A nurse is caring for a client in the dying process. How can the nurse best support the client and their family? (SELECT ALL THAT APPLY)

Assess the family members for potentially poor bereavement outcomes.

Encourage the family to feed the client frequent meals.

Assess the client's family members understanding of the dying process.

Urge the family to limit the time they spend with the client.

Support the client's religious and cultural beliefs and practices.

Answer and Explanation

Correct Answer : A,C,E

A. Assessing family members for potential poor bereavement outcomes, such as complicated grief or unresolved issues, allows the nurse to provide appropriate support and interventions. This may involve identifying risk factors, offering counseling or referrals to support services, and providing emotional support to family members as needed.

C. Assessing the understanding of the dying process among family members helps the nurse identify their informational needs, address misconceptions, and provide education and support accordingly. Clear communication and open dialogue can help alleviate anxiety and uncertainty and empower family members to participate actively in the care of their loved one.

E. Respecting and supporting the client's religious and cultural beliefs and practices is essential in providing culturally competent care. This may involve collaborating with spiritual or religious leaders, facilitating rituals or ceremonies, providing appropriate accommodations, and honoring the client's preferences regarding end-of-life care and decision-making.

B. Encouraging frequent meals may not be appropriate during the dying process, as the client's appetite and ability to eat may be significantly diminished. Instead, the focus should be on providing comfort measures, maintaining oral hygiene, and offering small, manageable amounts of food or fluids based on the client's preferences and comfort level.

D. Urging the family to limit their time with the client is contrary to supporting them during the dying process. Family presence and involvement are essential for providing emotional support, companionship, and comfort to the client. Encouraging meaningful interactions and opportunities for sharing memories and expressions of love can promote a sense of connection and closure for both the client and their family.

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Correct Answer is D

Explanation

D. Experiencing multiple stressors simultaneously can overwhelm an individual's coping resources and make it more difficult to effectively manage stress. Coping with multiple stressors can lead to feelings of being overwhelmed, heightened anxiety, and decreased ability to cope with each stressor individually.
A. Undergoing a biopsy can be a stressful experience due to uncertainty about the results and fear of the procedure itself. However, the level of difficulty in coping with this stressor can vary among individuals depending on factors such as their coping mechanisms, social support, and previous experiences with medical procedures.
B. Relocating to an assisted-living facility can be a significant life transition, involving changes in living arrangements, loss of independence, and adjustment to a new environment. This stressor can be particularly challenging for individuals who have strong attachments to their current living situation or who are facing health-related issues that necessitate the move.
C. Understanding and researching the stressor can sometimes help individuals cope better by providing knowledge and a sense of control. However, this does not necessarily make coping with the stressor easier, especially if the stressor itself is significant or if the individual lacks adequate support or resources to manage it effectively.

A. eliminate the hourly assessment of the IV site. B. prevent accidental delivery of large amounts of fluids. C. control the drip rate based on the position of the client. D. administer IV fluids at a rapid rate.

Correct Answer is B

Explanation

B. One of the primary functions of an IV infusion pump is to precisely control the rate and volume of fluid delivery, thereby reducing the risk of accidental administration of large amounts of fluids. The pump allows for accurate programming of infusion rates and volume limits, enhancing safety and preventing fluid overload or other complications.
A. Using an IV infusion pump does not eliminate the need for assessing the IV site regularly. Regardless of the infusion method, it is essential to monitor the IV site frequently for signs of complications such as infiltration, phlebitis, or dislodgement. Therefore, this option is not the appropriate rationale for using an IV infusion pump.

C. IV infusion pumps are programmable devices that allow for precise control of the drip rate independent of the client's position. They ensure a consistent and controlled flow rate regardless of changes in the client's position, providing reliable delivery of fluids or medications.
D. While IV infusion pumps can deliver fluids at various rates, including rapid infusion rates when necessary, their primary purpose is not to administer fluids at a rapid rate. Rather, they are designed to deliver fluids or medications at controlled and programmed rates tailored to the client's needs, ensuring safety and accuracy.

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A nurse is caring for a client in the dying process. How can the nurse best support the client and their family? (SELECT ALL THAT APPLY)

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Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is B

Explanation

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