A patient asks the nurse to make a decision for her about whether or not to continue taking hormone replacement therapy (estrogen). Which response by the nurse is most appropriate?
"I can answer any questions you have but it is up to you to make this decision."
"You should check with a doctor: I cannot give you advice about drugs."
"My friend has taken estrogen for more than 5 years without any problems."
"Herbal supplements were much better for me than prescription-strength estrogen."
The Correct Answer is A
A. The nurse should provide information and support but the decision about medical treatment should be made by the patient in consultation with their healthcare provider.
B. While it is important to refer the patient to a doctor for specific medical advice, the nurse's role is to support and provide information, not to avoid the question.
C. Personal anecdotes are not appropriate for guiding a patient's medical decisions and do not provide professional or evidence-based guidance.
D. Personal experiences with herbal supplements are not relevant and may mislead the patient.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Exceptional care alone does not specifically address the use of techniques for emotional and psychological support.
B. Understanding care does not specifically refer to the techniques used to shift emotions.
C. Certified nurses may have additional qualifications, but this choice does not specifically address the method used for emotional support.
D. Nurse-guided imagery sessions are a technique used to help patients shift from fear to calmness by guiding them through mental visualizations.
Correct Answer is B
Explanation
A. Claiming to be the only one who understands the patient blurs professional boundaries and fosters dependency.
B. Appropriate self-disclosure is brief, relevant, and used only to help the patient, maintaining professional boundaries.
C. Keeping secrets with or for a patient is not a part of professional boundaries and can lead to ethical issues.
D. Discussing intimate or personal values can breach professional boundaries and is not appropriate self-disclosure.
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