Progressive Care Nursing Certification (PCCN) Practice Exam

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When a patient expresses a desire for comfort rather than aggressive treatment, what should the nurse do?

  1. Inform the patient of standard treatment options

  2. Support the patient's choice while providing necessary resources

  3. Consult with the physician on alternative treatments

  4. Uphold family opinions to guide medical decisions

The correct answer is: Support the patient's choice while providing necessary resources

Supporting the patient's choice while providing necessary resources is essential when a patient expresses a desire for comfort rather than aggressive treatment. This approach respects the patient's autonomy and values, acknowledging their preferences for their care. It is vital for healthcare providers to prioritize the wishes of the patient, especially in situations where aggressive treatments may not align with their goals or may compromise their quality of life. Additionally, this option emphasizes the importance of offering support and resources, which could include palliative care services, counseling, or hospice options. By facilitating this process, the nurse helps ensure that the patient receives care tailored to their wishes, while also providing reassurance and guidance during a potentially difficult decision-making period. In contrast, informing the patient of standard treatment options alone may not fully honor their expressed desires, as it could lead to confusion or pressure to choose treatments they do not want. Consulting with the physician on alternative treatments is also valuable but should ideally occur after the patient's preferences are understood and supported. Upholding family opinions to guide medical decisions can complicate matters, as it may overshadow the patient’s own expressed wishes, leading to a focus on family desires rather than the patient’s comfort and choice.