A nurse is caring for a client who has cancer and is being transferred to hospice care. The client’s daughter tells the nurse, “I’m not sure what to say to my mom if she asks me about dying.” Which of the following responses by the nurse is appropriate? (Select all that apply)
Tell her not to worry about it right now.
You sound like you have questions about your mom dying. Let’s talk about it.
Let’s talk about your mom’s cancer and what it means.
Encourage her to focus on the present and not think about dying.
Correct Answer : B,C
Choice A reason: Telling the daughter not to worry dismisses her emotional concerns and does not facilitate open communication. Addressing fears about a loved one’s death requires empathy and discussion to process grief and understand hospice care, which focuses on comfort. This response is inappropriate, as it avoids addressing the daughter’s needs.
Choice B reason: Acknowledging the daughter’s concerns about her mother’s death and inviting discussion is therapeutic. It validates her emotions, encouraging open dialogue about grief, hospice care, and end-of-life expectations. This approach supports psychological coping, aligns with palliative care principles, and helps the daughter prepare for her mother’s transition, making it appropriate.
Choice C reason: Discussing the mother’s cancer and its implications helps the daughter understand the disease progression and hospice care’s role in symptom management. This fosters informed communication, addressing fears and clarifying expectations. It supports emotional preparation for end-of-life discussions, making this response appropriate for facilitating understanding and coping.
Choice D reason: Encouraging the daughter to avoid thinking about dying dismisses the reality of the situation and hinders emotional processing. Hospice care involves preparing for end-of-life, and open discussions about death are therapeutic. This response is inappropriate, as it discourages necessary conversations about the mother’s condition and prognosis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","D","E"]
Explanation
Choice A reason: Instructing pregnant visitors to stay 3 feet away is insufficient, as radiation from a sealed implant requires greater distance (typically 6 feet) or complete avoidance. Pregnant individuals should not visit to minimize fetal exposure, making this precaution inadequate and incorrect for safety.
Choice B reason: Wearing a lead apron shields the nurse from radiation exposure during close contact with the sealed implant, adhering to ALARA (As Low As Reasonably Achievable) principles. This protects the nurse while providing care, making it a necessary and correct safety measure.
Choice C reason: Placing the client in a semi-private room is unsafe, as radiation from the implant could expose other patients. A private room is required to minimize radiation risk to others, making this action incorrect and against radiation safety protocols.
Choice D reason: Closing the client’s door reduces radiation exposure to others outside the room, as sealed implants emit continuous radiation. This containment measure, combined with signage, ensures safety for staff and visitors, making it a correct and essential action.
Choice E reason: Limiting visitors to 30 minutes per day minimizes cumulative radiation exposure, protecting visitors from the sealed implant’s emissions. Time restrictions are standard in radiation safety protocols, ensuring minimal risk while allowing controlled visits, making this a correct action.
Correct Answer is B
Explanation
Choice A reason: The lactation amenorrhea method is effective only up to 6 months postpartum, and only if exclusive breastfeeding and amenorrhea are maintained. It is not reliable for 12 months, so this statement is inaccurate, making it incorrect for contraception teaching.
Choice B reason: Placing the transdermal contraceptive patch on the upper arm or back ensures proper adhesion and absorption. This aligns with manufacturer guidelines for effective contraception, making it a correct and appropriate instruction for postpartum clients seeking reliable methods.
Choice C reason: A diaphragm used before pregnancy may no longer fit due to pelvic changes post-delivery. It requires refitting 6 weeks postpartum, so continuing use without adjustment is ineffective and risky, making this incorrect.
Choice D reason: Starting oral contraceptives immediately after delivery is not recommended, especially for breastfeeding mothers, due to risks like reduced milk supply or thromboembolism. Initiation typically begins 3-6 weeks postpartum, making this incorrect and unsafe.
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