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 B

Explanation

A. "Cultural competence requires that nurses adopt the cultural practices of their clients to provide the best care." Nurses do not need to adopt a client's cultural practices personally. Instead, they should respect, understand, and incorporate culturally appropriate care strategies while maintaining professional boundaries.
B. "Cultural competence involves understanding and respecting diverse cultural backgrounds and incorporating this understanding into client care to improve outcomes and client satisfaction." This statement accurately describes cultural competence, which requires nurses to recognize and respect cultural differences, avoid biases, and adapt care to meet the unique needs of each client.
C. "Cultural competence is only necessary when caring for clients from cultures that are significantly different from one's own." Cultural competence applies to all clients, regardless of how similar or different their culture is from the nurse's. Every client has unique cultural beliefs and values that can influence healthcare decisions.
D. "Cultural competence means that healthcare providers must follow a standardized approach to care that applies to all clients, regardless of their cultural background." A standardized approach does not account for individual cultural differences. Instead, culturally competent care requires flexibility and adaptation to meet the needs of diverse populations.

A. Spread client care activities throughout the shift. B. Keep the door to the client's room open. C. Provide the client with earplugs. D. Encourage visitors throughout the day.

Correct Answer is C

Explanation

A. Spread client care activities throughout the shift. Frequent interruptions can contribute to sensory overload by preventing rest and relaxation. Instead, clustering care activities minimizes disturbances and helps create a calmer environment.
B. Keep the door to the client's room open. An open door can increase noise levels and exposure to environmental stimuli, such as hallway conversations and alarms, worsening sensory overload. Keeping the door closed or partially closed can help reduce unnecessary stimuli.
C. Provide the client with earplugs. Earplugs help block out excessive noise from medical equipment, conversations, and alarms, reducing auditory overstimulation. This intervention allows the client to rest and promotes a more comfortable healing environment.
D. Encourage visitors throughout the day. While social interaction is important, excessive visits can contribute to sensory overload. Limiting and scheduling visitor times appropriately helps balance emotional support with the need for rest and recovery.

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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 nursing student is preparing a presentation on cultural competence for a group of fellow nursing students. Which of the following statements should the student include in their explanation to best describe cultural competence in nursing?

Correct Answer is B

Explanation

A nurse is caring for a hospitalized client who is experiencing sensory overload due to the hospital environment. Which of the following actions should the nurse take?

Correct Answer is C

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?