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 C
Explanation
A. Encouraging client feedback about satisfaction with the facility experience: This reflects client-centered care but does not directly demonstrate autonomy.
B. Explaining unit rules and policies regarding unacceptable behaviors: This action involves setting expectations rather than promoting client autonomy.
C. Supporting the client's wish to refuse prescribed medications. Autonomy involves respecting a client's right to make their own decisions about their care, including the decision to refuse treatment, as long as they have the capacity to do so.
D. Making sure the client understands expectations for client participation: This is about ensuring clarity of expectations rather than honoring the client's right to self-determination.
Correct Answer is B
Explanation
A. Pain that has been present for more than six months and is associated with ongoing tissue damage: This describes chronic pain, which persists over time and is not indicative of acute pain.
B. Pain that occurs suddenly and is typically related to a specific injury or trauma. Acute pain is characterized by its sudden onset, often associated with a specific cause, such as injury or surgery.
C. Pain that fluctuates in intensity and is often accompanied by changes in mood and behavior: This describes chronic pain, which may have episodic flare-ups and can impact emotional well-being.
D. Pain that is described as dull and persists despite the absence of an obvious cause: This is more indicative of chronic pain, which may not be directly linked to ongoing tissue damage.
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