A female client who is receiving hospice care in her home expresses fear that dying will be painful. Which action should the nurse take first?

Include caregiver in discussion of pain relief strategies.

Encourage the client to talk about her fear related to pain.

Explain that analgesics will be given whenever needed.

Provide therapeutic touch along with comfort and support.

Answer and Explanation

The Correct Answer is B

A. Including the caregiver in discussions about pain relief strategies is important, but addressing the client’s immediate concerns and fears should come first.
B. Encouraging the client to talk about her fear related to pain allows the nurse to understand her specific concerns and provide personalized reassurance and support. Addressing the client’s emotional needs is crucial in hospice care.
C. Explaining that analgesics will be given as needed is important for reassurance but may not fully address the client’s fear or allow for an open discussion about her concerns.
D. Providing therapeutic touch and comfort is supportive but does not directly address the client’s fear. Engaging in a conversation about her specific fears allows for more targeted and effective reassurance.

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Correct Answer is D

Explanation

A. Verbal analogies can be useful in illustrating points, but they may not fully engage participants in hands-on problem-solving.
B. Positive reinforcement encourages participation, but it is not a problem-solving strategy in itself.
C. Physical demonstrations are helpful for teaching techniques but are less effective for fostering problem-solving abilities.
D. Simulation activities provide a dynamic and interactive way for participants to practice problem-solving. They mimic real-life scenarios, allowing individuals to engage in critical thinking and decision-making, which is especially effective for young adults who learn well through active participation.

A. Develop self-awareness of the nurse's personal values to avoid imposing these values on the client. B. Challenge members of the healthcare team whose opinions differ from the wishes of the client. C. Educate the client about current nursing literature findings related to the client's ethical dilemma. D. Listen to the ethics committee discussions and then inform the client what actions should be taken.

Correct Answer is A

Explanation

A. It is essential for the nurse to develop self-awareness of their personal values to avoid imposing these values on the client. As an advocate, the nurse's primary role is to represent the client's wishes and ensure they are respected, regardless of the nurse's personal beliefs or values.
B. While challenging differing opinions may sometimes be necessary, it is more important to ensure the client's wishes are clearly communicated rather than simply opposing differing views.
C. Educating the client on relevant nursing literature is not the primary role of advocacy in this context. The focus should be on the client’s values and wishes rather than on influencing them with professional literature.
D. Listening to discussions is important, but the nurse's role as an advocate is to ensure the client's voice is heard during the discussions, rather than informing the client of decisions after the fact.

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A female client who is receiving hospice care in her home expresses fear that dying will be painful. Which action should the nurse take first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse plans to encourage a group of young adult clients to engage in problem-solving strategies. Which action is most useful for the nurse to include during the teaching session?

Correct Answer is D

Explanation

The nurse has agreed to serve as a client's advocate at the meeting of the hospital ethics committee, which was called to address an ethical dilemma involving the client. To successfully represent the client, what action is essential for the nurse to take?

Correct Answer is A

Explanation

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