A nurse is caring for a client who has cancer the client’s adult child asks the nurse for information about the client’s treatment plan. Which of the following responses should the nurse make?

“I will ask your mother’s primary care provider to speak with you.”

“You will have to speak directly to your mother about her treatment.”

“What would you like to know about your mother’s treatment.”

“I cannot provide this information to you without your mother’s consent.”

Answer and Explanation

The Correct Answer is D

a. "I will ask your mother's primary care provider to speak with you."This response does not address the issue of confidentiality and consent. The nurse should not assume that the provider will discuss the treatment without the client's consent.

B. “You will have to speak directly to your mother about her treatment.” This response correctly redirects the child to the client but does not fully explain the importance of consent and confidentiality, which are crucial in maintaining professional and ethical standards.

C. “What would you like to know about your mother’s treatment.”This response might imply a willingness to share information without the client’s consent, which would be a violation of confidentiality and privacy laws.

D. “I cannot provide this information to you without your mother’s consent.” Correct. This response clearly states the need for the client’s consent before any information can be shared, adhering to the principles of confidentiality and the Health Insurance Portability and Accountability Act (HIPAA) regulations.

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Correct Answer is B

Explanation

a. "You must choose a member of your family to serve as your health care proxy":

This response is not accurate. While family members are often chosen as healthcare proxies, the client is not required to select a family member. The most important consideration is choosing someone who understands the client's healthcare wishes and is willing and able to advocate for them. The nurse should emphasize the importance of selecting a trusted individual, whether they are a family member or not.

b. "A health care proxy can make decisions for you when you are unable to do so":

This response is accurate. A healthcare proxy is a legal document that allows an individual to appoint someone else to make healthcare decisions on their behalf if they become unable to do so due to illness or incapacity. The nurse should explain the role of a healthcare proxy in advocating for the client's wishes and ensuring that their healthcare preferences are honored.

c. "You should appoint a health care proxy before undergoing an invasive procedure":

While it is advisable for clients to have advance directives, including a healthcare proxy, in place before undergoing any medical procedure, this response does not fully address the client's question. The timing of appointing a healthcare proxy should not be limited to specific medical procedures but should be based on the client's readiness to make such decisions and their recognition of the importance of having a designated advocate for their healthcare needs.

d. "It is necessary for an attorney to approve your health care proxy":

This response is not accurate. While it may be helpful to seek legal advice when creating advance directives, including a healthcare proxy, it is not a requirement for an attorney to approve the document. The client can typically complete a healthcare proxy form themselves, following the legal requirements of their jurisdiction. However, consulting with an attorney can provide additional guidance and ensure that the document is properly executed.

A. “I am not sure how I will pay for all the therapy I will need” B. “I hope I can adjust to using crutches while I am recovering” C. “I just don’t think I can handle looking at my leg” D. “I am worried about taking care of my toddler at home”

Correct Answer is D

Explanation

a. "I am not sure how I will pay for all the therapy I will need":

"I am not sure how I will pay for all the therapy I will need":This statement expresses a concern about financial matters related to medical expenses and therapy costs. It is relevant for social services or a financial counselor, not an occupational therapist.This indicates a need for assistance with financial planning and resources, possibly involving a social worker or a financial advisor, rather than an OT.

b. "I hope I can adjust to using crutches while I am recovering":

"I hope I can adjust to using crutches while I am recovering":This statement reflects a concern with mobility and the use of assistive devices, such as crutches, during recovery. While this is an important aspect of rehabilitation, it is typically within the scope of physical therapy (PT) rather than occupational therapy.Physical therapists specialize in improving mobility, strength, and the proper use of mobility aids. Therefore, this would be more relevant for a PT referral.

c. "I just don’t think I can handle looking at my leg":
This statement indicates emotional distress and difficulty in accepting the physical changes after the amputation. This is an important issue, but it suggests a need for psychological support rather than OT intervention.This would be more appropriate for a referral to a mental health professional or counselor to address emotional and psychological concerns related to body image and adjustment.

d. "I am worried about taking care of my toddler":

This statement highlights a concern about the client's ability to manage daily tasks and care for a dependent (in this case, a toddler) at home after the surgery. Occupational therapists specialize in helping clients adapt to daily living activities and manage home responsibilities effectively despite physical limitations.

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A nurse is caring for a client who has cancer the client’s adult child asks the nurse for information about the client’s treatment plan. Which of the following responses should the nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is D

Explanation

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