The client is emotionally upset about the recent diagnosis of stage IV endometrial cancer. Which action by the nurse is best?
a. Let the client alone for a long period of reflection time.
b. Ask friends and relatives to limit their visits.
c. Tell the client that an emotional response is unacceptable.
d. Create an atmosphere of acceptance and discussion.
ANS: D
Discussion of a client's concerns about the presence of cancer and the potential for recurrence will provide emotional support and allay fears. Coping behaviors are encouraged with the support of friends and relatives. An emotional response should be accepted.
You might also like to view...
The client scheduled to undergo radiation therapy for lung cancer asks you why 6 weeks of daily treatment are necessary. What is your best response?
A. "Your cancer is widespread and requires more than the usual amount of radiation treatment." B. "The cost of giving larger doses of radiation for a shorter period of time is unjus-tified by the results." C. "It is less likely that you will become anemic if the radiation is given in small doses over a longer time period." D. "Research has shown that more cancer cells are killed if the radiation is given in smaller doses over a longer time period."
A client reports for a scheduled electroencephalogram (EEG). Which statement by the client indicates a need for additional preparation for the test?
A. "I didn't shampoo my hair." B. "I ate breakfast this morning." C. "I didn't take my anticonvulsant today." D. "It was hard not to drink coffee this morning, but I knew that I couldn't, so I didn't."
Behavioral interventions for urinary incontinence can be coordinated by a nurse. A comprehensive program that incorporates timed voiding and urinary urge inhibition is referred to as:
a) Interval voiding b) Prompted voiding c) Voiding at given intervals. d) Bladder retraining
The client tells the nurse, "I thought my psychiatrist was the best doctor in the world. I thought he understood me completely. Now, I hate him! He doesn't understand me at all. He's just dumping me to go on a 2-week vacation."
The nurse assesses the client's description of feelings about the physician as evidence of the use of: 1. Splitting 2. Projective identification 3. Isolation of affect 4. Dissociation