A 78-year-old was diagnosed with colorectal cancer 18 months ago ...

[luvbio]

A 78-year-old was diagnosed with colorectal cancer 18 months ago and underwent a round of chemotherapy. The most recent computed tomographic scan, however, reveals that the cancer has metastasized to the lungs and liver.
 
  The older adult states, I feel quite well and do not wish to undergo another round of chemotherapy.  The client's children are adamantly opposed to their parent's decision to forgo treatment and have appealed to the nurse. Which factor is the priority consideration for the nurse to determine the best course of action?
 
  A) The client's prognosis
  B) The client's autonomy
  C) The family's wishes
  D) The client's treatment options

Question 2

An older woman of Filipino heritage has been having rectal bleeding for several months. Her physician has told the woman and her daughters that she has advanced colon cancer.
 
  Her daughters want to obtain hospice services but the client is reluctant and does not want to discuss what she feels is beyond her control. Which of the following concerns is this client most likely experiencing?

[kjo;oj]

Answer to Question 1

Ans: B
Autonomy is highly valued in Western societies, and personal autonomy supersedes family wishes and the medical facts about a client or client's situation.

Answer to Question 2

Ans: D
Some members of the Filipino culture believe in fatalism and resist any discussion about or planning for events beyond one's control such as illness or death, because it is viewed as tempting fate and will likely bring the potential event into reality.

[luvbio]

Gracias!

[nathang24]

Excellent