Nursing Elites

1. A nurse is caring for a client who has cancer. The client’s adult child asks the nurse for information about the client’s treatment plan. Which of the following responses should the nurse make?

• A. I will ask your mother's primary care provider to speak with you
• B. What would you like to know about your mother's treatment?
• C. I cannot provide this information to you without your mother's consent
• D. You will have to speak directly to your mother about her treatment

Correct answer: C

Rationale: The nurse should not provide treatment information without the client's consent.

2. What is the main objective of palliative care?

• A. To cure the disease
• B. To provide relief from symptoms and improve quality of life
• C. To extend hospital stays
• D. To focus solely on treatment

Correct answer: B

Rationale: The main objective of palliative care is to provide relief from symptoms and improve quality of life. Palliative care focuses on enhancing the quality of life for patients facing serious illnesses by providing relief from symptoms such as pain, stress, and other physical and emotional issues. Choice A is incorrect because palliative care does not aim to cure the disease but rather to manage symptoms. Choice C is incorrect as the goal of palliative care is not to extend hospital stays unnecessarily but to improve the patient's well-being. Choice D is incorrect as palliative care is not solely focused on treatment but takes a holistic approach to care that includes addressing physical, emotional, social, and spiritual needs.

3. A nurse is preparing to delegate bathing and turning of a newly admitted client who has end-stage cancer to an experienced assistive personnel (AP). Which of the following assessments should the nurse make before delegating care?

• A. Is the client's family present so the AP can show them how to turn the client?
• B. Has data been collected about specific client needs related to turning?
• C. Does the AP have time to change the client's central IV line dressing after turning her?
• D. Has the AP checked the client's pain level prior to turning her?

Correct answer: B

Rationale: Before delegating the task of bathing and turning a client with end-stage cancer to an experienced assistive personnel (AP), the nurse must assess specific client needs related to turning. This assessment ensures that the delegated care is tailored to the client's individual requirements, promoting safe and effective care. Option A is incorrect because the presence of the client's family is not directly related to assessing the client's specific needs for turning. Option C is incorrect as it refers to a different task (changing the central IV line dressing) and is not directly related to the turning assessment. Option D is incorrect as checking the client's pain level, although important, is not directly related to the specific needs related to turning the client.

4. Ben injects his insulin as prescribed, but then gets busy and forgets to eat. What will the best assessment of the nurse reveal?

• A. The client will be very thirsty.
• B. The client will complain of nausea.
• C. The client will need to urinate.
• D. The client will have moist skin.

Correct answer: D

Rationale: The correct answer is D. In this scenario, since Ben took his insulin but forgot to eat, he is at risk of developing hypoglycemia. Moist skin is a sign of hypoglycemia, which can occur when blood sugar levels drop too low. Thirstiness (choice A) is more commonly associated with hyperglycemia (high blood sugar levels). Nausea (choice B) and frequent urination (choice C) are not typical immediate signs of hypoglycemia caused by missing a meal after insulin administration.

5. Select a myth or falsehood relating to pain, pain management, and addiction.

• A. Addiction can be accurately predicted.
• B. Withdrawal, drug tolerance, and physical dependence do not indicate addiction.
• C. Pain medications should be avoided in patients with a substance abuse history.
• D. Addiction is signaled by deception and stockpiling by the client.

Correct answer: A

Rationale: The correct answer is A because addiction cannot be accurately predicted. Choices B and C are incorrect. Withdrawal, drug tolerance, and physical dependence are not definitive signs of addiction, and pain medications can be used with patients who have a substance abuse history under careful monitoring. Choice D is incorrect because addiction is not solely signaled by deception and stockpiling; it is a complex condition with various behavioral, physical, and psychological aspects.

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