A nurse is caring for a client who has a new diagnosis of terminal cancer. Which of the following interventions is the priority?
Help the client to find a local support group.
Discuss the client's prior coping mechanisms.
Develop a list of goals with the client.
Teach the client to use progressive relaxation techniques.
Teach the client to use progressive relaxation techniques.
The Correct Answer is B
The priority intervention for a client with a new diagnosis of terminal cancer is to discuss the client's prior coping mechanisms. This will help the nurse to understand how the client has coped with difficult situations in the past and to develop a plan of care that is tailored to the client's individual needs and preferences.
Options a, c, and d are also important interventions, but they are not the priority. Helping the client to find a local support group, developing a list of goals with the client, and teaching the client to use progressive relaxation techniques can all be helpful in supporting the client's emotional well-being, but they should be implemented after the nurse has assessed the client's coping mechanisms and developed a plan of care.

Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
The nurse should provide written materials in the client's primary language for a client who requires teaching prior to discharge. This ensures that the client has access to important information in a language they understand and can refer to after leaving the facility.
b. A client who is watching a video about meal services in their primary language may not require additional written materials.
c. A client who is learning to use an incentive spirometer with the help of an interpreter may not require additional written materials.
d. The administration of a prescribed pain medication does not necessarily require the provision of written materials.
Correct Answer is A
Explanation
The correct answer is that the client should press the inner corner of their eye after inserting the drops. This technique is called punctal occlusion and it helps to prevent the eye drops from draining into the tear duct and being absorbed by the rest of the body. This can increase the effectiveness of the eye drops and reduce potential side effects.
Options b, c and d are not correct statements by the client that indicate an understanding of how to self- administer an ophthalmic solution. Raising the eyelid up while looking down to insert the drops, keeping eyes closed for 5 minutes after inserting the drops and inserting the drops in the center of each eye are not recommended techniques for self-administering an ophthalmic solution.
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