The nurse is speaking with the spouse of a client following a family discussion with the healthcare provider about the client’s terminal condition and eligibility for hospice care. The spouse states, "I don't think I can make this decision right now. What would you do?" How should the nurse respond?
"I find it helpful to investigate the options. I will get you a pamphlet about hospice care."
"You seem overwhelmed. I’ll contact a chaplain to come and talk with you about the options."
"It’s hard to say what the best decision is, but know hospice provides wonderful care."
"These decisions are challenging. Tell me your spouse’s beliefs about end-of-life."
The Correct Answer is D
Choice A reason: Offering information is supportive, but this does not address the spouse’s emotional needs or encourage discussion about the client’s values.
Choice B reason: Calling a chaplain might be supportive later, but it avoids addressing the spouse’s statement directly and risks shifting responsibility away from the nurse.
Choice C reason: Reassurance without exploring the client’s and family’s values minimizes the spouse’s need for deeper reflection and personal decision-making.
Choice D reason: Encouraging the spouse to reflect on the client’s beliefs and values promotes autonomy and supports decision-making that honors the client’s wishes, making it the most therapeutic response.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: While weight gain is a common side effect of olanzapine, simply stating this without providing management strategies does not support the client’s health.
Choice B reason: Stopping the medication abruptly without medical guidance risks relapse of psychotic symptoms and is unsafe.
Choice C reason: First-generation antipsychotics have their own significant risks, including extrapyramidal side effects, and are not automatically safer. Medication changes should only be considered if lifestyle modifications fail and under provider supervision.
Choice D reason: Encouraging healthy lifestyle changes like diet modification and exercise helps manage weight gain while maintaining medication adherence, making this the most appropriate intervention.
Correct Answer is D
Explanation
Choice A reason: Classical conditioning is associated with behavioral theory, particularly the work of Pavlov, and is not central to Rogers’ humanistic approach.
Choice B reason: Changing distorted thought patterns reflects cognitive-behavioral therapy, which differs from Rogers’ emphasis on humanistic principles.
Choice C reason: Psychoanalysis focuses on unconscious drives and conflicts, a concept developed by Freud, not Carl Rogers.
Choice D reason: Rogers highlighted unconditional positive regard, empathy, and the belief in a client’s potential for growth as essential to therapeutic relationships, forming the foundation of his humanistic approach.
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