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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Related Questions
Correct Answer is C
Explanation
A. Placing a yellow bracelet is a common practice for identifying clients at risk for falls and is not considered malpractice.
B. Administering potassium via IV bolus can be dangerous, but it is a matter of scope of practice and guidelines rather than malpractice unless done incorrectly.
C. Leaving a nasogastric tube clamped after administering oral medication is an example of malpractice as it could result in aspiration or improper medication absorption.
D. Documenting communication with a provider in the medical record is standard practice.
Correct Answer is B
Explanation
A. Discussing stress management strategies such as relaxation exercises is more appropriate in later stages of the relationship, once trust is established.
B. Establishing roles in the initial session is key to a successful therapeutic relationship. The client and
nurse should understand each other’s roles and expectations to foster clear communication and trust.
C. Teaching relaxation exercises may be helpful, but it should come after setting the groundwork for a trusting relationship in the orientation phase.
D. Discussing resources can be beneficial, but it is premature in the orientation phase before the therapeutic relationship is solidified.
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