A nurse is developing a care plan for Mrs. Thompson who is in the end-of-life stage. After assessing the client, the nurse has identified several potential problems. Which of the following hypotheses should the nurse prioritize when planning care for this client?

The client may benefit from additional laboratory tests to monitor disease progression.

The client may experience pain and discomfort due to the progression of their illness.

The client may need increased physical therapy sessions to maintain mobility.

The client may have elevated blood pressure due to an acute exacerbation of their condition.

Answer and Explanation

The Correct Answer is B

A. Additional laboratory tests: While monitoring is essential, at this stage, the priority is comfort, not disease progression.

B. Pain and discomfort: Mrs. Thompson is nearing the end of life and likely experiencing pain due to her advanced metastatic cancer. Pain management should always be a priority in palliative care.

C. Physical therapy: Physical therapy is not typically a priority in the end-of-life stage where the focus is on comfort rather than mobility.

D. Elevated blood pressure: This is unlikely to be the primary concern at this stage. Blood pressure is usually low, and interventions should be focused on comfort and symptom relief.

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Correct Answer is C

Explanation

A. "I will review my actions at the end of the day in the team huddle.": While team reflection is valuable, addressing personal biases requires individual introspection beyond group discussions.

B. "I should treat all patients the same way to avoid favoritism and ensure fairness.": Treating all patients identically may overlook individual needs and perpetuate bias by failing to address unique vulnerabilities.

C. "I will reflect on my responses and thoughts when meeting new clients." Self-reflection is a key strategy for identifying and addressing personal biases, ensuring that care is equitable and patient-centered.

D. "I believe that my professional training is sufficient, so personal biases will not affect my care.": Professional training does not automatically eliminate personal biases. Active reflection is necessary.

A. Use materials written in the client's spoken language. B. Choose materials that include culturally relevant information and examples. C. Use materials written at a twelve-grade level. D. Use pictures. E. Provide a variety of educational materials.

Correct Answer is ["A","B","D","E"]

Explanation

A. Use materials written in the client's spoken language. Providing information in the client's preferred language ensures understanding and facilitates informed decision-making.

B. Choose materials that include culturally relevant information and examples. Cultural relevance helps the client relate to and understand the information in a meaningful way.

C. Use materials written at a twelve-grade level: Educational materials should generally be written at a 5th to 6th-grade reading level to ensure accessibility for a broad audience.

D. Use pictures. Pictures can enhance comprehension by providing visual aids, especially for clients with limited language proficiency.

E. Provide a variety of educational materials. Offering materials in multiple formats (e.g., written, visual, or video) accommodates different learning preferences.

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A nurse is developing a care plan for Mrs. Thompson who is in the end-of-life stage. After assessing the client, the nurse has identified several potential problems. Which of the following hypotheses should the nurse prioritize when planning care for this client?

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Naxlex Comprehensive Predictor Exams

A nurse is reflecting on their own personal attitudes about vulnerable populations. Which of the following statements demonstrates an attempt by the nurse to minimize judgment and bias when caring for clients?

Correct Answer is C

Explanation

A nurse is preparing a teaching plan for a client who speaks limited English and is scheduled for a surgical procedure. Which of the following guidelines should the nurse plan to use when selecting written educational materials for the client? (Select all that apply.)

Correct Answer is ["A","B","D","E"]

Explanation

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