The nurse working in an outpatient surgical center admits a client who is to have a basal cell carcinoma removed from the left temple. While collecting data for the nursing history, the nurse assesses that the client understands of the diagnosis
The client says, "I had a friend die from skin cancer, and I know this is probably fatal, but I'd like to treat it as aggressively as possible to improve my chances of survival." The nurse's best response is: 1. "You are scared, and that is a normal response to this diagnosis, but many people respond to chemotherapy."
2. "Tell me more about your friend's condition."
3. "Basal cell carcinomas are generally slow-growing, and do not often spread. Your friend might have had malignant melanoma or squamous cell carcinoma."
4. "You won't know what your likelihood of survival is until after the doctor removes the cancerous cells and examines them under a microscope."
3
Rationale: Basal cell carcinomas are slow-growing, and rarely metastasize, so the client is unlikely to die from this form of skin cancer. Malignant melanomas are the most aggressive, with the highest likelihood of metastasis and poor outcomes. The remaining options do not correct the client's mistaken understanding about the diagnosis.
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" What stage of grieving according to Kübler-Ross should the nurse recognize this as? a. Denial b. Anger c. Bargaining d. Depression
The contingent reward factor is more effective than the management-by-exception passive factor
a. True b. False
A 64-year-old woman presents with urge incontinence and has not been able to tolerate treatment with anticholinergic agents. You recommend the use of which of the following? More than one can apply.
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Which parental statement during a scheduled health maintenance assessment for a preschool-age child would cause the nurse concern?
1. "We have dinner together as a family each evening." 2. "We are so proud that our child is able to recognize letters of the alphabet." 3. "Our child wakes up each night screaming because of nightmares." 4. "Our child attends a daycare program 3 days per week."