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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Place cold packs on the client's axillae.: This is an aggressive cooling measure usually reserved for extremely high temperatures (heatstroke) and can cause shivering, which increases metabolic demand.
B. Give the client an alcohol sponge bath.: This is contraindicated as alcohol evaporates too quickly, causing chilling and shivering, and can be absorbed through the skin.
C. Place a fan to blow air across the client.: This can cause shivering, which actually raises the body's internal temperature.
D. Remove blankets from the client.: Removing excess clothing and linens allows for heat loss through radiation and conduction, helping to lower the temperature naturally and comfortably.
Correct Answer is C
Explanation
A. Goggles: These are removed after the gown and gloves in most protocols.
B. Mask: The mask (or respirator) is always removed last to protect the nurse from airborne or droplet particles.
C. Gloves: Gloves are considered the most contaminated piece of PPE and should be removed first to prevent contaminating the rest of the body or environment during the removal of other items.
D. Gown: The gown is typically removed after the gloves.
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