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.

Instruct the client that they need to change their advance directives first.

Discuss the client's wishes with their provider.

Ask the client why they do not want to continue treatment.

Answer and Explanation

The Correct Answer is C

A. Request a referral for a social worker.

While involving a social worker may be beneficial for additional support, the initial step should be to discuss the client's wishes with the healthcare provider.

B. Instruct the client that they need to change their advance directives first.

Changing advance directives is a process that involves legal and ethical considerations. However, the immediate concern is to have a conversation with the healthcare provider to understand the client's current wishes.

C. Discuss the client's wishes with their provider.

Explanation: When a client expresses a desire to discontinue treatment, it is important for the nurse to facilitate open communication between the client and their healthcare provider. This discussion allows the healthcare provider to explore the client's reasons for refusing further treatment, provide information about potential consequences, and address any concerns. It ensures that the client's wishes are fully understood, and decisions are made collaboratively with the healthcare team

D. Ask the client why they do not want to continue treatment.

While understanding the client's reasons is important, initiating a conversation with the healthcare provider should precede further exploration of the client's preferences and concerns.

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Correct Answer is B

Explanation

A. "I don't want to lose control of my ability to make decisions."This statement expresses a fear of losing autonomy, which is a common concern for individuals with chronic illnesses. It does not directly indicate a risk for suicide.

B. "I know that everything will be better soon."This statement can be a red flag, as it might suggest that the client has lost hope and may be contemplating suicide as a way to make things "better" in their mind.

C. "I am relying more and more on my partner for support."This response indicates that the client is seeking and receiving support from their partner. While it shows a need for assistance, it does not imply suicidal ideation.

D. "I am afraid of experiencing pain near the end."This statement reflects a fear of future pain and suffering, which is a valid concern for individuals with terminal illnesses. While it does not directly indicate a risk for suicide, it is essential to address pain management and provide reassurance to the client about end-of-life care.

A. Centers for Disease Control and Prevention B. Environmental Protection Agency C. National Institutes of Health D. Department of Health and Human Resources

Correct Answer is B

Explanation

A. Centers for Disease Control and Prevention

While the CDC provides valuable information on various health-related topics, the EPA is the primary agency addressing environmental hazards like asbestos.

B. Environmental Protection Agency

The Environmental Protection Agency (EPA) is the federal agency responsible for protecting human health and the environment. It oversees issues related to environmental hazards, including asbestos exposure. Asbestos is a known carcinogen, and the EPA provides guidelines and regulations for its safe removal and handling.

C. National Institutes of Health

The National Institutes of Health (NIH) focuses on biomedical and health-related research but is not the primary agency for regulating or addressing environmental hazards.

D. Department of Health and Human Services

The Department of Health and Human Services (HHS) oversees various health-related agencies, but for issues related to environmental hazards, the EPA is more directly relevant.

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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?

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