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 C
Explanation
A. Air escaping from around the mask indicates a poor mask seal, which would lead to inadequate oxygen delivery and is not an indication of proper equipment function.
B. The flow control meter dial being at the correct setting ensures the appropriate flow rate of oxygen but does not directly indicate the functionality of the mask and reservoir system. C. The attached reservoir bag should be inflated with oxygen when the mask is properly connected and functioning, indicating the delivery of high-concentration oxygen to the client.
D. The non-rebreather mask should not have exhalation ports that are covered during inspiration and expiration; rather, it should allow exhaled air to escape to prevent carbon dioxide buildup within the mask.
Correct Answer is A
Explanation
A. A decreased level of consciousness and vomiting may indicate a potentially serious condition such as increased intracranial pressure, electrolyte imbalance, or metabolic disorder. Immediate assessment and intervention are necessary to determine the cause and provide appropriate treatment.
B. Cellulitis accompanied by a low-grade fever is concerning but may not require immediate attention compared to a decreased level of consciousness and vomiting.
C. A pain rating of 7 after receiving analgesia 30 minutes ago is important to address, but it may not be as urgent as assessing a client with a decreased level of consciousness and vomiting.
D. A blood glucose level of 160 mg/dL in a client with type 2 diabetes mellitus may require monitoring and intervention, but it may not be as urgent as assessing a client with a decreased level of consciousness and vomiting.
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