A nurse is caring for a client whose family just learned that he has terminal pancreatic cancer. The family requests the diagnosis be withheld from the client. Which of the following actions should the nurse take first?

Assist the client to make autonomous decisions about his treatment options.

Reflect on her own opinion about withholding the diagnosis from him.

Inform the family that he has a legal right to be informed of his diagnosis.

Determine the family's reasons for not telling him about his diagnosis.

Answer and Explanation

The Correct Answer is D

A. Assist the client to make autonomous decisions about his treatment options. Assisting the client to make autonomous decisions is important, but it cannot be done effectively until the client is aware of his diagnosis. This action would follow once the client is informed.
B. Reflect on her own opinion about withholding the diagnosis from him. Reflecting on her own opinion can help the nurse understand her biases but does not directly address the family's request or the client's immediate needs.
C. Inform the family that he has a legal right to be informed of his diagnosis. Informing the family about the client's legal right is essential, but first, the nurse should understand the family's perspective and concerns.
D. Determine the family's reasons for not telling him about his diagnosis. This is correct. Understanding the family's reasons provides context and helps the nurse address their concerns appropriately while advocating for the client’s right to know his diagnosis.

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Correct Answer is D

Explanation

To calculate the BMI:

Convert weight to kilograms: 90 kg (198 lb)
Convert height to meters: 160 cm = 1.6 m
Use the BMI formula: BMI = weight (kg) / height (m)^2

BMI = 90 / (1.6)^2 BMI = 90 / 2.56 BMI ≈ 35.2

A. Overweight: Overweight is typically classified with a BMI from 25 to 29.9. This BMI is higher.
B. Extremely obese: The term "extremely obese" is not commonly used. The classification for a BMI above 40 would be "extremely obese."
C. Normal: A normal BMI ranges from 18.5 to 24.9. The calculated BMI is higher than this range.
D. Obese: A BMI of 35.2 falls into the category of obesity (30 to 39.9).

A. Osteoarthritis B. Emphysema C. Hyperthyroidism D. Hypotension

Correct Answer is A

Explanation

A. Osteoarthritis Obesity increases the stress on weight-bearing joints, leading to degeneration and increased risk of osteoarthritis.
B. Emphysema This condition is primarily related to smoking and other respiratory irritants, not directly to obesity.
C. Hyperthyroidism Obesity is typically associated with hypothyroidism, not hyperthyroidism.
D. Hypotension Obesity is more commonly associated with hypertension (high blood pressure), not hypotension (low blood pressure).

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A nurse is caring for a client whose family just learned that he has terminal pancreatic cancer. The family requests the diagnosis be withheld from the client. Which of the following actions should the nurse take first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is A

Explanation

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