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."
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Reduce environmental noises.: Minimizing background noise helps the client focus on the nurse's voice and reduces auditory confusion.
B. Repeat statements if misunderstanding occurs.: It is better to rephrase rather than just repeat, as different word sounds may be easier for the client to process.
C. Increase volume when speaking.: Shouting often distorts sound and raises the pitch, which is harder for many people with hearing loss to understand.
D. Minimize hand gestures when communicating.: Gestures and facial expressions should be used to provide visual cues to supplement verbal communication.
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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