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.

Answer and Explanation

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.

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Correct Answer is ["A","D","E"]

Explanation

A. Use pictures. Visual aids enhance comprehension, especially for clients with limited English proficiency. Pictures, diagrams, and illustrations help convey important information when language barriers exist.
B. Use materials written at a twelfth-grade level. This is inappropriate because most health education materials should be written at a fifth- to sixth-grade reading level to ensure accessibility. Higher reading levels may be too complex for many clients, particularly those with limited health literacy.
C. Provide a variety of educational materials. While multiple formats (e.g., videos, pamphlets) can be helpful, simply offering a variety does not ensure comprehension. The materials must be tailored to the client’s language and literacy level.
D. Choose materials that include culturally relevant information and examples. Cultural relevance improves engagement and understanding. Materials should reflect the client’s cultural background, beliefs, and values to make the information more meaningful.
E. Use materials written in the client's spoken language. Providing materials in the client’s primary language ensures better understanding. When possible, professional medical interpreters should also be used to clarify any uncertainties.

A. Lay the client's head flat. B. Consider any cultural, religious, or social practices of the client that would impact postmortem care. C. Dim the lights and minimize noise to provide a calm environment. D. Verify the provider has certified and documented death of the client. E. Tell the family to leave the room while you prepare the body.

Correct Answer is ["B","C","D"]

Explanation

A. Lay the client's head flat. Keeping the client’s head slightly elevated, rather than flat, helps prevent discoloration from blood pooling in the face. Positioning the body appropriately is part of postmortem care, but laying the head completely flat is not recommended.
B. Consider any cultural, religious, or social practices of the client that would impact postmortem care. Respecting cultural and religious practices is essential in providing compassionate end-of-life care. Some cultures have specific rituals or beliefs regarding handling the body, and the nurse should accommodate these whenever possible.
C. Dim the lights and minimize noise to provide a calm environment. Creating a peaceful environment is important for both the family and staff. A calm, quiet setting allows the family to grieve and say their final goodbyes in a respectful and dignified manner.
D. Verify the provider has certified and documented death of the client. Before proceeding with postmortem care, the nurse must ensure the provider has officially confirmed and documented the time of death. This is a legal requirement and a crucial step in the process.
E. Tell the family to leave the room while you prepare the body. Forcing the family to leave is inappropriate and insensitive. Many families want to be present during postmortem care or take part in rituals. The nurse should offer them the option to stay or leave based on their preference.

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Exhibits What is the most important action for the nurse to take when communicating with the client and family members at end of life?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing a teaching plan for a client who speaks limited English and is scheduled for a surgical procedure. Which of the following guidelines should the nurse plan to use when selecting written educational materials for the client? (Select all that apply.)

Correct Answer is ["A","D","E"]

Explanation

A nurse is caring for a terminally ill client on hospice who passed away during the shift. Select the "3" postmortem care actions the nurse should take?

Correct Answer is ["B","C","D"]

Explanation

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Exhibits

What is the most important action for the nurse to take when communicating with the client and family members at end of life?