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.
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Encouraging client feedback about satisfaction with the facility experience: This reflects client-centered care but does not directly demonstrate autonomy.
B. Explaining unit rules and policies regarding unacceptable behaviors: This action involves setting expectations rather than promoting client autonomy.
C. Supporting the client's wish to refuse prescribed medications. Autonomy involves respecting a client's right to make their own decisions about their care, including the decision to refuse treatment, as long as they have the capacity to do so.
D. Making sure the client understands expectations for client participation: This is about ensuring clarity of expectations rather than honoring the client's right to self-determination.
Correct Answer is C
Explanation
A. Spirituality can increase depression: Spirituality often alleviates, rather than increases, depression.
B. Spirituality can increase feelings of hopelessness: Spirituality typically fosters hope and comfort.
C. Spirituality can increase emotional and psychological comfort. Spirituality often helps individuals find meaning, peace, and connection during end-of-life care, improving emotional and psychological well-being.
D. Spirituality can increase the desire to hasten death: Spirituality generally supports coping and a peaceful end-of-life experience rather than a desire to hasten death.
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