A home health nurse is visiting a client who has colon cancer.
The client states, “I do not want any further treatment.”. What should the nurse do?

Request a referral for a social worker.

Discuss the client’s wishes with their provider.

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

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

Answer and Explanation

The Correct Answer is C

Choice A rationale

Requesting a referral for a social worker may be beneficial in some cases, but it is not the most appropriate initial response. The nurse should first seek to understand the client’s feelings and concerns.

Choice B rationale

Discussing the client’s wishes with their provider is important, but it should come after understanding the client’s perspective. The nurse should respect the client’s autonomy and privacy.

Choice C rationale

This is the correct answer. The nurse should ask the client why they do not want to continue treatment. This allows the nurse to understand the client’s perspective, provide emotional support, and ensure that the client is making an informed decision.

Choice D rationale

Instructing the client to change their advance directives first is not the most appropriate initial response. While advance directives are important legal documents that express a client’s wishes for medical treatment, the nurse should first seek to understand the client’s feelings and concerns.

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Correct Answer is A

Explanation

Choice A rationale

This is the correct answer. Regular eye examinations are important for early detection of eye diseases and conditions. The American Optometric Association recommends adults aged 18 to 60 have an eye exam at least every two years, and adults 61 and older have an eye exam annually.

Choice B rationale

Regular monitoring of blood glucose levels is crucial for individuals with diabetes or those at risk. However, the frequency of checking fasting blood glucose levels can vary depending on individual health status and risk factors.

Choice C rationale

Stool tests for blood are used to detect colorectal cancer. The American Cancer Society recommends that adults aged 45 and older with an average risk of colorectal cancer undergo regular screening with either a high-sensitivity stool-based test or a structural (visual) exam, depending on the patient’s preference and test availability.

Choice D rationale

Regular hearing screenings are important, especially as individuals age. However, the frequency of hearing screenings can vary based on individual risk factors and symptoms.

A. A 4-month-old infant who has Down syndrome. B. An 18-month-old toddler who has failure to thrive. C. A 3-year-old toddler who has leukemia. D. A 12-month-old infant who has sickle cell disease.

Correct Answer is C

Explanation

Choice A rationale

Down syndrome does not typically require a modification in the standard immunization schedule. Children with Down syndrome should receive all recommended vaccinations according to the standard schedule.

Choice B rationale

Failure to thrive does not typically require a modification in the standard immunization schedule. Children with failure to thrive should receive all recommended vaccinations according to the standard schedule.

Choice C rationale

This is the correct answer. Children with leukemia or other cancers that weaken the immune system may require modifications to the standard immunization schedule. These children may need to avoid certain vaccines or delay vaccination until their immune system is stronger.

Choice D rationale

Sickle cell disease does not typically require a modification in the standard immunization schedule. Children with sickle cell disease should receive all recommended vaccinations according to the standard schedule.

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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.”. What should the nurse do?

Nursing Test Bank

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Correct Answer is A

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Correct Answer is C

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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.”. What should the nurse do?