A nurse is caring for a client who has a recent diagnosis of a terminal illness. The nurse should identify which of the following as an indication of hopelessness?

The client has a decreased energy level.

The client requests a second opinion.

The client wants to talk about the diagnosis with the nursing staff.

The client makes funeral arrangements.

Answer and Explanation

The Correct Answer is A

A. The client has a decreased energy level. A decreased energy level can be a sign of hopelessness, as the client may feel a lack of motivation or purpose due to the terminal nature of the illness. This can manifest as fatigue, lethargy, or a general disinterest in activities.

B. The client requests a second opinion. Requesting a second opinion is generally a sign that the client is still actively engaged in their care and is seeking more information or alternative options. It indicates hope or a desire for different possibilities rather than hopelessness.

C. The client wants to talk about the diagnosis with the nursing staff. Wanting to talk about the diagnosis with the nursing staff suggests that the client is processing the information and seeking support. Open communication is a positive coping mechanism and not typically an indication of hopelessness.

D. The client makes funeral arrangements. Making funeral arrangements can be a practical and proactive approach to dealing with a terminal diagnosis. While it reflects an acceptance of the situation, it does not necessarily indicate hopelessness. Instead, it can show that the client is taking control of their end-of-life decisions.

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Correct Answer is A

Explanation

The correct answer is A. Electroconvulsive therapy (ECT) is a procedure that uses a mild electrical current to cause a brief seizure in the brain, which can help treat severe mentalhealth conditions. One of the possible side effects of ECT is short-term memory loss, which usually resolves within a few weeks. Therefore, if the client states that they might have short-term memory loss after the procedure, they indicate an understanding of the procedure and its risks. The other statements are incorrect or irrelevant. ECT does not require a full-liquid diet, a urinary catheter, or cause seizures after the procedure.

A. Instilling an ophthalmic ointment for a client who has a corneal abrasion B. Inserting an NG tube for a client who needs continuous enteral feedings C. Changing a central venous catheter dressing for a client who is receiving IV therapy D. Administering an IM injection to a client who has bacterial pneumonia

Correct Answer is C

Explanation

The correct answer is choice C. Changing a central venous catheter dressing for a client who is receiving IV therapy. Choice A rationale: Instilling ophthalmic ointment typically does not require sterile gloves. Clean technique is sufficient as long as proper hand hygiene is performed to prevent infection. Choice B rationale: Inserting an NG tube requires clean technique, not sterile. The procedure is performed through the nasal passage and esophagus, which are not sterile environments. Choice C rationale: Changing a central venous catheter dressing requires sterile gloves to prevent introducing infection into the bloodstream. Central lines are a direct pathway to the central circulation, making aseptic technique critical to prevent serious infections such as bloodstream infections. Choice D rationale: Administering an IM injection requires clean technique. The skin is cleaned with an antiseptic wipe before the injection, but sterile gloves are not necessary for this procedure.

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A nurse is caring for a client who has a recent diagnosis of a terminal illness. The nurse should identify which of the following as an indication of hopelessness?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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