A nurse is caring for a client who is at the end of life. Which of the following interventions is most effective in reducing the client's social isolation?

Encourage family members to call the client.

Instruct the client to join an online support group.

Schedule home visits with the client.

Ask the client's friends to text the client.

Answer and Explanation

The Correct Answer is C

Explanation:

A. Encourage family members to call the client: This option focuses on utilizing the client's existing support system, particularly family members, to maintain communication and emotional connection. Regular phone calls from family members can provide comfort, reassurance, and a sense of belonging, all of which are crucial in reducing social isolation, especially during end-of-life care.

B. Instruct the client to join an online support group: This option suggests using technology to connect the client with others who may be going through similar experiences. Online support groups can offer valuable emotional support and a sense of community. However, this approach may not be suitable for all clients, especially if they are not comfortable or familiar with online platforms, or if they prefer face-to-face interactions.

C. Schedule home visits with the client: This option emphasizes personal, one-on-one interaction by scheduling regular home visits. Home visits allow healthcare providers, family members, and other supportive individuals to be physically present with the client, providing not only emotional support but also addressing any physical or comfort needs the client may have.

D. Ask the client's friends to text the client: Texting is a convenient and quick way to communicate, but it may lack the depth of connection provided by voice calls or in-person interactions. While texting can be an additional method of staying in touch, especially for quick updates or reminders, it may not be sufficient on its own to reduce social isolation significantly.

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Correct Answer is A

Explanation

Explanation:

A. Spirituality decreases feelings of depression:

This statement is generally accurate. Many studies and anecdotal evidence suggest that spirituality can have a positive impact on mental and emotional well-being, including reducing feelings of depression and providing a sense of peace and comfort.

B. Spirituality increases feelings of hopelessness:

This statement is not typically supported by research or clinical observations. Spirituality often fosters feelings of hope, meaning, and purpose, which can counteract feelings of hopelessness commonly experienced by individuals facing end-of-life challenges.

C. Spirituality increases the desire to hasten death:

There is limited evidence to support this statement. In fact, spirituality often provides individuals with a sense of resilience, acceptance, and coping mechanisms that may reduce the desire to hasten death. However, individual beliefs and experiences can vary widely.

D. Spirituality decreases quality of life:

This statement is generally inaccurate. For many individuals, spirituality enhances quality of life by providing a sense of meaning, connection, and comfort, especially during challenging times such as end-of-life care.

A. Expert opinions B. Systematic review C. Credible websites D. Qualitative studies

Correct Answer is B

Explanation

Explanation:

A. Expert opinions:

Expert opinions are valuable in clinical practice and decision-making, but they are considered a lower level of evidence compared to systematic reviews and meta-analyses. Expert opinions are often classified as Level V evidence in the hierarchy.

B. Systematic review

A systematic review is a comprehensive and rigorous synthesis of multiple studies on a particular topic, and it often includes a meta-analysis that statistically combines the results of these studies to provide a high level of evidence. This type of evidence is considered Level I because it provides a strong foundation for making clinical decisions due to its methodological rigor and ability to summarize findings from multiple studies.

C. Credible websites:

Credible websites can provide valuable information, but they are not classified as Level I evidence. The evidence hierarchy typically places systematic reviews and meta-analyses at the highest level due to their methodological rigor and synthesis of multiple studies.

D. Qualitative studies:

Qualitative studies are valuable for exploring complex phenomena and understanding individuals' experiences, beliefs, and perspectives. However, they are generally considered lower in the hierarchy of evidence compared to systematic reviews and RCTs, which are categorized as Level I evidence.

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A nurse is caring for a client who is at the end of life. Which of the following interventions is most effective in reducing the client's social isolation?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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