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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Teaching the client about appropriate food choices is an important intervention for diabetes mellitus, but it is not the first action the nurse should take. The nurse needs to assess the client's current dietary habits and preferences before providing education.
Choice B reason: Referring the client to a diabetes mellitus support group is a helpful strategy to promote coping and self-management, but it is not the first action the nurse should take. The nurse needs to address the client's immediate needs and priorities before making referrals.
Choice C reason: Identifying the client's dietary preferences is the first action the nurse should take. This is an assessment step that will help the nurse tailor the nutritional program to the client's individual needs and preferences. It will also help the nurse establish rapport and trust with the client.
Choice D reason: Developing a nutritional program is a planning step that requires assessment data. The nurse should not develop a nutritional program without first identifying the client's dietary preferences and needs.
Correct Answer is D
Explanation
Choice A reason: This statement is not the best indicator of the recovery phase, as it may reflect the initial reaction of the survivors after the disaster. Survivors may still experience emotional distress, physical injuries, or material losses that require assistance and intervention.
Choice B reason: This statement is not the best indicator of the recovery phase, as it may reflect the ongoing efforts of the outside responders during the disaster. Outside responders may work long hours each day to provide rescue, relief, and support to the affected community.
Choice C reason: This statement is not the best indicator of the recovery phase, as it may reflect the challenges faced by the volunteers during the disaster. Volunteers may experience burnout due to the high demands, stress, and trauma of the disaster situation.
Choice D reason: This statement is the best indicator of the recovery phase, as it reflects the resilience and adaptation of the community after the disaster. The community may restore its functions, services, and resources, and cope with the changes and losses caused by the disaster.
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