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Questions and Answers
What is the most appropriate action for the nurse to take when a client with terminal cancer expresses the desire to go home?
What is the most appropriate action for the nurse to take when a client with terminal cancer expresses the desire to go home?
- Encourage the client to continue with inpatient care.
- Contact the facility chaplain to visit with the client.
- Explain the process of leaving the facility against medical advice. (correct)
- Make a referral for social services.
Why might a nurse consider contacting social services when a client with terminal cancer wishes to go home?
Why might a nurse consider contacting social services when a client with terminal cancer wishes to go home?
- To assess potential home care needs and resources. (correct)
- To schedule additional inpatient treatments.
- To provide emotional support on the unit.
- To discuss the client's medical condition with family.
If a client leaves against medical advice, which factor should the nurse prioritize?
If a client leaves against medical advice, which factor should the nurse prioritize?
- Discharging the client quickly to avoid legal issues.
- Recommending a follow-up appointment at the facility.
- Ensuring the client understands the risks involved. (correct)
- Providing a written consent form for the client.
Which support might the nurse suggest for a client with terminal cancer returning home?
Which support might the nurse suggest for a client with terminal cancer returning home?
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What is a potential concern for the nurse when a client with terminal cancer chooses to leave the facility?
What is a potential concern for the nurse when a client with terminal cancer chooses to leave the facility?
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Study Notes
Client Care in Terminal Illness
- A client has a new diagnosis of terminal cancer and expresses a desire to return home.
- Emotional support is crucial for clients with terminal conditions, ensuring their wishes are respected.
Nurse's Response
- Option A: Contacting the facility chaplain can provide spiritual support but may not address the client's immediate wish to go home.
- Option B: Explaining the process of leaving against medical advice (AMA) is important, as it informs the client of potential risks and repercussions.
- Option C: Making a referral for social services can assist in planning for the client’s transition home, ensuring appropriate care and support from family.
- Option D: Encouraging continued inpatient care may contradict the client's wishes and can lead to feelings of frustration or hopelessness.
Ethical Considerations
- Nurses must advocate for the patients’ choices while providing necessary information about implications of their decisions.
- Balancing respect for autonomy with clinical responsibilities is vital in terminal care situations.
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