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 in the denial stage of grief."

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

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

Answer and Explanation

The Correct Answer is D

A. "We can discuss this after completing the admission process." Delaying discussion about the client’s aggression may leave the partner feeling unheard and unsupported during an emotionally charged moment. Immediate acknowledgement is important to build trust and provide reassurance.

B. "Your partner is in the denial stage of grief." Verbal aggression is not typically linked to the denial stage of grief, which is more about avoidance or disbelief. Aggression is more often related to frustration, fear, or physiological changes at end of life.

C. "You should discuss this problem with your family members." Redirecting the partner to family members does not address their concerns directly and can seem dismissive. The nurse should provide direct support and clear information to help the partner understand the client’s behavior.

D. "Your partner is experiencing an expected response to the dying process." Verbal aggression can be a normal reaction to the stress, pain, or neurological changes associated with the dying process. Providing this explanation helps normalize the behavior, reducing anxiety for the partner and promoting understanding.

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Correct Answer is D

Explanation

A. Impaired hearing: Impaired hearing can increase the risk of injury by reducing the client’s ability to hear alarms or warnings. However, it is considered a sensory impairment rather than a lifestyle choice.

B. Reduced health literacy: Low health literacy can contribute to poor understanding of safety instructions and adherence to precautions, increasing injury risk. Nonetheless, it relates more to knowledge deficits than lifestyle behaviors.

C. Lower extremity weakness: Weakness in the legs increases fall risk due to impaired mobility and balance. This is a physical or functional risk factor rather than a lifestyle risk.

D. Texting while driving: Texting while driving is a high-risk lifestyle behavior directly associated with increased injury and accident rates. It involves voluntary behavior that compromises safety and is a preventable cause of injury.

A. Decrease background noise. B. Speak in a loud voice. C. Use short phrases. D. Talk at a rapid rate.

Correct Answer is A

Explanation

A. Decrease background noise: Reducing ambient noise helps clients with hearing loss focus better on the speaker’s voice, minimizing distractions and enhancing their ability to interpret sounds or speech through residual hearing or lip-reading.

B. Speak in a loud voice: Speaking loudly can distort speech sounds and facial expressions, making it harder for clients to understand. It’s more effective to speak clearly at a moderate pace and volume.

C. Use short phrases: While shorter phrases might seem easier to process, effective communication often depends on clear context and full sentences. Using natural language helps convey meaning more accurately.

D. Talk at a rapid rate: Rapid speech can be difficult for individuals with hearing loss to follow, especially if they rely on lip-reading. Slower, clearer speech improves understanding and facilitates better communication.

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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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