NCLEX-RN

Category - Care Management

The physician has informed a 68-year-old male client of his findings: colon cancer. The physician has just finished discussing the treatment plan with the client and his family. When the nurse enters the room, the client asks the nurse questions about the proposed treatment plan and expresses a desire to explore alternative therapies. Which of the following responses is most appropriate?
  1. Advise the client to seek a second opinion.
  2. Document the client’s wishes for alternative therapy.
  3. Provide information for the client and his family to make informed decisions.
  4. Ask the client why he does not trust his physician’s treatment plan in order to assist him in verbalizing his fears.
Explanation
Answer: C - Nurses fill the role of client advocate by assisting the client in making informed decisions by providing information that the client and family understand. Advising the client to seek a second opinion is not the appropriate response because the nurse is discouraging further communication. Documenting the client’s wishes for alternative therapy would be appropriate AFTER the client reaches that decision. Assuming the client does not trust his physician because he questions the physician’s treatment plan does not allow the client to explore other options and therapies to determine his own health care decisions without a sense of guilt.
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