A nurse is reinforcing teaching with the adult children of a client who is receiving palliative care.
Which of the following statements by one of the adult children indicates an understanding of the teaching?
“We won’t allow her spiritual advisor to visit during this time.”.
“We will receive emotional support during our mother’s illness.”.
“We won’t discuss the illness in the presence of our mother.”.
“We will provide resuscitation to our mother if necessary.”.
The Correct Answer is B
The correct answer is choice B. Palliative care is a type of care that improves the quality of life of patients and their families who are facing problems associated with life-threatening illness.
It prevents and relieves suffering through the early identification, correct assessment and treatment of pain and other problems, whether physical, psychosocial or spiritual.
Palliative care also provides emotional support to the patients and their families during the illness.
Therefore, choice B indicates an understanding of the teaching.
Choice A is wrong because it contradicts the goal of palliative care to address the spiritual needs of the patients and their families.
Spiritual advisors can help patients cope with their illness and find meaning and purpose in their situation.
Choice C is wrong because it denies the patient the opportunity to express their feelings and concerns about their illness.
Palliative care involves open and honest communication between the patients, their families and the health care team.
Discussing the illness can help patients make informed decisions about their care and prepare for the end of life.
Choice D is wrong because it goes against the principle of palliative care to respect the patient’s wishes and preferences regarding their treatment.
Resuscitation is a procedure that attempts to revive someone from apparent death or unconsciousness.
Some patients may not want resuscitation if they have a terminal illness or a poor quality of life.
They may have an advance directive or a living will that states their preferences for end-of-life care.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
The correct answer is choice D. “You are feeling angry that your family continues to wish for a cure?”.
This response reflects the client’s feelings and encourages further communication.
It also shows empathy and respect for the client’s situation.
Choice A is wrong because it implies that the client is responsible for their family’s lack of understanding.
It may also make the client feel defensive or guilty.
Choice B is wrong because it is judgmental and dismissive of the client’s feelings.
It may also discourage the client from expressing their emotions.
Choice C is wrong because it focuses on the nurse’s needs rather than the client’s.
It may also sound intrusive or presumptuous to the client.
Hospice care is for people who are in the final stages of an incurable illness and want to focus on comfort and quality of life rather than curative treatments.
Hospice care teams provide physical, emotional, social, and spiritual support to clients and their families.
Hospice care can be provided at home, in a hospital, in a nursing home, or in a specialized hospice center.
Correct Answer is D
Explanation
The correct answer is choice D. Unequal height of the shoulders.
This is because scoliosis is a condition characterized by sideways curvature of the spine that can cause asymmetry of the shoulders, shoulder blades, and hips.
A scoliosis screening is a test that checks for this asymmetry by having the child bend forward from the waist and looking for any prominence of the rib cage or the spine.
Choice A is wrong because expansion of the upper intercostal spaces is not a sign of scoliosis, but rather a sign of hyperinflation of the lungs due to conditions such as asthma or emphysema.
Choice B is wrong because increased convex curve of the cervical spine is not a sign of scoliosis, but rather a sign of kyphosis, which is an excessive outward curvature of the upper spine.
Choice C is wrong because increased concave curve of the thoracic spine is not a sign of scoliosis, but rather a sign of lordosis, which is an excessive inward curvature of the lower spine.
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