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 C

Explanation

The correct answer is C.

Hypertension. The rationale is that oral contraceptives contain synthetic hormones that can increase blood pressure and increase the risk of

cardiovascular events such as stroke, heart attack or blood clots. The nurse should advise the client to avoid oral contraceptives if she has hypertension or other risk factors for cardiovascular disease and suggest alternative methods of birth control.

A. I will have an identification band that matches the one my baby wears." B. I can remove my security band to give it to a family member." C. I can take my baby to the lobby to visit family." D. "I will carry my baby to the nursery."

Correct Answer is A

Explanation

The mother and the baby should have matching identification bands to prevent abduction or mix-up.

The mother should not remove her security band, as this can compromise her identity and safety.

The mother should not take her baby to the lobby or other public areas, as this can expose the baby to infection or harm.

The mother should use a bassinet or crib to transport her baby to the nursery, as this can prevent falls or injuries.

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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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