A nurse is caring for a client who has just received a terminal cancer diagnosis from his provider.

Which of the following actions should the nurse take?

Change the subject when the client becomes upset.

Discourage the client from forming new relationships.

Allow the client unlimited time for the grieving process

Offer the client advice about various treatment choices.

Answer and Explanation

The Correct Answer is C

A.   Changing the subject when the client becomes upset may invalidate their feelings and hinder emotional expression and processing.
B.   Discouraging the client from forming new relationships may deprive the client of potentially meaningful connections during their remaining time.
C.   Allowing the client unlimited time for the grieving process acknowledges the client's emotional response to their diagnosis and respects their individual needs and coping mechanisms.

D. Offering advice about treatment choices may be appropriate in some situations but should be done in collaboration with the client's healthcare team and in consideration of their wishes and values.

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Correct Answer is B

Explanation

- Choice A Rationale: This statement does not indicate spiritual distress. On the contrary, it suggests that the client's faith is a source of strength and hope, which is typically a sign of positive spiritual well-being.
- Choice B Rationale:

This statement suggests a disruption in the client's spiritual practices, which could lead to spiritual distress as it interferes with a meaningful coping mechanism.

- Choice C Rationale: Similar to choice A, this statement reflects a positive aspect of the client's spirituality. Finding comfort in meditation is indicative of a beneficial spiritual practice and does not suggest distress.
- Choice D Rationale:

This reflects active spiritual support, which is helpful during illness and not indicative of spiritual distress.

A. "Have you been thinking about harming yourself?" B. "Why do you feel like things will never work out?" C. “You should try to focus on yourself for a change." D. “Maybe an antidepressant will make you feel better."

Correct Answer is A

Explanation

A. This response directly addresses the potential for self-harm, which is a critical concern when a client expresses hopelessness. It is an open-ended question that invites the client to discuss their feelings and provides the nurse with information to assess the client's safety.
B. Asking the client a why question may not be alright and this may make them to be guarded.
C. This response may come off as dismissive and lacks empathy towards the client's feelings.
D. Suggesting medication without further assessment is premature and may not address the root cause of the client's statement.

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A nurse is caring for a client who has just received a terminal cancer diagnosis from his provider. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing the spiritual beliefs of a client. Which of the following client statements indicates spiritual distress?

Correct Answer is B

Explanation

A nurse is caring for a client who states, "Things will never work out." Which of the following responses should the nurse make?

Correct Answer is A

Explanation

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A nurse is caring for a client who has just received a terminal cancer diagnosis from his provider.

Which of the following actions should the nurse take?