A home health nurse is caring for a client who has terminal cancer and no longer wants to receive enteral tube feedings. Which of the following actions should the nurse take?
Request the facility chaplain to visit the client.
Explain the process for completing a living will.
Complete an against medical advice form.
Ask the client to sign an informed consent form.
The Correct Answer is B
This action is appropriate because it allows the client to document their end-of-life wishes and ensure that they are honored.
Option A is incorrect because requesting the facility chaplain to visit the client is not directly related to the client's current health care needs.
Option C is incorrect because completing an against medical advice form is not appropriate in this situation, as the client has the right to refuse medical treatments, including enteral tube feedings.
Option D is incorrect because asking the client to sign an informed consent form is not necessary in this situation, as the client is not receiving a specific medical treatment that requires informed consent.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
During the initial home visit, the nurse should establish rapport and build a trusting relationship with the client and his family.
Engaging the family in informal conversation allows the nurse to learn about the family's dynamics, routines, and preferences, as well as the client's interests and abilities. This information can be helpful in developing a care plan that is tailored to the client's and family's needs and goals.
While educating the family about dementia and providing information about resources such as respite care and support groups is important, these actions should come after the nurse has established a rapport with the family and gained their trust.
Correct Answer is B
Explanation
This action is appropriate because it allows the client to document their end-of-life wishes and ensure that they are honored.
Option A is incorrect because requesting the facility chaplain to visit the client is not directly related to the client's current health care needs.
Option C is incorrect because completing an against medical advice form is not appropriate in this situation, as the client has the right to refuse medical treatments, including enteral tube feedings.
Option D is incorrect because asking the client to sign an informed consent form is not necessary in this situation, as the client is not receiving a specific medical treatment that requires informed consent.
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