Correct Answer: C

Rationale: While palliative care can indeed help improve a patient's quality of life it is not typically aimed at curing the disease or significantly prolonging life. Instead the focus is on managing symptoms and improving comfort.
Therefore the statement 'This treatment should help me live a little longer and give me hope for a cure' does not accurately reflect the goals of palliative care. The statement 'I will continue my strict dietary plan' does not necessarily indicate an understanding of palliative care. While maintaining good nutrition can be an important part of managing some conditions palliative care is more focused on symptom management and improving quality of life. Strict dietary restrictions may not be necessary or beneficial in a palliative care context. The statement 'I am hoping this will limit my discomfort and give me the best quality of life for me' accurately reflects the goals of palliative care. Palliative care aims to manage symptoms including pain and discomfort and to improve the patient's quality of life. The statement 'This is not working and I plan to stop treatment' does not necessarily reflect an understanding of palliative care. While a patient has the right to stop treatment at any time this decision should be based on a thorough understanding of their condition and the potential benefits and drawbacks of continuing or discontinuing treatment.

Correct Answer: A

Rationale: Socioeconomic stressors are related to a person's social and economic status. Homelessness is a clear example of a socioeconomic stressor as it is often caused by factors such as unemployment poverty and lack of affordable housing. Adventitious stressors are unexpected and often traumatic events that occur outside of the normal course of life. These could include natural disasters accidents or violent crimes. While homelessness can be traumatic it is not considered an adventitious stressor because it is related to the individual's social and economic circumstances. Developmental stressors are those that occur as a result of going through the normal stages of life such as starting school getting a job getting married having children and retiring. Homelessness is not a developmental stressor because it is not a normal or expected part of life. Cultural stressors are related to a person's cultural background and experiences. While culture can influence a person's socioeconomic status homelessness itself is not a cultural stressor.

Correct Answer: A

Rationale: Chronic stress is a prolonged often overwhelming feeling of stress that can negatively impact a person's daily life. It can be caused by various factors including high-pressure jobs challenging relationships and living in poverty. Living in poverty is a long-term situation that can cause chronic stress due to the constant worry about meeting basic needs such as food shelter and healthcare. This continuous worry and fear can lead to chronic stress. A motor vehicle accident is typically an acute stress event. While it can cause significant stress at the moment it is usually not a long-term stressor unless it results in severe injury or trauma that significantly impacts a person's daily life. Being a victim of a crime can indeed cause stress but it is typically considered an acute stress event. However if the crime results in long-term effects such as physical harm or psychological trauma it could potentially lead to chronic stress. The loss of a loved one can cause both acute and chronic stress. The initial loss can cause acute stress and the subsequent grieving process can lead to chronic stress especially if the individual has difficulty moving through the stages of grief. However not everyone who loses a loved one will experience chronic stress.

Correct Answer: B

Rationale: Experiencing poverty can indeed be a source of chronic stress due to the ongoing hardships and struggles associated with financial instability. However, it is not typically classified as an example of acute stress, which is usually associated with a specific event or situation that causes a sudden and intense reaction. Being a victim of a crime is a prime example of an acute stressor. This is because it is a specific event that can cause immediate emotional and physiological reactions. The individual may experience intense feelings of fear, shock, or distress, and these reactions typically occur immediately after the event. Being part of a dysfunctional family can lead to chronic stress due to ongoing family conflicts, communication problems, or other issues. While specific incidents within the family context (like a heated argument) could potentially trigger acute stress responses, the overall experience of living in a dysfunctional family is more commonly associated with chronic stress. Experiencing racism can lead to both acute and chronic stress. Acute stress might occur in response to a specific incident of racial discrimination, while chronic stress could result from living in a society where racism is pervasive. However, without a specific incident mentioned, it is less likely to be considered an example of acute stress compared to being a victim of a crime.

Correct Answer: D

Rationale: Fairness refers to treating all people equally and making decisions without favoritism or prejudice. This is not the most fitting answer because the scenario does not provide information about the nurse treating all patients equally. Confidence in nursing involves trust in one's abilities and clinical judgment. Although confidence is important in all nursing actions this scenario does not specifically highlight the nurse's confidence. Advocacy in nursing refers to the nurse's role in standing up for the rights and needs of their patient. While notifying the provider could be seen as a form of advocacy the nurse's actions in this scenario are more closely aligned with accountability. Accountability in nursing refers to the responsibility of nurses to execute their duties according to standards being answerable for their actions. In this scenario the nurse demonstrates accountability by acknowledging the medication error assessing the patient for any adverse effects and reporting the incident.