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 B
Explanation
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.
Correct Answer is A
Explanation
A. Decrease background noise.: Eliminating competing sounds (TV, hallway noise, fans) makes it easier for the client to focus on the nurse’s voice and prevents sound distortion.
B. Speak in a loud voice.: Incorrect. Shouting can distort the sound of words and often raises the pitch of the voice, which is usually the frequency most difficult for those with hearing loss to hear.
C. Talk at a rapid rate.: Incorrect. The nurse should speak slowly and clearly to allow the client time to process the information and potentially read lips.
D. Use short phrases.: While clarity is good, using "short phrases" can come across as "baby talk" or patronizing. Speaking in normal, clear sentences is preferred unless the client has a cognitive impairment.
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