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

Explanation

A. Supporting the client's wish to refuse prescribed medications. Autonomy refers to the right of individuals to make their own decisions regarding their healthcare. If a client chooses to refuse medication, the nurse must respect this decision, as long as the client is deemed competent to make informed choices.
B. Explaining unit rules and policies regarding unacceptable behaviors. This action supports a structured therapeutic environment but does not specifically relate to autonomy. It aligns more with beneficence (acting in the client’s best interest) and justice (ensuring fairness in care).
C. Making sure the client understands expectations for client participation. Ensuring understanding of treatment expectations promotes informed participation but does not directly uphold the ethical principle of autonomy, which emphasizes the right to make personal choices.
D. Encouraging client feedback about satisfaction with the facility experience. Seeking client feedback supports patient-centered care but does not specifically demonstrate autonomy, which involves the right to accept or refuse medical interventions.

A. Avoid standing in front of the client while speaking. B. Speak loudly and slowly to the client to ensure they can hear you clearly. C. Use written communication to supplement verbal instructions and ensure the client understands the information. D. Use gestures and non-verbal cues only, without speaking, as the client is able to read lips effectively.

Correct Answer is C

Explanation

A. Avoid standing in front of the client while speaking. This is incorrect because standing in front of the client allows them to see the nurse’s facial expressions and lip movements, which can aid in understanding. Good lighting and face-to-face positioning improve communication.
B. Speak loudly and slowly to the client to ensure they can hear you clearly. Speaking loudly can distort sounds, making it harder for hearing-impaired clients to understand speech. Instead, the nurse should speak clearly at a moderate pace and use other communication aids, such as written instructions.
C. Use written communication to supplement verbal instructions and ensure the client understands the information. This is the best approach, as written instructions help reinforce spoken communication, ensuring the client fully understands important details. This is especially useful for clients with significant hearing loss.
D. Use gestures and non-verbal cues only, without speaking, as the client is able to read lips effectively. While gestures and facial expressions help, not all hearing-impaired clients read lips fluently. Relying solely on non-verbal cues may lead to miscommunication. A combination of verbal, written, and visual communication is more effective.

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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?

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Explanation

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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?