A client who has inoperable cancer tells the nurse that she does not want to pursue the recommended treatment. She asks if the provider can force her to have the treatment. Which of the following is an appropriate response by the nurse?
You have the right to refuse the recommended treatment plan
We will have to tell your provider right away that you are considering this
You have to consider the medical consequences of not treating this cancer
In cases like yours, it is best to talk with your clergyperson before deciding this
The Correct Answer is A
A. You have the right to refuse the recommended treatment plan.
As a nurse, it’s essential to respect the autonomy and decision-making capacity of your patients. Patients have the right to make informed choices about their own healthcare, including whether to accept or decline treatment recommendations. By acknowledging the patient’s right to refuse treatment, you empower them to be active participants in their care.
B. Option b is not the correct answer because it focuses on informing the provider without addressing the client's concerns or providing guidance.
C. Option c is not the correct answer because it emphasizes the medical consequences of not treating the cancer without acknowledging the client's personal beliefs or values.
D. In cases like yours, it is best to talk with your clergyperson before deciding this.
While option D acknowledges the importance of seeking emotional and spiritual support during difficult decisions, it does not directly address the patient’s right to refuse treatment. As a nurse, your primary responsibility is to respect the patient’s autonomy and provide accurate information about their treatment options. Encouraging open communication with a clergyperson or any other trusted individual can be beneficial, but it should not override the patient’s right to make their own decisions regarding their healthcare.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","E"]
Explanation
"The ECT procedure will cause you to have a brief seizure": This statement is important to inform the client about the nature of the ECT procedure. Electroconvulsive therapy (ECT) involves inducing a controlled seizure through the use of electric currents. It is important for the client to understand that a seizure will occur during the procedure.
"You will not be awake during the ECT procedure": This statement is important to manage the client's expectations. ECT is performed under general anesthesia, so the client will be unconscious during the procedure.
"You may experience temporary memory loss following ECT therapy": This statement is important to prepare the client for potential side effects. Memory loss, particularly retrograde amnesia (difficulty recalling past events), can occur as a side effect of ECT. It is important to inform the client about this possibility.
The following statements should not be made:
● "You will be placed on a ventilator to help you breathe during the ECT procedure": ECT does not require the use of a ventilator. The client's breathing and vital signs are closely monitored during the procedure, but mechanical ventilation is typically not necessary.
● "You will probably sleep the rest of the day following the ECT procedure": While some clients may experience drowsiness or fatigue following ECT, it is not accurate to assume
that the client will sleep for the rest of the day. The recovery period varies for each individual.
● "It should only take one ECT treatment to bring you out of your depression": The number of ECT treatments required varies depending on the individual and the severity of their condition. It is important not to give false expectations about the number of treatments needed.
Correct Answer is D
Explanation
d. Pinpoint pupils.
Explanation:
Opioid intoxication is characterized by various signs and symptoms, including central nervous system depression. One common manifestation of opioid intoxication is pinpoint pupils (miosis), which is caused by the effect of opioids on the pupillary constrictor muscles. The pupils become constricted and appear as small dots, hence the term "pinpoint."
The other options are not typical manifestations of opioid intoxication. Tachycardia (rapid heart rate) is more commonly associated with stimulant use rather than opioids. Mental alertness is typically reduced in cases of opioid intoxication, as opioids cause sedation and CNS depression. Hyperreflexia (exaggerated reflexes) is not a typical finding in opioid intoxication; instead, it may occur in withdrawal from certain substances such as alcohol or benzodiazepines.
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