A nurse is speaking with the adult child of a client who is terminally ill and has decided to discontinue further treatment. The adult child states, "I am not going to let this happen." Which of the following responses should the nurse make?
"Maybe you should try obtaining power of attorney to make the decisions."
"You must be devastated that your parent wants to stop treatment."
"We have to respect the wishes of your parent."
"I also feel really bad about this situation."
The Correct Answer is C
C. It promotes patient-centered care and acknowledges the client's right to make decisions about their own care, especially regarding end-of-life choices. This response supports ethical principles of autonomy and beneficence.
A. While obtaining power of attorney can be important for legal decision-making, this response may not address the emotional and supportive needs of the adult child or the family in this moment of distress and decision-making about end-of-life care.
B. It shows empathy and understanding of the adult child's feelings. However, it does not directly address the need to respect the client's wishes or provide guidance on how to navigate the situation practically.
D While it shows empathy, it may not fully address the needs of the adult child in terms of understanding and navigating the client's decision to discontinue treatment. The focus should be on supporting the family's emotional needs and facilitating communication about the client's wishes.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
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Correct Answer is C
Explanation
C. Diarrhea is one of the most common adverse effects of clindamycin. It can range from mild to severe and may be accompanied by abdominal cramping, bloating, and occasionally fever. This occurs due to the disruption of the normal gut flora by clindamycin, leading to overgrowth of Clostridium difficile or other bacteria.
A. Clindamycin primarily affects the gastrointestinal tract and can cause gastrointestinal disturbances rather than cardiovascular effects like hypertension.
B. While agitation is a possible adverse effect of medications, including antibiotics, it is not commonly associated with clindamycin. Clindamycin does not typically affect the central nervous system to cause agitation.
D. Blurred vision is not a typical adverse effect of clindamycin. It is important to assess this symptom further, as it may indicate another underlying condition or medication effect that needs evaluation.
Correct Answer is C
Explanation
C. It promotes patient-centered care and acknowledges the client's right to make decisions about their own care, especially regarding end-of-life choices. This response supports ethical principles of autonomy and beneficence.
A. While obtaining power of attorney can be important for legal decision-making, this response may not address the emotional and supportive needs of the adult child or the family in this moment of distress and decision-making about end-of-life care.
B. It shows empathy and understanding of the adult child's feelings. However, it does not directly address the need to respect the client's wishes or provide guidance on how to navigate the situation practically.
D While it shows empathy, it may not fully address the needs of the adult child in terms of understanding and navigating the client's decision to discontinue treatment. The focus should be on supporting the family's emotional needs and facilitating communication about the client's wishes.
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