A nurse is giving change-of-shift report using the SBAR technique about a client who has a traumatic brain injury. When reporting information about the client, which of the following should the nurse include in the situation segment of SBAR?

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.

Explanation:

A. Spirituality can increase feelings of hopelessness.

This statement is generally incorrect. Spirituality often provides individuals with a sense of purpose, meaning, and hope, especially during challenging times such as facing the end of life. It can offer comfort, guidance, and a sense of connection to something greater than oneself, which can alleviate feelings of hopelessness.

B. Spirituality can increase the desire to hasten death.

This statement is not typically true. For many individuals, spirituality provides a source of strength, resilience, and peace, which can help them cope with the end-of-life process without necessarily increasing the desire to hasten death. Spirituality often encourages acceptance, inner peace, and a focus on finding meaning in life's experiences, including the end of life.

C. Spirituality can increase depression.

While spirituality can be a source of support and coping for individuals near the end of life, it is not accurate to say that it increases depression. In fact, spirituality can often provide comfort, solace, and a sense of connection that may help reduce feelings of depression and promote emotional well-being.

D. Spirituality can increase the quality of life.

This statement is correct. Many studies and anecdotal evidence suggest that spirituality plays a significant role in enhancing the quality of life for individuals facing the end of life. It can provide comfort, peace, meaning, and a sense of connection with others, one's beliefs, and the universe, contributing to overall well-being and quality of life.