A faith community nurse is planning care for a client who has been diagnosed with end-stage breast cancer. Which of the following interventions should the nurse include in the plan?
Initiate topics of conversation that avoid the client's health status.
Recommend the client seek out hospice services rather than seek treatment.
Provide quiet time during visits for prayer or meditation.
Place the client's name and medical condition on an online prayer chain.
The Correct Answer is C
Choice A reason: Initiating topics of conversation that avoid the client's health status is not an appropriate intervention. The nurse should respect the client's wishes and preferences regarding the communication of their condition. The nurse should also provide emotional support and information as needed.
Choice B reason: Recommending the client seek out hospice services rather than seek treatment is not an appropriate intervention. The nurse should not impose their own values or beliefs on the client's decision-making process. The nurse should also respect the client's autonomy and right to self-determination.
Choice C reason: Providing quiet time during visits for prayer or meditation is an appropriate intervention. The nurse should acknowledge and support the client's spiritual needs and practices. The nurse should also facilitate the client's access to spiritual resources and counselors.
Choice D reason: Placing the client's name and medical condition on an online prayer chain is not an appropriate intervention. The nurse should protect the client's privacy and confidentiality and obtain their consent before sharing any personal information. The nurse should also respect the client's cultural and religious diversity and avoid any assumptions or stereotypes.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Wearing gloves when discarding the syringes is not necessary, as long as the syringes are placed in a sharps disposal container immediately after use. Gloves do not prevent needle-stick injuries or infections¹.
Choice B reason: Storing used syringes in a biohazard bag before discarding is not recommended, as biohazard bags are not puncture-resistant and may leak or spill. Biohazard bags are also not accepted by most disposal programs².
Choice C reason: Taking containers of used syringes to the local recycling center is not appropriate, as recycling centers do not accept medical waste. Recycling centers may also expose workers and the environment to potential hazards from the syringes³.
Choice D reason: Discarding the syringes in a metal container is a correct way to dispose of insulin needles, as long as the container is labeled as "Sharps" and has a tight-fitting lid. Metal containers, such as coffee cans or detergent bottles, are strong and durable and can prevent needle-stick injuries. Metal containers can be dropped off at designated collection sites or mailed back to disposal programs.
Correct Answer is A
Explanation
Choice A reason: This statement is true and relevant. The nurse can share the client's current medical information with other providers who are involved in the client's care, such as physicians, nurses, therapists, or pharmacists. This is necessary for the coordination and continuity of care.
Choice B reason: This statement is false and misleading. The billing department at the agency will not have access to the client's medical record, but only to the minimum necessary information for billing purposes, such as the client's name, date of service, and diagnosis code.
Choice C reason: This statement is false and misleading. Assistive personnel will not be able to access the client's prior admission information, unless they are directly involved in the client's care and have a legitimate need to know. The client's prior admission information is protected by HIPAA and can only be disclosed with the client's authorization or for specific purposes.
Choice D reason: This statement is partially true, but not the best answer. The health care provider will assist the client in making decisions about who to disclose their health information to, but the client has the ultimate right to decide. The client can also revoke or modify their authorization at any time.
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