A home health nurse is visiting a client who has colon cancer. The client states, "I do not want any further treatment." Which of the following actions should the nurse take?
Request a referral for a social worker.
Ask the client why they do not want to continue treatment.
Discuss the client's wishes with their provider.
Instruct the client that they need to change their advance directives first.
The Correct Answer is C
Choice A reason: While involving a social worker can provide additional support, it is secondary to first communicating the client's treatment decisions to the primary healthcare provider.
Choice B reason: Understanding the client's reasoning is important; however, the priority is to respect their decision and communicate it to the provider.
Choice C reason: Respect for Autonomy: Clients have the right to make informed decisions about their healthcare, including the refusal of treatment. Effective Communication: By discussing the client's wishes with their healthcare provider, the nurse facilitates a collaborative approach to care planning, ensuring that the client's preferences are acknowledged and respected.
Choice D reason: Instructing the client to change their advance directives may be necessary if the client decides to refuse all treatments, but it is not the first action the nurse should take. Understanding the client's wishes should be the priority.
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Related Questions
Correct Answer is C
Explanation
Choice A reason: Using third person can make the content less personal and engaging. Health literacy involves clear communication that resonates with the audience, which often means using a more direct and personal approach.
Choice B reason: Focusing solely on medical facts may not meet health literacy needs if the information does not translate into actionable behaviors for the audience. It's important to connect facts with actions people can take.
Choice C reason: Ensuring content is written at an 8th-grade reading level is a recognized standard for health literacy. It makes the information accessible to a wider audience, including those with varying levels of education.
Choice D reason: While using a 16-point font may improve readability, especially for those with visual impairments, it does not address the complexity of the language or the content's relevance to the audience's needs.
Correct Answer is ["B","D","E"]
Explanation
Choice A reason: Recommending a seating arrangement for a child in a body cast is not a primary prevention activity, but rather a tertiary prevention activity. Tertiary prevention aims to reduce the impact of a disability or chronic condition and improve the quality of life of the affected individual¹.
Choice B reason: Lobbying for funding for health promotion efforts is a primary prevention activity, as it can help support the implementation of programs and policies that prevent diseases and injuries before they occur².
Choice C reason: Creating a plan of care for children who have a diagnosis of diabetes mellitus is not a primary prevention activity, but rather a secondary prevention activity. Secondary prevention aims to detect and treat diseases or injuries early to prevent complications and progression¹.
Choice D reason: Organizing a program to promote skateboard safety is a primary prevention activity, as it can help prevent injuries and accidents among children who engage in this recreational activity³.
Choice E reason: Teaching a class about the risks of cigarette smoking is a primary prevention activity, as it can help prevent the initiation of tobacco use and its associated health consequences among children and adolescents⁴.
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