefs can undermine trust and hinder the therapeutic relationship. Cultural competence requires acknowledging and respecting the client’s practices.

B. Collaborate with the client to integrate folk healing practices into the treatment plan alongside professional care: Working with the client to safely incorporate culturally significant practices promotes adherence, respects autonomy, and fosters a therapeutic alliance. Integration ensures that folk remedies do not interfere with evidence-based treatments.

C. Encourage the client to stop all folk practices and rely solely on evidence-based medical treatments: This approach is confrontational and dismissive of cultural beliefs. Forcing compliance may increase resistance and reduce engagement in care.

D. Advise the client to use folk healing practices only after professional care has been completed: Imposing sequencing or conditional acceptance can be perceived as disrespectful. Collaborative planning that considers timing, safety, and compatibility with medical care is more effective.

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Which intervention is most appropriate for a nurse to implement when a client is experiencing anticipatory grief due to a terminal illness diagnosis?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nursing student accesses a patient's electronic health record for a class assignment without the patient's consent. What HIPAA provision does this action violate?

Correct Answer is C

Explanation

A client from a cultural background that prioritizes folk healing reports using herbal remedies and spiritual ceremonies to address a chronic illness. What is the nurse's best initial approach in planning care?

Correct Answer is B

Explanation

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