A nurse is assisting with the admission of a client to hospice care. The client's partner asks the nurse why the client is becoming verbally aggressive. Which of the following responses should the nurse make?

"We can discuss this after completing the admission process."

"Your partner is experiencing an expected response to the dying process."

"Your partner is in the denial stage of grief."

"You should discuss this problem with your family members."

Answer and Explanation

The Correct Answer is B

A. "We can discuss this after completing the admission process.": This dismisses the partner’s concern and ignores a valuable opportunity for emotional support.

B. "Your partner is experiencing an expected response to the dying process.": Verbal aggression is often a manifestation of the Anger stage of grief (Kübler-Ross) or can be related to terminal restlessness/delirium. Normalizing this helps the partner understand the behavior.

C. "Your partner is in the denial stage of grief.": While they may be in a stage of grief, aggression is typically associated with Anger, not Denial.

D. "You should discuss this problem with your family members.": This avoids the nurse's responsibility to provide education and support to the family during hospice admission.

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Correct Answer is C

Explanation

A. "Why don't you want to be touched?": Asking "Why" can make a client feel defensive and is considered non-therapeutic communication.

B. "Would you like some pain medication before getting out of bed?": This ignores the client's immediate assertion of independence and safety risk.

C. "I will stand next to you and help if you need me to.":. This response respects the client's autonomy while ensuring safety by maintaining proximity in case the client becomes unsteady.

D. "We can talk about this after you have gotten out of bed.": This dismisses the client's immediate concern and the potential risk of a fall.

A. "Don't worry. Everything will work out for you." B. "We should talk about your decision later." C. "How will you discuss this decision with your loved ones?" D. "Your quality of life will be compromised if you make this decision."

Correct Answer is C

Explanation

A. "Don't worry. Everything will work out for you.": This provides false reassurance and dismisses the client's feelings.

B. "We should talk about your decision later.": This is avoidant and dismisses the client's current need for support.

C. "How will you discuss this decision with your loved ones?": This is an open-ended, therapeutic response that encourages the client to explore their support system and the implications of their decision.

D. "Your quality of life will be compromised if you make this decision.": This is judgmental and uses a "scare tactic" rather than supporting the client's autonomy.

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A nurse is assisting with the admission of a client to hospice care. The client's partner asks the nurse why the client is becoming verbally aggressive. Which of the following responses should the nurse make?

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