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 C
Explanation
Choice A reason: This is incorrect. Clostridium difficile is a bacterium that causes an infection of the colon, which can result in diarrhea, abdominal pain, and fever¹. Clostridium difficile is transmitted by contact with fecal matter or contaminated surfaces². Therefore, it requires contact precautions, not airborne precautions³.
Choice B reason: This is incorrect. Influenza is a viral infection that affects the respiratory tract, causing symptoms such as fever, cough, sore throat, and muscle aches⁴. Influenza is transmitted by respiratory droplets that are generated by coughing, sneezing, or talking⁵. Therefore, it requires droplet precautions, not airborne precautions³.
Choice C reason: This is correct. Disseminated herpes zoster is a widespread form of shingles that affects multiple areas of the skin and can involve the internal organs⁶. Shingles is caused by the reactivation of the varicella-zoster virus, the same virus that causes chickenpox⁷. Disseminated herpes zoster is transmitted by airborne particles that contain the virus, or by direct contact with the lesions⁶. Therefore, it requires airborne precautions, as well as contact precautions³.
Choice D reason: This is incorrect. Respiratory syncytial virus (RSV) is a common respiratory virus that causes mild to severe infections of the lungs and airways, especially in infants and young children⁸. RSV is transmitted by respiratory droplets, or by contact with contaminated surfaces or secretions⁹. Therefore, it requires contact precautions, and sometimes droplet precautions, but not airborne precautions³.
Correct Answer is B
Explanation
Choice A reason: This statement is false and discouraging. The caregiver may be eligible for financial assistance for dementia from various sources, such as Medicare, Medicaid, or private insurance.
Choice B reason: This statement is true and supportive. The caregiver may benefit from finding a local support group for caregivers, where they can share their experiences, learn coping strategies, and access resources.
Choice C reason: This statement is unrealistic and harmful. The caregiver should not isolate themselves or their partner from other sources of support. The caregiver may need to delegate some tasks to other family members, friends, or professional caregivers.
Choice D reason: This statement is unreasonable and exhausting. The caregiver should not take over all the activities of daily living (ADLs) for their partner, as this may undermine their partner's autonomy and dignity. The caregiver should encourage their partner to perform ADLs as much as possible, with assistance as needed.
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