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."

Answer and Explanation

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

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is B

Explanation

Choice A reason: Dismissing the client’s concern as imagination invalidates their feelings and does not uphold honesty, which may worsen paranoia.

Choice B reason: Veracity means truthfulness. Clearly identifying the medication as prescribed treatment provides honest information while supporting trust.

Choice C reason: Withholding information violates both client rights and the ethical principle of veracity. Clients have the right to know what medications they receive.

Choice D reason: Misrepresenting the purpose of the drug undermines trust and is dishonest, which goes against ethical standards.

A. It represents internalized moral standards and ideals, often generating feelings of guilt and pride. B. It operates on the pleasure principle, seeking immediate gratification of basic drives. C. It acts as the mediator between the conscious and unconscious mind, balancing impulses and reality. D. It is responsible for unconscious defense mechanisms that protect the ego from anxiety.

Correct Answer is A

Explanation

Choice A reason: The superego internalizes societal and parental standards of right and wrong. It guides moral development and can produce guilt when standards are violated or pride when they are upheld.

Choice B reason: The pleasure principle refers to the id, which seeks immediate gratification of desires without considering consequences. This does not describe the superego.

Choice C reason: The ego, not the superego, mediates between the id, superego, and external reality. It works on the reality principle to balance impulses with acceptable behavior.

Choice D reason: Defense mechanisms are managed by the ego, not the superego. They protect against anxiety but are not the superego’s primary function.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with schizophrenia who has a history of paranoid delusions asks the nurse, "Are you giving me something to poison me?" The nurse knows the client is receiving an antipsychotic medication. Applying the ethical principle of veracity, which response by the nurse is most appropriate?

Correct Answer is B

Explanation

According to psychoanalytic theory, which of the following best describes the role of the superego in personality development and mental health?

Correct Answer is A

Explanation

A nurse physically restrains a mentally ill client without obtaining proper consent or a physician's order, despite the client not posing an immediate threat to self or others. Which intentional tort could the nurse potentially be liable for?

A nurse is caring for a client recently diagnosed with panic disorder. The provider has prescribed pharmacologic treatment. Which of the following medications are commonly used in the treatment of panic disorder? (Select all that apply.)

A nurse is teaching a client at a prenatal clinic. The client shares that they have family members diagnosed with schizophrenia and wants to know how they can reduce their baby's risk of developing schizophrenia. Which of the following information should the nurse include?

A nurse observes a hospitalized client grabbing snacks from other patients' trays, despite being told not to. When confronted, the client says, "I was hungry, so I took it." Based on Freud's psychoanalytic theory, which part of the personality is most likely influencing the client's behavior?

A nurse is caring for a client newly prescribed aripiprazole, a third-generation antipsychotic, for the treatment of schizophrenia. Which nursing observation would require the most immediate intervention?

A nurse is assessing a client diagnosed with schizophrenia who is exhibiting positive symptoms. Which of the following findings should the nurse expect? (Select all that apply.)

Which of the following best describes the primary function of the parietal lobe of the brain?