A nurse is caring for a patient who has cancer and is receiving palliative care.
Which of the following statements by the patient indicates an understanding of this type of treatment?
“This treatment should help me live a little longer and give me hope for a cure.”.
“I will continue my strict dietary plan.”.
“I am hoping this will limit my discomfort and give me the best quality of life for me.”.
“This is not working and I plan to stop treatment.”.
The Correct Answer is C
Choice A rationale
While palliative care can indeed help improve a patient’s quality of life, it is not typically aimed at curing the disease or significantly prolonging life. Instead, the focus is on managing symptoms and improving comfort. Therefore, the statement “This treatment should help me live a little longer and give me hope for a cure” does not accurately reflect the goals of palliative care.
Choice B rationale
The statement “I will continue my strict dietary plan” does not necessarily indicate an understanding of palliative care. While maintaining good nutrition can be an important part of managing some conditions, palliative care is more focused on symptom management and improving quality of life. Strict dietary restrictions may not be necessary or beneficial in a palliative care context.
Choice C rationale
The statement “I am hoping this will limit my discomfort and give me the best quality of life for me” accurately reflects the goals of palliative care. Palliative care aims to manage symptoms, including pain and discomfort, and to improve the patient’s quality of life.
Choice D rationale
The statement “This is not working and I plan to stop treatment” does not necessarily reflect an understanding of palliative care. While a patient has the right to stop treatment at any time, this decision should be based on a thorough understanding of their condition and the potential benefits and drawbacks of continuing or discontinuing treatment.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Fairness refers to treating all people equally and making decisions without favoritism or prejudice. This is not the most fitting answer because the scenario does not provide information about the nurse treating all patients equally.
Choice B rationale
Confidence in nursing involves trust in one’s abilities and clinical judgment. Although confidence is important in all nursing actions, this scenario does not specifically highlight the nurse’s confidence.
Choice C rationale
Advocacy in nursing refers to the nurse’s role in standing up for the rights and needs of their patient. While notifying the provider could be seen as a form of advocacy, the nurse’s actions in this scenario are more closely aligned with accountability.
Choice D rationale
Accountability in nursing refers to the responsibility of nurses to execute their duties according to standards, being answerable for their actions. In this scenario, the nurse demonstrates accountability by acknowledging the medication error, assessing the patient for any adverse effects, and reporting the incident.
Correct Answer is A
Explanation
Choice A rationale
Locking the wheels on the patient’s bed is a safety measure that should be taken to prevent the bed from moving during the transfer.
Choice B rationale
Positioning the chair at a 90-degree angle to the bed could make the transfer more difficult. It’s usually recommended to position the chair parallel to the bed.
Choice C rationale
Elevating the patient’s bed isn’t typically necessary for a transfer and could potentially make the transfer more difficult.
Choice D rationale
Placing the chair on the patient’s left side, the side of the patient’s weakness, could make the transfer more difficult. It’s usually recommended to lead with the patient’s stronger side.
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