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?"

Answer and Explanation

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.

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Correct Answer is C

Explanation

A) An occupational therapist focuses on helping clients regain independence in daily activities and may assist with adaptive techniques for self-care. However, for a client with dysphagia, their primary need is related to swallowing, not daily tasks.

B) A physical therapist specializes in mobility and physical function. While they play an important role in overall physical health, they are not the primary resource for addressing dysphagia, which involves the swallowing process.

C) Consulting a speech-language pathologist is the priority. This professional specializes in communication and swallowing disorders. They can assess the severity of the dysphagia and recommend safe swallowing techniques or interventions to reduce the risk of aspiration, making them essential in the management of a client with amyotrophic lateral sclerosis.

D) A dietitian can provide guidance on nutrition and diet modifications to accommodate dysphagia. While important, the immediate priority is to address the swallowing difficulties through evaluation and intervention by a speech-language pathologist.

A. Assault B. Libel C. Negligence D. Battery

Correct Answer is A

Explanation

A) Assault:Assault refers to an intentional act that creates a reasonable apprehension of imminent harmful or offensive contact. In this scenario, the newly licensed nurse’s statement about inserting a urinary catheter if the client does not void can be perceived as a threat, causing the client to fear an unwanted procedure.

B) Libel:Libel involves making false, defamatory statements in written form that harm someone’s reputation. This option is not applicable in this context, as the nurse’s statement was verbal and did not involve written defamation.

C) Negligence:Negligence occurs when a healthcare provider fails to meet the standard of care, resulting in harm to the client. While the nurse’s statement may be inappropriate, it does not constitute negligence, as it does not involve a breach of the standard of care leading to harm.

D) Battery:Battery involves intentional physical contact with another person without their consent. In this case, the nurse has not yet performed any physical act, so battery has not occurred. The threat alone constitutes assault, not battery.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is updating the plan of care for a client who has amyotrophic lateral sclerosis with dysphagia. Which of the following interprofessional team members should the nurse identify as the priority to consult?

Correct Answer is C

Explanation

A charge nurse is observing a newly licensed nurse provide care for a client who is postoperative. The newly licensed nurse tells the client that she will insert a urinary catheter if the client will not void. Which of the following torts should the charge nurse identify as having occurred?

Correct Answer is A

Explanation

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