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."
"I 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. This response respects the client's autonomy and right to make decisions about their own healthcare. It acknowledges the client's right to refuse treatment, even if it is recommended by healthcare providers.
B. While it is important to communicate the client's wishes to the healthcare provider, the nurse should not threaten to report the client's decision without their consent. This could undermine trust between the nurse and the client.
C. While it is true that refusing treatment may have medical consequences, this statement may come across as judgmental or coercive. The nurse should provide information about the potential consequences of refusing treatment in a supportive and non-coercive manner.
D. Suggesting that the client consult with a clergyperson before making a treatment decision is not necessarily relevant to the client's medical decision-making process. It may also imply that the decision should be based on religious beliefs rather than personal values and preferences.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Platelets within the normal range indicate appropriate clotting function and are not concerning in this scenario.
B. Red blood cell (RBC) count within the normal range suggests normal oxygen-carrying capacity and is not directly related to the client's symptoms.
C. Hemoglobin (Hgb) level within the normal range indicates adequate oxygen-carrying capacity and is not directly related to the client's symptoms.
D. An international normalized ratio (INR) of 5.2 is significantly elevated and indicates that the client's blood is not clotting properly. This could be a result of excessive anticoagulation from heparin therapy, which may lead to bleeding complications such as bloody stools. Therefore, the nurse should report this finding to the provider for further evaluation and possible adjustment of the anticoagulant therapy.
Correct Answer is D
Explanation
A. While reminders of behavioral expectations can be helpful, excessive verbal guidance may increase frustration and is less effective than physical outlets for excess energy.
B. Group activities can be overstimulating for a client experiencing mania and may escalate agitation or distractibility.
C. Allowing unrestricted clothing choices is not a priority intervention during mania and does not address safety or energy management.
D. Encouraging the client to increase physical activity provides a safe outlet for excessive energy, reduces tension, and helps prevent injury or destructive behaviors. Structured physical activity is a therapeutic strategy during manic episodes.
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