A nurse is caring for a client who has a terminal illness and requests palliative care. The client's family disagrees with this decision and wants aggressive treatment. How should the nurse handle this situation?

Support the client's decision and explain it to the family

Support the family's decision and persuade the client to change their mind

Respect both the client's and the family's decisions and refer them to an ethics committee

Respect neither the client's nor the family's decisions and follow the health care provider's orders

Answer and Explanation

The Correct Answer is A

Rationale: The nurse should support the client's decision and explain it to the family, as this respects the client's autonomy and dignity. The nurse should also provide emotional support and education to both the client and the family about palliative care, which focuses on relieving pain and suffering and improving quality of life.

Incorrect options:

B) Support the family's decision and persuade the client to change their mind - This is inappropriate, as it violates the client's autonomy and dignity. The nurse should not coerce or pressure the client to accept a treatment that they do not want.

C) Respect both the client's and the family's decisions and refer them to an ethics committee - This is unnecessary, as there is no ethical dilemma or conflict in this situation. The client has a right to refuse treatment and choose palliative care.

D) Respect neither the client's nor the family's decisions and follow the health care provider's orders - This is unethical, as it disregards both the client's and the family's wishes and preferences. The nurse should not follow orders that are contrary to what the client wants.

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Correct Answer is B

Explanation

Rationale: The nurse should include foods that are compatible with both the diabetic and kosher diets. A kosher diet prohibits the consumption of pork, shellfish, and meat and dairy products together. A diabetic diet emphasizes complex carbohydrates, lean protein, and fiber-rich foods.

Incorrect options:

A) Cheeseburger with whole wheat bun - This food violates both the diabetic and kosher diets. It contains simple carbohydrates, saturated fat, and meat and dairy products together.

C) Ham and cheese sandwich with fruit salad - This food violates both the diabetic and kosher diets. It contains pork, simple carbohydrates, saturated fat, and meat and dairy products together.

D) Spaghetti with meatballs and tomato sauce - This food violates both the diabetic and kosher diets. It contains simple carbohydrates, saturated fat, and meat and dairy products together.

A. Speak directly to the interpreter and use short sentences B. Speak directly to the client and use simple words C. Speak loudly and slowly to the client and use gestures D. Speak in a normal tone and pace to the interpreter and use medical terms

Correct Answer is B

Explanation

Rationale: The nurse should speak directly to the client and use simple words, as this shows respect and helps to establish rapport. The nurse should also maintain eye contact with the client, not the interpreter, and avoid using jargon, slang, or idioms that may be confusing or culturally inappropriate.

Incorrect options:

A) Speak directly to the interpreter and use short sentences - This is incorrect, as the nurse should speak directly to the client, not the interpreter. The nurse should also use complete sentences, not short sentences, as this may affect the accuracy or clarity of the interpretation.

C) Speak loudly and slowly to the client and use gestures - This is incorrect, as speaking loudly and slowly may be perceived as patronizing or insulting by the client. Gestures may also be misinterpreted or culturally inappropriate.

D) Speak in a normal tone and pace to the interpreter and use medical terms - This is incorrect, as speaking in a normal tone and pace may be too fast or too quiet for the interpreter to catch every word. Medical terms may also be unfamiliar or difficult to translate for the interpreter.

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A nurse is caring for a client who has a terminal illness and requests palliative care. The client's family disagrees with this decision and wants aggressive treatment. How should the nurse handle this situation?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is planning to teach a diabetic diet to a client who follows a kosher diet. Which of the following foods should the nurse include in the teaching plan?

Correct Answer is B

Explanation

A nurse is working with a client who has limited English proficiency and uses an interpreter. Which of the following strategies should the nurse use to facilitate effective communication?

Correct Answer is B

Explanation

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