A nurse is caring for a client who has a terminal illness. Which of the following statements by the client would require referral to a social work

"I really hope that I can live another 2 weeks, so I can see my child graduate high school."

"I don't have health insurance, and now I am leaving my family with such a mess."

"I am so proud of my child who promised to step up and help my spouse after I am gone."

"I am angry and cannot believe this is happening to me at such a young age.

Answer and Explanation

The Correct Answer is B

A. "I really hope that I can live another 2 weeks, so I can see my child graduate high school." This statement expresses a hopeful and realistic goal reflecting emotional coping with the terminal illness. It does not necessarily indicate a need for social work referral.

B. "I don't have health insurance, and now I am leaving my family with such a mess." Concerns about financial issues and lack of health insurance suggest the client may need assistance with resources, financial planning, or accessing support services, which falls within the social worker’s role.

C. "I am so proud of my child who promised to step up and help my spouse after I am gone." This statement reflects pride and positive family support, indicating emotional coping rather than a need for social work referral.

D. "I am angry and cannot believe this is happening to me at such a young age." Expressing anger is a common emotional response to terminal illness and can be addressed through nursing support and counseling; it does not automatically require social work involvement.

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Correct Answer is A

Explanation

A. Living in a long-term care facility increases the risk for tuberculosis due to close living quarters, which facilitate airborne transmission. Older adults in these facilities may also have weakened immune systems, further elevating their susceptibility to TB infection.

B. TB treatment typically lasts 6 to 12 months, depending on the case, not a lifetime. Lifelong medication is not required unless the individual has a chronic, drug-resistant form, which is uncommon. Adherence to the full treatment course is key to curing TB.

C. Tuberculosis is not spread through direct contact. It is an airborne disease transmitted when a person inhales droplets expelled when an infected person coughs, sneezes, or speaks, particularly in enclosed or poorly ventilated environments.

D. A Mantoux skin test identifies TB exposure but does not confirm active disease. A positive result requires further evaluation with a chest x-ray and possibly sputum testing to diagnose active tuberculosis infection.

A. Lock the computer with their password. B. Minimize the computer application. C. Close the computer screen. D. Log out of the computer.

Correct Answer is D

Explanation

A. Lock the computer with their password: Locking the computer can secure the session temporarily, but it still leaves the session open and accessible if not properly locked. Logging out fully ends the session and prevents unauthorized access.

B. Minimize the computer application: Minimizing the computer application does not secure the client's electronic health record. The application is still open and accessible with a click, making it a significant breach of confidentiality if someone else accesses the computer.

C. Close the computer screen: Closing the computer screen (e.g., folding down a laptop lid) often puts the computer to sleep or locks the screen. While it provides some level of protection, it is not as secure as logging out, especially if the computer can be easily re-opened or if the lock mechanism isn't immediate.

D. Log out of the computer: Logging out completely ends the session and requires re-authentication for access, ensuring client data confidentiality and compliance with privacy regulations such as HIPAA.

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A nurse is caring for a client who has a terminal illness. Which of the following statements by the client would require referral to a social work

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is D

Explanation

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