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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Free Nursing Study Resources

Correct Answer is A

Explanation

A. Transfer the specimen to a cup without it touching the outside of the container.: This maintains a clean environment and prevents the spread of microorganisms to others.

B. Wait for 4 hr before sending the specimen to the laboratory.: Specimens should be sent to the lab immediately to ensure accurate results, as changes in temperature and pH can degrade the sample.

C. Collect at least 7.62 cm (3 in) of the client's stool.: Usually, 1 inch (2.5 cm) of formed stool or 15–30 mL of liquid stool is sufficient for testing.

D. Avoid collecting the specimen from areas of the stool that contain blood.: Incorrect. If blood, mucus, or pus is present, these areas should be included in the specimen as they are most likely to contain pathogens.

A. Gather additional information from the caller to verify their identity. B. Request that the caller contact the client's provider directly for information. C. Ask the caller to contact the client directly for information. D. Provide the caller with a brief update about the client's condition.

Correct Answer is C

Explanation

A. Gather additional information from the caller to verify their identity.: Even if the identity is verified, the nurse cannot release information without the client’s explicit consent or a pre-established privacy code.

B. Request that the caller contact the client's provider directly.: The provider is also bound by HIPAA and cannot release information to the sibling without consent.

C. Ask the caller to contact the client directly for information.: This protects the client's privacy and ensures that the client remains in control of their own health information.

D. Provide the caller with a brief update.: This is a direct violation of HIPAA regulations regarding client confidentiality.

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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

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Correct Answer is A

Explanation

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Correct Answer is C

Explanation

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