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."

Answer and Explanation

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.

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Correct Answer is C

Explanation

A. Applying a topical corticosteroid ointment to the scalp is not indicated for treating Pediculosis humanus capitis. Corticosteroids are used to reduce inflammation and itching associated with certain skin conditions but are not effective against lice.
B. Soaking hair brushes and combs in soapy water may help to remove any lice or nits attached to them, but it is not sufficient as the sole treatment for Pediculosis humanus capitis.
C. Washing the bed linens in hot water is crucial for killing any lice or nits that may be present on them. Heat is effective in killing lice and their eggs, thus reducing the risk of reinfestation.
D. Cleaning the child's toys with a 1:10 bleach solution may disinfect them, but it is not a primary treatment for Pediculosis humanus capitis. The focus should be on eliminating lice and nits from the environment where the child sleeps and spends time.

A. Depersonalization B. Hallucination C. Illusion D. Derealization

Correct Answer is B

Explanation

A. Depersonalization is a feeling of detachment from oneself or feeling like one's thoughts, feelings, and actions are not their own. It does not involve perceptual disturbances such as hearing voices.
B. Hallucination is a sensory perception that occurs in the absence of external stimuli. Auditory hallucinations involve hearing voices or sounds that others do not hear, as described by the client in this scenario.
C. Illusion is a misinterpretation of a sensory stimulus that is actually present in the environment. It involves a distortion or misperception of sensory information, not the perception of something that is not there, as in the case of hallucinations.
D. Derealization is a feeling of unreality or detachment from one's surroundings. It involves a distortion in the perception of the external world rather than sensory experiences such as hearing voices.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in a provider's office is reinforcing teaching with the parents of a school-age child who has an active case of Pediculosis humanus capitis. Which of the following should the nurse include in the teaching?

Correct Answer is C

Explanation

Correct Answer is B

Explanation

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