The family of a client that has been diagnosed with terminal cancer decided not to inform the client of the prognosis.
What is the most appropriate action for a nurse to take when the client repeatedly asks about prognosis?
Discuss the client’s frequent questions with the family and health care provider.
Respect the family’s wishes and deny the client has a terminal condition.
Encourage the client to think positive thoughts and use distraction techniques.
Honestly tell the client the condition is terminal so preparations can be made.
The Correct Answer is A
This is the most appropriate action because it respects the client’s right to know and the family’s right to privacy.
It also allows the nurse to collaborate with the family and the healthcare provider to provide the best care for the client.
Choice B is wrong because it violates the client’s autonomy and dignity.
It also prevents the client from making informed decisions about end-of-life care.
Choice C is wrong because it denies the reality of the situation and does not address the client’s concerns.
It also may increase the client’s anxiety and frustration.
Choice D is wrong because it disregards the family’s wishes and cultural values.
It also may cause harm to the client and the family by breaking their trust and creating conflict.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
This is because the nurse should always follow the ABC (airway, breathing, circulation) priority when dealing with a client who suddenly slumps over. The nurse should check if the client is conscious and breathing before calling for help or moving the client.
Choice A is wrong because calling the rapid response team should not be done before assessing the client’s condition and ensuring a patent airway.
Choice B is wrong because moving the client to the bed may cause further harm or aspiration if the client has food in the mouth or airway.
Choice C is wrong because calling the primary care provider is not a priority action in this situation. The nurse should first assess and stabilize the client before notifying the provider.
Correct Answer is C
Explanation
Orthostatic hypotension noted with dangling.
This means that the client’s blood pressure drops when changing position from lying down to sitting or standing. This can cause symptoms such as paleness, sweating, rapid pulse, weakness, and dizziness.
The nurse should document this finding and report it to the physician.
Choice A is wrong because a normal reaction to a position change would not cause such severe symptoms.
Choice B is wrong because the gait belt applied is not a finding but an intervention.
Choice D is wrong because elevated blood sugar probable is not a finding but a speculation.
Choice E is wrong because spot accucheck obtained is not a finding but an action.
Choice F is wrong because fear of falling expressed by a client is not a finding related to the client’s vital signs or physical condition.
Choice G is wrong because provided reassurance is not a finding but a nursing measure.
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