A nurse is caring for a client who was recently admitted to hospice care and tells the nurse, “I am going to die and my family is hoping for a cure.
I am mad that they behave like everything will be fine.” Which of the following responses should the nurse make?
“Why do you think they don’t know what’s happening?”
“It sounds like you have given up and want to stay mad at your family.”.
“I think you and I need to talk about your anger with your family.”
“You are feeling angry that your family continues to wish for a cure?”
The Correct Answer is D
The correct answer is choice D. “You are feeling angry that your family continues to wish for a cure?”.
This response reflects the client’s feelings and encourages further communication.
It also shows empathy and respect for the client’s situation.
Choice A is wrong because it implies that the client is responsible for their family’s lack of understanding.
It may also make the client feel defensive or guilty.
Choice B is wrong because it is judgmental and dismissive of the client’s feelings.
It may also discourage the client from expressing their emotions.
Choice C is wrong because it focuses on the nurse’s needs rather than the client’s.
It may also sound intrusive or presumptuous to the client.
Hospice care is for people who are in the final stages of an incurable illness and want to focus on comfort and quality of life rather than curative treatments.
Hospice care teams provide physical, emotional, social, and spiritual support to clients and their families.
Hospice care can be provided at home, in a hospital, in a nursing home, or in a specialized hospice center.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
The correct answer is choice D. The nurse should respect the client’s autonomy and offer assistance if needed.
The nurse should also assess the client’s pain level and provide adequate pain relief before helping the client get out of bed.
Choice A is wrong because it implies that the client is in pain and needs medication, which may not be true.
The nurse should ask the client about their pain level and offer medication if appropriate.
Choice B is wrong because it dismisses the client’s feelings and does not address the underlying issue of why the client does not want to be touched.
Choice C is wrong because it may make the client feel defensive or interrogated.
The nurse should use open-ended questions and active listening to explore the client’s concerns and fears.
According to web sources, postoperative care involves monitoring and managing the client’s vital signs, pain, wound healing, fluid and electrolyte balance, bowel and bladder function, mobility, and psychological status.
The nurse should also educate the client about self-care, wound care, activity restrictions, medication use, signs of complications, and follow-up appointments.
The nurse should also provide emotional support and reassurance to the client and their family.
Correct Answer is A
Explanation
The client’s oxygen saturation is 88% on 2 L/min of oxygen via nasal cannula, which is below the normal range of 95% to 100%.
This could indicate that the client is not receiving enough oxygen or that the pulse oximeter is not working properly.
The nurse should first check the sensor probe for any problems, such as poor attachment, nail polish, cold extremities, or motion artifact.
Repositioning the sensor probe may improve the accuracy of the reading and help the nurse determine the next course of action.
Choice B. Apply a cooling blanket to the client is wrong because a cooling blanket is used to lower the body temperature of a client with fever or hyperthermia.
It has no effect on the oxygen saturation level.
Choice C. Place the client in a side-lying position is wrong because a side-lying position may not improve the oxygenation of the client.
A more appropriate position would be a high Fowler’s position, which allows for maximum lung expansion and gas exchange.
Choice D. Ambulate the client is wrong because ambulating the client may worsen the oxygen saturation level if the client has a respiratory condition that causes hypoxemia.
The nurse should assess the client’s respiratory status and oxygen therapy before ambulating the client.
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