The nurse is caring for a child who has a diagnosis of metastatic brain cancer. The father states "I can't believe this is happening to us, I feel numb." Which of the following nursing interventions by the nurse is the first priority?
Instruct the family about anticipatory grieving
Explore effective ways of family coping
Encourage the family’s expression of their feelings
Discuss the disease and its manifestations with family members
The Correct Answer is C
A. Instruct the family about anticipatory grieving: While anticipatory grieving is important, it is better addressed after the family has had time to express initial feelings.
B. Explore effective ways of family coping: This is important but should come after encouraging the family to process their immediate feelings.
C. Encourage the family’s expression of their feelings. The first priority is to allow the family to express their emotions and begin the grieving process. Encouraging emotional expression helps the family cope with the overwhelming news and facilitates their emotional support needs.
D. Discuss the disease and its manifestations with family members: While understanding the disease is essential, focusing on the family's emotional response is more critical at this initial stage of shock and grief.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Asking the client to rate the pain: Pain rating provides a subjective measure of the intervention’s effectiveness in reducing discomfort.
B. Having the client perform range-of-motion of the affected arm: This assessment is not specific to determining the effectiveness of cold therapy; it is more related to mobility or rehabilitation.
C. Monitoring the client's pulse rate: While pain can affect pulse rate, this is an indirect and nonspecific measure of pain or swelling reduction.
D. Inspecting the site for reduced swelling: Swelling reduction can be an indicator of decreased inflammation, but it does not provide a direct assessment of the client’s pain levels.
Correct Answer is A
Explanation
A. Designing and delivering educational sessions on healthy lifestyle choices and preventive measures to the community. This reflects the nurse's role in promoting health and preventing disease on a community-wide level.
B. Focusing solely on treating acute health issues as they arise within the community. Addressing acute issues is reactive and does not promote long-term health improvement.
C. Providing one-on-one medical treatment for community members who are currently experiencing chronic disease symptoms. While valuable, this action focuses on individuals rather than addressing community-wide prevention.
D. Conducting individual health screenings and providing personalized counseling for each participant. Screenings and counseling are important but do not reflect broader community-level education efforts.
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