A nurse is caring for a client who has cancer and is terminally ill. The client reports feeling depressed. Which of the following statements should the nurse make?
"Do you need a prescription for an antianxiety medication?"
"Do you need information on hospice care?"
"Would you like to talk to a counselor about advance directives?"
"Would you like to speak to a spiritual advisor?"
The Correct Answer is B
A. While medication for anxiety may be appropriate, focusing on the emotional and spiritual aspects of care is essential for clients with terminal cancer.
B. Offering information on hospice care is an appropriate and compassionate response that provides the client with options for managing symptoms and improving quality of life at the end of life.
C. Discussing advance directives may be appropriate, but offering hospice care is a more direct and empathetic response for terminally ill clients.
D. While speaking to a spiritual advisor may be helpful, it is not the first step in addressing the client’s
expressed feelings of depression.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Recommending clients for discharge may be premature and disrupt ongoing care, potentially worsening the situation if those clients require immediate care.
B. While determining the medical needs of incoming clients through the emergency department is important, the immediate priority is ensuring sufficient staffing for the current medical needs.
C. Acting as a liaison between the facility and the media is an important role, but it is not the nurse's primary responsibility during a mass casualty event. The nurse should focus on direct patient care.
D. Calling in additional nursing staff ensures the facility has adequate personnel to care for the incoming patients, especially given the likely influx of critically ill or injured clients.
Correct Answer is B
Explanation
A. Bulging fontanels are a sign of increased intracranial pressure, not withdrawal.
B. Hypertonicity (muscle rigidity) is a common sign of neonatal withdrawal from opioids like methadone.
C. Bradycardia is not typically associated with opioid withdrawal in newborns.
D. Acrocyanosis is a normal finding in newborns and is not related to withdrawal.
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