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 information on hospice care?"
"Do you need a prescription for an antianxiety medication?"
"Would you like to talk to a counselor about advance directives?"
"Would you like to speak to a spiritual advisor?"
The Correct Answer is D
A. "Do you need information on hospice care?" While hospice care is important for terminally ill patients, this question may not directly address the client's feelings of depression or their immediate emotional needs.
B. "Do you need a prescription for an antianxiety medication?" This statement may not be appropriate at this time, as it suggests a focus on medication rather than exploring the client's feelings. It’s important to first assess the client’s emotional needs and discuss therapy options.
C. "Would you like to talk to a counsellor about advance directives?" This question shifts the focus from the client's feelings of depression to advance care planning, which may not be the most relevant topic at this moment.
D. "Would you like to speak to a spiritual advisor?" This statement acknowledges the client's emotional state and offers a supportive option for exploring feelings of depression, which can be beneficial for those facing terminal illness. Spiritual support can provide comfort and help the client process their emotions during this difficult time.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A) Abdomen: Assessing skin turgor on the abdomen in older adults is not recommended due to the natural loss of elasticity in this area, which can lead to inaccurate results.
B) Neck: The neck is also not an ideal location for assessing skin turgor in older adults, as the skin in this area can be affected by age-related changes, leading to unreliable assessments.
C) Sternum: The sternum is a preferred site for assessing skin turgor in older adults. The skin in this area tends to retain its elasticity better than other areas, providing a more accurate assessment of hydration status.
D) Shoulder: The shoulder is not commonly used for assessing skin turgor in older adults, as it may not provide reliable results due to age-related changes in skin elasticity. The sternum remains the best option for this assessment.
Correct Answer is D
Explanation
A. Enhanced mood: While a better mood can be beneficial for overall well-being, it is not a direct measure of donepezil's effectiveness, which primarily targets cognitive function.
B. Increased food intake: Improved appetite may occur, but it is not a primary indication of the effectiveness of donepezil, which focuses on cognitive enhancement.
C. Can perform ADLs independently: Although increased independence in activities of daily living (ADLs) is positive, it may not solely be attributed to donepezil, as various factors affect a person's ability to perform ADLs.
D. Improved short-term memory: This is the most direct indicator of donepezil's effectiveness, as the medication is designed to improve cognitive function, particularly in individuals with Alzheimer’s disease or other types of dementia. Enhanced short-term memory directly reflects the intended therapeutic effect of the medication.
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