The nurse is caring for a client who has been placed on hospice care. Which statement by the client indicates a need for further education?

I am so relieved that my family can be with me when I die.

I will have pain medicine available when I need it.

In a few months, I will be strong enough to travel to my cabin and go fishing.

I will be able to be in my own bed and home until I die.

Answer and Explanation

The Correct Answer is C

Choice A Reason: I am so relieved that my family can be with me when I die

This statement reflects an accurate understanding of hospice care. Hospice care often allows patients to be surrounded by their loved ones during their final days. It emphasizes comfort and support, ensuring that the patient is not alone.

Choice B Reason: I will have pain medicine available when I need it

This statement is also correct. One of the primary goals of hospice care is to manage pain and other symptoms to ensure the patient’s comfort. Pain management is a critical component of hospice care, and medications are readily available to address the patient’s needs.

Choice C Reason: In a few months, I will be strong enough to travel to my cabin and go fishing

This statement indicates a need for further education. Hospice care is typically provided to patients who have a life expectancy of six months or less and who are no longer seeking curative treatment. The focus is on comfort and quality of life rather than recovery or improvement in physical strength. The expectation of becoming strong enough to travel and engage in activities like fishing is unrealistic in the context of hospice care.

Choice D Reason: I will be able to be in my own bed and home until I die

This statement is accurate. Hospice care often allows patients to remain in their own homes, surrounded by familiar surroundings and loved ones. The goal is to provide a comfortable and supportive environment for the patient during their final days.

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Correct Answer is C

Explanation

Choice A Reason: Anorexia Nervosa

Anorexia nervosa is an eating disorder characterized by an intense fear of gaining weight and a distorted body image, leading to restricted food intake and excessive weight loss. Individuals with anorexia nervosa often have a relentless pursuit of thinness and may engage in extreme dieting, excessive exercise, and other behaviors to lose weight. While eliminating specific foods can be a part of anorexia nervosa, the primary focus is on weight loss and body image rather than the purity or healthiness of the food.

Choice B Reason: Rumination Disorder

Rumination disorder involves the repeated regurgitation of food, which may be re-chewed, re-swallowed, or spit out. This condition is more common in infants and individuals with developmental disabilities but can occur in people of all ages. The behavior is typically involuntary and not related to concerns about food purity or healthiness. Therefore, it does not align with the client’s report of eliminating specific foods to “eat clean.”

Choice C Reason: Orthorexia

Orthorexia is an eating disorder characterized by an obsession with eating foods that one considers healthy or pure. Individuals with orthorexia may eliminate entire food groups, such as sugars, carbohydrates, or dairy, in their quest to maintain a “clean” diet6. This condition can lead to malnutrition and social isolation due to the restrictive nature of the diet. The client’s report of eliminating specific foods to “eat clean” is a clear indication of orthorexia.

A. Stable and satisfactory relationships. B. Little tolerance for being alone. C. Predictability. D. Controlled anger.

Correct Answer is B

Explanation

Choice A Reason:

Stable and satisfactory relationships. This statement is incorrect. Individuals with borderline personality disorder (BPD) often struggle with maintaining stable and satisfactory relationships. They may experience intense and unstable relationships characterized by extreme fluctuations between idealization and devaluation of others. This instability is a hallmark of BPD and can lead to significant interpersonal difficulties.

Choice B Reason:

Little tolerance for being alone. This statement is correct. One of the defining characteristics of BPD is a profound fear of abandonment and an intense need for companionship. Individuals with BPD often have little tolerance for being alone and may go to great lengths to avoid real or imagined abandonment. This fear can lead to frantic efforts to maintain relationships, even if they are unhealthy or abusive.

Choice C Reason:

Predictability. This statement is incorrect. People with BPD typically exhibit unpredictable and impulsive behaviors. Their emotional responses can be intense and rapidly changing, making their behavior difficult to predict. This unpredictability can further complicate their relationships and daily functioning.

Choice D Reason:

Controlled anger. This statement is incorrect. Individuals with BPD often struggle with controlling their anger. They may experience intense and inappropriate anger, which can be difficult to manage and may result in aggressive or self-destructive behaviors. This difficulty in controlling anger is another key feature of BPD.

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The nurse is caring for a client who has been placed on hospice care. Which statement by the client indicates a need for further education?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who reports that they have been eliminating specific foods from their diet in order to “eat clean.” The nurse should identify that this is an indication of which of the following conditions?

Correct Answer is C

Explanation

In assessing a client diagnosed with borderline personality disorder, which characteristic would the nurse expect to observe?

Correct Answer is B

Explanation

Psychiatric care technicians (PCTs) are unlicensed assistive personnel that are an integral part of the acute care mental healthcare team. Which of the following choices would be an example(s) of overdelegation by the nurse to a PCT? The nurse directs the PCT to (Select All that Apply):

A client notifies a treatment team member of current suicidal ideation. Which nursing intervention would take priority?

A client with major depressive disorder has been taking fluoxetine, an SSRI, for 5 weeks. During the first outpatient visit, the client smiles and states, “I feel like a great weight is off my chest.” How should the nurse interpret this behavior change?

One liter of normal saline is to infuse over 8 hours. At what rate will the nurse set the infusion pump?

The nurse is aware that the major health complication associated with anorexia nervosa is:

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