A nurse is caring for a client who was recently admitted to hospice care and tells the nurse, “I am going to die and my family is hoping for a cure.
I am mad that they behave like everything will be fine.” Which of the following responses should the nurse make?
“Why do you think they don’t know what’s happening?”
“It sounds like you have given up and want to stay mad at your family.”.
“I think you and I need to talk about your anger with your family.”
“You are feeling angry that your family continues to wish for a cure?”
The Correct Answer is D
The correct answer is choice D. “You are feeling angry that your family continues to wish for a cure?”.
This response reflects the client’s feelings and encourages further communication.
It also shows empathy and respect for the client’s situation.
Choice A is wrong because it implies that the client is responsible for their family’s lack of understanding.
It may also make the client feel defensive or guilty.
Choice B is wrong because it is judgmental and dismissive of the client’s feelings.
It may also discourage the client from expressing their emotions.
Choice C is wrong because it focuses on the nurse’s needs rather than the client’s.
It may also sound intrusive or presumptuous to the client.
Hospice care is for people who are in the final stages of an incurable illness and want to focus on comfort and quality of life rather than curative treatments.
Hospice care teams provide physical, emotional, social, and spiritual support to clients and their families.
Hospice care can be provided at home, in a hospital, in a nursing home, or in a specialized hospice center.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
This action can help to reduce environmental stressors for clients in an acute care unit by limiting noise, crowding, and potential sources of infection.
Visitors should be allowed according to the client’s preference and condition, but excessive or inappropriate visitors should be discouraged.
Choice A is wrong because offering the clients many choices regarding care can increase their stress and anxiety, especially if they are confused, overwhelmed, or unable to make decisions.
The nurse should respect the client’s autonomy and preferences, but also provide guidance and education to help them make informed choices.
Choice C is wrong because assigning different nurses to provide care for clients each day can reduce the continuity and quality of care, as well as the trust and rapport between the client and the nurse.
The nurse should strive to provide consistent and individualized care for each client and establish a therapeutic relationship.
Choice D is wrong because turning on loud music in client care areas can increase environmental stressors for clients in an acute care unit by creating noise pollution, disrupting sleep, and interfering with communication.
The nurse should maintain a quiet and calm environment for the clients and use music only if it is soothing and requested by the client.
Correct Answer is B
Explanation
This action will help the client hear the nurse better by reducing competing sounds.
The nurse should also face the client when speaking, use short phrases, and communicate using paper and pen if needed.
Choice A is wrong because using short phrases alone is not enough to promote communication with a client who has hearing loss.
The nurse should also use other strategies such as decreasing background noise and facing the client when speaking.
Choice C is wrong because speaking in a loud voice can distort the sound and make it harder for the client to understand.
The nurse should speak clearly, slowly, and distinctly, but not shout.
Choice D is wrong because talking at a rapid rate can make it difficult for the client to follow the conversation.
The nurse should speak at a normal pace and pause between sentences.
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