A nurse is assisting with the care of a client who has cancer that has metastasized. The client has decided to discontinue chemotherapy treatment. Which of the following responses should the nurse make?

"Don't worry. Everything will work out for you."

"We should talk about your decision later."

"How will you discuss this decision with your loved ones?"

"Your quality of life will be compromised if you make this decision."

Answer and Explanation

The Correct Answer is C

A. "Don't worry. Everything will work out for you.": This provides false reassurance and dismisses the client's feelings.

B. "We should talk about your decision later.": This is avoidant and dismisses the client's current need for support.

C. "How will you discuss this decision with your loved ones?": This is an open-ended, therapeutic response that encourages the client to explore their support system and the implications of their decision.

D. "Your quality of life will be compromised if you make this decision.": This is judgmental and uses a "scare tactic" rather than supporting the client's autonomy.

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Correct Answer is A

Explanation

A. Determine the client's ability to use a communication board.: Expressive aphasia affects the ability to produce language. A communication board allows the client to point to pictures or words, facilitating two-way communication during the teaching process.

B. Provide the teaching without expecting the client to respond.: The nurse must evaluate the client’s understanding (the "teach-back" method) to ensure the information was grasped, even if the response is non-verbal.

C. Avoid the use of facial gestures during the instructions.: Non-verbal cues, gestures, and facial expressions are essential tools to help a client with aphasia understand the context of what is being said.

D. Speak with a loud voice while providing the information.: Aphasia is a language processing disorder, not a hearing impairment. Speaking loudly is unnecessary and can be perceived as patronizing.

Correct Answer is {"dropdown-group-1":"C","dropdown-group-2":"C"}

Explanation

Correct answer: The client is at risk for Aspiration as evidenced by the client's Dysphagia.

i. Aspiration: The client is exhibiting classic signs of dysphagia (difficulty swallowing), specifically "feeling food stuck in their mouth" and a "hoarse vocal quality." When a client cannot swallow effectively, food or liquid can enter the airway instead of the esophagus, leading to aspiration pneumonia.

ii. Dysphagia: This is the clinical term for the symptoms described in the Nurses' Notes (hoarseness and food pocketing). While the client does have a slightly elevated blood pressure and heart rate, these are secondary to the primary safety risk of an impaired airway/swallow reflex.

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A nurse is assisting with the care of a client who has cancer that has metastasized. The client has decided to discontinue chemotherapy treatment. Which of the following responses should the nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to reinforce teaching with a client who has expressive aphasia. Which of the following actions should the nurse plan to take?

Correct Answer is A

Explanation

A nurse in a rehabilitation facility is assisting in the care of a client who was admitted the previous day. Complete the following sentence by using the list of options. The client is at risk for _____ as evidenced by the client's _____

Correct Answer is {"dropdown-group-1":"C","dropdown-group-2":"C"}

Explanation

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