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."
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Paralytic ileus: This refers to a lack of intestinal peristalsis, which results in absent bowel sounds, not loud growling.
B. Distention: This describes the physical appearance of an abdomen that is swollen or bloated with gas or fluid; it is not a term for an auscultated sound.
C. Borborygmi: This is the clinical term for hyperactive, loud, gurgling, or "growling" stomach sounds caused by the movement of gas through the intestines.
D. Hypoactivity: This refers to infrequent or quiet bowel sounds, usually fewer than 5 per minute.
Correct Answer is C
Explanation
A. Lower extremity weakness: This is a physiological or physical risk factor, not a lifestyle choice.
B. Reduced health literacy: This is a socioeconomic or cognitive factor.
C. Texting while driving: A lifestyle risk factor is a behavior or habit that an individual chooses to engage in which increases their risk of harm.
D. Impaired hearing: This is a sensory/physiological risk factor.
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