Correct Answer: B

Rationale: Increasing attendance at community social activities may not be a realistic goal for a patient in hospice care with Stage 4 breast cancer. The patient's physical condition and energy levels may limit their ability to participate in such activities. Receiving medication to minimize episodes of breakthrough pain is a realistic and important goal for a patient in hospice care. Effective pain management is a key aspect of end-of-life care. Experiencing a weight gain of one to two pounds per week may not be a realistic goal for a patient in hospice care with Stage 4 breast cancer. Patients at this stage of illness often experience weight loss not gain. Verbalizing an understanding of the mode of disease transmission may not be a relevant goal for a patient in hospice care with Stage 4 breast cancer. The focus of care at this stage is typically on comfort and quality of life rather than disease education.

Correct Answer: C

Rationale: Restlessness is an observable behavior making it an objective finding. Pacing is also an observable behavior so it is considered an objective finding. Anxiety is a subjective finding because it is based on the patient's personal experience and cannot be directly observed. Alertness is an objective finding because it can be directly observed and measured.

Correct Answer: C

Rationale: A wrist fracture is a physical stressor not a psychological one. It involves damage to the body's structures. A burn injury like a wrist fracture is a physical stressor. It involves physical harm to the body. Financial difficulties are a type of psychological stressor. They involve challenges and worries related to money which can cause mental and emotional stress. Hypothermia is a physical stressor. It involves a dangerously low body temperature and is a medical emergency.

Correct Answer: B

Rationale: Academic pressure is a psychological stressor not a physiological one. It involves mental or emotional strain or tension resulting from adverse or demanding circumstances in this case related to academic performance. A burn injury is an example of a physiological stressor. Physiological stressors are related to physical or biological factors that strain the body's resources. A burn injury places physical stress on the body as it tries to heal and recover. Financial difficulties are a type of environmental stressor not a physiological one. They involve external factors in a person's environment that cause stress such as financial problems or job-related stress. A change in marital status is a type of psychosocial stressor not a physiological one. It involves both psychological factors (such as emotions and behavior) and social factors (such as relationships and social interactions).

Correct Answer: A

Rationale: This response shows empathy and understanding towards the patient's situation. It acknowledges the patient's craving for strawberry ice cream and offers a compromise that aligns with the patient's dietary restrictions. This response may come across as insensitive and dismissive of the patient's feelings. It's important to show empathy and understanding when dealing with patients especially those in hospice care. This response may not be appropriate as it does not consider the patient's dietary restrictions. While it shows empathy it's important to respect and adhere to the patient's dietary needs. This response may not be appropriate as it does not address the patient's statement. It's important to acknowledge and respond to the patient's feelings and concerns.