Exhibits
What is the most important action for the nurse to take when communicating with the client and family members at end of life?
Listen actively and attentively to the client and family concerns and emotions.
Encourage the client to make decisions about treatment options and advance care planning.
Provide detailed medical information and prognosis to the client.
Discuss funeral arrangements and end-of-life wishes with the client.
The Correct Answer is A
A. Listen actively and attentively to the client and family concerns and emotions. Active listening is the most important action at the end-of-life stage. The client and family may have fears, emotional distress, or unanswered questions, and the nurse should provide empathetic support and reassurance. Listening fosters trust, emotional comfort, and dignity in care.
B. Encourage the client to make decisions about treatment options and advance care planning. While advance care planning is important, Mrs. Thompson has already expressed her wishes and designated decision-makers. At this stage, the focus should be on comfort rather than making new treatment decisions.
C. Provide detailed medical information and prognosis to the client. While some information may be appropriate, overloading the client with medical details may increase stress. The nurse should provide information as needed but prioritize emotional support.
D. Discuss funeral arrangements and end-of-life wishes with the client. This may be appropriate if the client initiates the conversation, but forcing discussions about funeral plans may not be beneficial. The nurse’s role is to support emotional well-being rather than focus on logistics.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Level of sedation. Monitoring sedation is important because opioids can cause drowsiness and central nervous system depression. However, respiratory depression is the most serious potential complication, making pulse oximetry the higher priority.
B. Pulse oximetry. Opioids can depress the respiratory center in the brain, leading to hypoventilation and hypoxia. Monitoring oxygen saturation with pulse oximetry is the priority to detect early signs of respiratory depression and intervene promptly to prevent severe complications.
C. Blood pressure. Opioids can cause hypotension due to vasodilation and decreased sympathetic nervous system activity. While monitoring blood pressure is necessary, it is not as critical as assessing respiratory status, which poses a greater immediate risk.
D. Pain level. Assessing pain relief is important in postoperative care, but ensuring the client is breathing adequately takes precedence over pain management. Uncontrolled pain should be addressed, but not at the expense of monitoring for opioid-induced respiratory complications.
Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A"},"C":{"answers":"C"},"D":{"answers":"A"}}
Explanation
Administer prescribed pain medication to manage discomfort. Pain management is a priority in end-of-life care to ensure comfort. Opioids and other pain medications are routinely prescribed in palliative care to alleviate suffering.
Facilitate family meetings to discuss care goals and provide emotional support. Supporting the family and discussing care preferences align with palliative and hospice care goals. Family meetings provide emotional support and ensure that care aligns with Mrs. Thompson’s wishes.
Initiate aggressive chemotherapy to attempt disease reversal. At the end-of-life stage, curative treatments are no longer appropriate. Aggressive chemotherapy is unlikely to provide benefit and may cause unnecessary discomfort. The focus should be on comfort rather than disease reversal.
Provide regular oral care for comfort. Dry mouth and oral discomfort are common at the end-of-life stage, especially with reduced fluid intake. Regular oral care helps maintain moisture, prevents infections, and enhances comfort.
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