A nurse is providing teaching to a client who has a new diagnosis of amyotrophic lateral sclerosis (ALS). Which of the following client statements indicates an understanding of the teaching?

"I need to make sure other members of my family get immunized against the disease."

"Since I will stay in the hospital, I should begin the process of selling my home."

"I will need to begin hospice care immediately."

"I would like to talk to someone about creating a living will."

Answer and Explanation

The Correct Answer is D

Choice A rationale:

Other family members or close contacts may consider immunization, but it is not directly related to the client's ALS diagnosis.

Choice B rationale:

Since the client has a new diagnosis of ALS, the immediate focus should not be on selling their home, but rather on understanding and managing the disease.

Choice C rationale:

Requiring hospice care immediately is not a standard recommendation for a client with ALS. The client's disease progression and needs will be assessed to determine the appropriate level of care.

Choice D rationale:

Creating a living will is important for clients with a terminal illness like ALS, as it allows them to express their wishes for medical treatment and care preferences in advance.

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Correct Answer is ["B","C","D"]

Explanation

Choice A rationale:

Asking the client to explain what she is hearing may not be helpful, as the client's perception of the hallucinations may not match reality.

Choice B rationale:

Conveying empathy is important to establish a therapeutic relationship and provide emotional support.

Choice C rationale:

Encouraging the client to listen to music through headphones can help distract from auditory hallucinations.

Choice D rationale:

Speaking simply and clearly when communicating helps the client understand and process information more effectively.

Choice E rationale:

Using therapeutic touch might not be appropriate for all clients and should be based on the client's preferences and comfort level.

A. The client's parent B. The client's grandparent C. The client's older sibling D. The client's spouse

Correct Answer is A

Explanation

Choice A rationale:

The client's parent is typically the legal decision-maker for a 19-year-old client who is unable to make decisions due to their condition. Approaching the client's parent about considering organ donation is appropriate.

Choice B rationale:

While family dynamics can vary, the parent is usually the primary decision- maker for a minor or incapacitated individual. The grandparents may be consulted or involved in the decision-making process, but the parent's consent is generally required for organ donation.

Choice C rationale:

The client's older sibling may be consulted or involved in the decision- making process, but the parent's consent is generally required for organ donation.

Choice D rationale:

The client's spouse may be consulted or involved in the decision-making process, but the parent's consent is generally required for organ donation.

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A nurse is providing teaching to a client who has a new diagnosis of amyotrophic lateral sclerosis (ALS). Which of the following client statements indicates an understanding of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is developing a plan of care for a client who has schizophrenia and is experiencing auditory hallucinations. Which of the following actions should the nurse plan to take? (Select all that apply.)

Correct Answer is ["B","C","D"]

Explanation

A nurse is caring for a 19-year-old client who is dying following a motor vehicle crash. Which of the following individuals should the nurse approach first about considering organ donation?

Correct Answer is A

Explanation

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