More Questions on the Topic
More Questions on the Topic ( 13 Questions)
A nurse is caring for a client who has terminal cancer and has expressed a wish to die at home. The client's family members are opposed to this decision and want the client to stay in the hospital until the end. Which of the following statements by the nurse demonstrates respect for the client's autonomy?
The nurse should respect the client's autonomy, which is the right to make one's own decisions and choices, especially regarding end-of-life care. The nurse should also acknowledge the client's feelings and the complexity of the situation, and offer support and assistance in facilitating communication and decision making between the client and the family.
"I think you should reconsider your decision. Your family knows what is best for you and they love you very much." - This statement does not respect the client's autonomy, as it implies that the client's decision is wrong or invalid, and that the family's wishes should override the client's preferences. It also does not acknowledge or address the client's feelings or concerns, and it may increase the client's guilt or distress.
"I agree with your decision. It is your right to choose where you want to die and I will advocate for you." - This statement does not respect the client's autonomy, as it expresses the nurse's personal opinion or agreement with the client's decision, which may influence or pressure the client. It also does not acknowledge or address the family's feelings or concerns, and it may create conflict or resentment between the nurse and the family.
"I don't think you are in the right state of mind to make this decision. You should listen to your doctor's advice." - This statement does not respect the client's autonomy, as it questions the client's mental capacity or competence to make their own decision, and it suggests that the doctor's authority or expertise should prevail over the client's wishes. It also does not demonstrate empathy or compassion for the client, and it may undermine the client's trust or confidence in the nurse.
Correct answer: A) "I understand that this is a difficult situation for you and your family. How can I support you in making this decision?"
Rationale: The nurse should respect the client's autonomy, which is the right to make one's own decisions and choices, especially regarding end-of-life care. The nurse should also acknowledge the client's feelings and the complexity of the situation, and offer support and assistance in facilitating communication and decision making between the client and the family.
Incorrect options:
B) "I think you should reconsider your decision. Your family knows what is best for you and they love you very much." - This statement does not respect the client's autonomy, as it implies that the client's decision is wrong or invalid, and that the family's wishes should override the client's preferences. It also does not acknowledge or address the client's feelings or concerns, and it may increase the client's guilt or distress.
C) "I agree with your decision. It is your right to choose where you want to die and I will advocate for you." - This statement does not respect the client's autonomy, as it expresses the nurse's personal opinion or agreement with the client's decision, which may influence or pressure the client. It also does not acknowledge or address the family's feelings or concerns, and it may create conflict or resentment between the nurse and the family.
D) "I don't think you are in the right state of mind to make this decision. You should listen to your doctor's advice." - This statement does not respect the client's autonomy, as it questions the client's mental capacity or competence to make their own decision, and it suggests that the doctor's authority or expertise should prevail over the client's wishes. It also does not demonstrate empathy or compassion for the client, and it may undermine the client's trust or confidence in the nurse.