A nurse is reinforcing teaching about palliative care to a client who has cancer. Which of the following statements should the nurse make?

"It is for clients who are given 6 months or less to live."

"It includes restriction of nutritional support."

"It enhances quality of life by promoting comfort."

"It is for clients who have a terminal illness."

Answer and Explanation

The Correct Answer is C

Palliative care is an approach to care that focuses on improving the quality of life for individuals with serious or life-threatening illnesses. It aims to provide relief from pain, symptoms, and stress, rather than focusing solely on curing the underlying disease. Palliative care can be provided alongside curative treatments and is not limited to clients with a specific life expectancy.

It does not involve the restriction of nutritional support but rather aims to address the overall physical, emotional, and spiritual needs of the client.

While palliative care may be provided to clients with terminal illnesses, it is not exclusive to them, as it can be initiated at any stage of a serious illness.

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Correct Answer is A

Explanation

Displacement is a defense mechanism where a person redirects their emotional impulses, such as anger or frustration, from the original source to a less threatening or more accessible target. In this scenario, the client is redirecting their anger towards the nurse when medication changes are prescribed by the provider. The nurse becomes the target of the client's anger, even though the nurse is not directly responsible for the medication changes.

Conversion is a defense mechanism where psychological distress is expressed as physical symptoms or ailments.

Splitting is a defense mechanism where a person sees things as either all good or all bad, with no middle ground or ambivalence.

Sublimation is a defense mechanism where unacceptable impulses or behaviors are channeled into socially acceptable and constructive outlets.

A. Complete an incident report. B. Notify the client's provider. C. Document the fall in the client's medical record. D. Measure the client's vital signs.

Correct Answer is D

Explanation

The first action the nurse should take in this situation is to assess the client's condition for any injuries or signs of distress. Therefore, the nurse should measure the client's vital signs to determine if there are any immediate concerns such as hypotension or tachycardia. After ensuring the client's safety and addressing any immediate needs, the nurse should complete an incident report and document the fall in the client's medical record. The provider may also need to be notified depending on the severity of the fall and any resulting injuries.

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A nurse is reinforcing teaching about palliative care to a client who has cancer. Which of the following statements should the nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has bipolar disorder. The client yells at the nurse whenever medication changes are prescribed by the client's provider. The nurse should identify that the client is using which of the following defense mechanisms?

Correct Answer is A

Explanation

A nurse enters a client's room and finds her sitting on the floor next to the shower. The client states that she slipped on some water outside of the shower. Which of the following actions should the nurse take first?

Correct Answer is D

Explanation

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