A nurse is setting goals for a patient who has Stage 4 Breast cancer, is in hospice care, and is at the end of life.
Which of the following are realistic goals?
The patient will increase attendance at community social activities.
The patient will receive medication to minimize episodes of breakthrough pain.
The patient will experience a weight gain of one to two pounds per week.
The patient will verbalize an understanding of the mode of disease transmission.
The Correct Answer is B
Choice A rationale
Increasing attendance at community social activities may not be a realistic goal for a patient in hospice care with Stage 4 breast cancer. The patient’s physical condition and energy levels may limit their ability to participate in such activities.
Choice B rationale
Receiving medication to minimize episodes of breakthrough pain is a realistic and important goal for a patient in hospice care. Effective pain management is a key aspect of end-of-life care.
Choice C rationale
Experiencing a weight gain of one to two pounds per week may not be a realistic goal for a patient in hospice care with Stage 4 breast cancer. Patients at this stage of illness often experience weight loss, not gain.
Choice D rationale
Verbalizing an understanding of the mode of disease transmission may not be a relevant goal for a patient in hospice care with Stage 4 breast cancer. The focus of care at this stage is typically on comfort and quality of life, rather than disease education.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
A wrist fracture is a physical stressor, not a psychological one. It involves damage to the body’s structures.
Choice B rationale
A burn injury, like a wrist fracture, is a physical stressor. It involves physical harm to the body.
Choice C rationale
Financial difficulties are a type of psychological stressor. They involve challenges and worries related to money, which can cause mental and emotional stress.
Choice D rationale
Hypothermia is a physical stressor. It involves a dangerously low body temperature and is a medical emergency.
Correct Answer is A
Explanation
Choice A rationale
Eating food that is either very warm or very cold can trigger pain in individuals with trigeminal neuralgia. Therefore, if a client made this statement, it would indicate the need for further teaching.
Choice B rationale
Chewing on the unaffected side can help minimize episodes of pain in trigeminal neuralgia.
Choice C rationale
Rinsing the mouth if tooth brushing is too painful is a good strategy for managing trigeminal neuralgia.
Choice D rationale
Washing the face with cotton pads can help minimize episodes of pain in trigeminal neuralgia.
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