Nokea
A widowed mother of four school-age children is hospitalized with metastatic ovarian cancer. The patient is crying and tells the nurse that she does not know what will happen to her children when she dies. Which response by the nurse is most appropriate?
- A. Don't you have any friends that will raise the children for you?'
- B. Would you like to talk about options for the care of your children?'
- C. For now you need to concentrate on getting well and not worrying about your children.'
- D. Many patients with cancer live for a long time, so there is time to plan for your children.'
Correct Answer: B
Rationale: Metastatic ovarian cancer's end-stage she's scared for her kids. Asking about options opens a lifeline, validating her fear without shutting it down. Friends assumes too much; get well' dodges reality; long time' sugarcoats. Nurses in oncology lean in here listening, planning ease her burden, a human touch amid grim odds.
You may also like to solve these questions
Mr XYZ, a 60-year-old, smoker with DM, hypertension and CKD Stage 3 sees you for routine chronic review. He reports recurrent gout flares past five weeks of increasing intensity and duration which he assumes is due to frequent travel and lack of exercise. His current laboratory results are creatinine 106, eGFR 56, uric acid 400, HbA1c 7.3%, random hypocount 8.5 mmol/L. He is currently taking glipizide 5 mg BD, Metformin 250 mg BD, Amlodipine 5 mg OM. What is the most appropriate management in this patient?
- A. Offer dietary advice
- B. Prescribe NSAIDs and medical certificate (MC)
- C. Increased exercise frequency (e.g. jogging at least 3 times per week)
- D. Initiate urate lowering therapy using allopurinol with colchicine prophylaxis
Correct Answer: D
Rationale: Gout flares, uric acid 400, CKD 3 allopurinol with colchicine tames crystals, not just diet, NSAIDs, jogging, or smoke quit. Nurses start this chronic uric brake.
Rehabilitation utilises two types of rehabilitation interventions. The goal of the intervention support is to
- A. Maintaining existing abilities
- B. Restoring function
- C. Preventing deterioration and further disability
- D. Maintaining existing abilities while preventing new or further disabilities
Correct Answer: D
Rationale: Rehab's dual play hold steady, fend off worse blends maintenance and prevention, a chronic balance. Nurses aim here, a full guard.
The challenges faced in insulin therapy includes the following EXCEPT:
- A. Needle phobia
- B. Competence - Diabetes numeracy
- C. Dexterity
- D. All burden
Correct Answer: D
Rationale: Insulin hurdles fear, math, shaky hands, life jolts; all burden' isn't a thing, just a mash-up. Nurses tackle these chronic snags, not vague catch-alls.
The nursing instructor explains the difference between normal cells and benign tumor cells. What information does the instructor provide about these cells?
- A. Benign tumors grow through invasion of other tissue.
- B. Benign tumors have lost their cellular regulation from contact inhibition.
- C. Growing in the wrong place or time is typical of benign tumors.
- D. The loss of characteristics of the parent cells is called anaplasia.
Correct Answer: C
Rationale: Benign tumors are fundamentally different from malignant tumors in their behavior and characteristics. Unlike malignant tumors, which invade surrounding tissues, benign tumors do not grow through invasion but rather through hyperplasia, a controlled increase in cell number. They retain contact inhibition, a regulatory mechanism where normal cells stop dividing when they touch each other, preventing uncontrolled growth. The defining feature of benign tumors is that they consist of cells that are essentially normal but are growing in an inappropriate location or at an incorrect time, such as a lipoma in fatty tissue. Anaplasia, on the other hand, refers to the loss of differentiation and is a hallmark of malignant cancer cells, not benign ones. Thus, the instructor would emphasize that benign tumors are misplaced normal cells, making this the accurate statement. This distinction is critical for nursing students to understand, as it impacts diagnosis, treatment decisions, and patient education regarding the non-threatening nature of benign tumors compared to cancerous growths.
Which of the following basic principles do NOT belong to motivational interviewing?
- A. To confront irrationality
- B. To avoid discussion
- C. To help resolve ambivalence
- D. To be empathic
Correct Answer: A
Rationale: MI skips confrontation empathy, ambivalence aid, no fights, discussion flows. Nurses dodge this, a chronic soft touch.