A client’s rapid cancer metastasis has prompted a shift from active treatment to palliative care. When planning this client’s care, the nurse should identify:

To give traditional medical care

To prevent and relieve suffering and discomfort

To bridge between curative and hospice care

To provide aggressive treatment while there is still hope

Answer and Explanation

The Correct Answer is B

A. Traditional medical care focuses on active treatment with the aim of curing or controlling the disease, which is not the goal of palliative care in this context.
B. Palliative care aims to prevent and relieve suffering and discomfort, focusing on improving the quality of life for clients with serious illnesses.
C. Bridging between curative and hospice care does not accurately describe the primary focus of palliative care, which is to manage symptoms and improve comfort.
D. Providing aggressive treatment is contrary to the principles of palliative care, which focuses on comfort and quality of life rather than pursuing further curative interventions.

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Correct Answer is A

Explanation

A. Telehealth can indeed raise concerns about client confidentiality due to the digital nature of communication, which might be susceptible to breaches or unauthorized access.
B. While telehealth may disadvantage those without access to technology, this is more of a practical issue rather than an ethical concern directly related to the practice itself.
C. Telehealth has the potential to address health inequities by increasing access to care; thus, it is not necessarily true that it will worsen health inequities.
D. The cost of telehealth encounters is a practical concern but does not directly pertain to the ethical issues associated with client care and privacy.

A. Health Belief Model B. Social Learning Theory C. Theory of Reasoned Action D. Transtheoretical Model

Correct Answer is A

Explanation

A. The Health Belief Model is illustrated here as the client’s motivation to get a mammogram is based on her belief in the severity of breast cancer and the benefits of early detection to prevent death.
B. Social Learning Theory involves learning through observation and imitation, which is not directly reflected in the client’s decision-making process described.
C. The Theory of Reasoned Action focuses on behavioral intentions based on attitudes and subjective norms, which is less relevant to the client’s belief about the severity of a health condition.
D. The Transtheoretical Model involves stages of change related to behavior modification, which is not directly illustrated by the client’s statement about her motivations for undergoing a mammogram.

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A client’s rapid cancer metastasis has prompted a shift from active treatment to palliative care. When planning this client’s care, the nurse should identify:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is discussing ethical issues associated with telehealth with a group of newly licensed nurses. Which of the following statements should the nurse discuss as an ethical concern related to telehealth?

Correct Answer is A

Explanation

A client tells the nurse that she is going to have her regular mammogram done at the local imaging center because she does not want to die from breast cancer. Which learning theory is being illustrated in this statement?

Correct Answer is A

Explanation

The nurse is assessing a terminally ill client who is on home hospice care and notes that the client is demonstrating signs of terminal delirium and becoming more unresponsive. Which of the following instructions should the nurse give to the client’s children?

The nurse is discussing the ecological model of health care and includes characteristics related to marital status, level of education, race, attitudes, and beliefs. Which of the following influences in terms of the ecological model would cover these characteristics?

A palliative care nurse is preparing to participate in interprofessional rounds. Which of the following members of the interprofessional team should the nurse plan to collaborate with?

The nurse is applying the Omaha System to categorize client issues observed during home visits with a group of clients. Which of the following problems would the nurse classify under the Psychosocial Domain? (Select all that apply)

The nurse is developing a community health promotion program and identifies the need to understand the impact of health disparities. Which of the following statements would the nurse identify as a crucial factor to consider when developing this program?

The nurse is conducting a class on Medicare qualifications for home care. Which of the following criteria would the nurse discuss? (Select all that apply)

A nurse working in a community health clinic is planning care for a client who recently lost their job and is unable to afford their medications to treat diabetes mellitus. Which of the following actions should the nurse take?

The nurse is teaching a client about general primary prevention strategies. The client is somewhat reluctant and asks, "Why should I know about this?" Which of the following statements would be most appropriate for the nurse to make?