A nurse is providing counseling to a client with advanced-stage lung cancer about palliative care. Which statement from the client shows they have understood the information?

“If I choose palliative care, I can only go to the hospital if I stop breathing.”.

“I need to stop treatments for my cancer before beginning palliative care.”.

“If my oncologist recommends palliative care, it means that I have about 6 months or less to live.”.

“The purpose of palliative care is to provide comfort measures for cancer.”.

Answer and Explanation

The Correct Answer is D

Choice A rationale

The statement about only going to the hospital if the client stops breathing is incorrect. Palliative care is not limited to end-of-life care and does not restrict hospital visits to only life- threatening situations. It is a comprehensive approach to treatment that focuses on improving quality of life for patients and their families, addressing physical, psychosocial, and spiritual problems.

Choice B rationale

The statement about needing to stop treatments for cancer before beginning palliative care is incorrect. Palliative care can be provided alongside curative treatment and is not dependent on the cessation of other treatments. It is designed to alleviate symptoms and improve quality of life at any stage of illness, not just at the end of life.

Choice C rationale

The statement about having about 6 months or less to live if the oncologist recommends palliative care is incorrect. Palliative care is not only for end-of-life situations. It can be introduced at any stage of illness, even at the same time as treatment aimed at curing the disease. The goal of palliative care is to improve quality of life by providing relief from the symptoms and stress of the illness.

Choice D rationale

The statement about the purpose of palliative care being to provide comfort measures for cancer is correct. Palliative care aims to relieve symptoms and improve the quality of life for patients with serious illnesses, including advanced-stage lung cancer. It can help manage

symptoms such as pain, shortness of breath, fatigue, nausea, loss of appetite, problems with sleep, and emotional issues like anxiety and depression.

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Correct Answer is B

Explanation

The correct answer is Choice B

Choice A rationale: Referring the client to a diabetes mellitus support group is beneficial but not the initial action. The nurse should first gather information about the client's preferences and needs to tailor the intervention effectively.

Choice B rationale: Identifying the client's dietary preferences is essential for developing a personalized nutritional plan. Understanding the client's likes, dislikes, and cultural factors ensures that dietary recommendations are realistic and sustainable, promoting better adherence and management of diabetes.

Choice C rationale: Developing a nutritional program is a crucial step but should follow the assessment of the client's dietary preferences. A personalized approach based on the client's individual needs and lifestyle is necessary for effective diabetes management.

Choice D rationale: Teaching the client about appropriate food choices is important but should be done after understanding the client's dietary preferences. This ensures that the education is relevant and practical, helping the client make informed decisions about their diet

A. Providing nutrition education to employees who have a BMI of greater than 30. B. Providing education about safety and injury prevention for employees. C. Screening employees who have been exposed to high levels of noise for hearing loss. D. Coordinating disaster planning efforts at the factory.

Correct Answer is C

Explanation

Choice A rationale

Providing nutrition education to employees who have a BMI of greater than 30 is an example of primary prevention. It aims to prevent the onset of disease (in this case, obesity-related diseases) by promoting healthy behaviors.

Choice B rationale

Providing education about safety and injury prevention for employees is also an example of primary prevention. It aims to prevent injuries before they occur.

Choice C rationale

Screening employees who have been exposed to high levels of noise for hearing loss is an example of secondary prevention. Secondary prevention aims to identify and treat an illness or disease at an early stage.

Choice D rationale

Coordinating disaster planning efforts at the factory is an example of tertiary prevention. It aims to manage and mitigate the effects of a disaster, which is an existing condition.

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A nurse is providing counseling to a client with advanced-stage lung cancer about palliative care. Which statement from the client shows they have understood the information?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A home health nurse is visiting a client who has recently been diagnosed with diabetes mellitus. What should be the nurse’s initial action?

Correct Answer is B

Explanation

An occupational health nurse at a factory is planning upcoming health programs for employees. Which of the following actions demonstrates the use of secondary prevention strategies?

Correct Answer is C

Explanation

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