The family of a client on home hospice care who is nearing the end of life tell the nurse that the client is refusing to eat. Which of the following statements would be appropriate for the nurse to make?
"You don't need to worry about the client as this is a normal sign of dying."
“This can often lead to a sense of peacefulness for the client.”
"Let's try to plan a schedule for giving the client high-calorie liquids.”
“I can get a prescription for a feeding tube if you think this would be okay with the client.”
The Correct Answer is B
A. "You don't need to worry about the client as this is a normal sign of dying." This is not appropriate. While loss of appetite can be a normal part of the dying process, the family may need support and reassurance.
B. “This can often lead to a sense of peacefulness for the client.” This is appropriate. Refusal to eat can be a natural part of the end-of-life process, and it can help the client achieve comfort and a sense of peace.
C. "Let's try to plan a schedule for giving the client high-calorie liquids." This is not appropriate. Forcing or scheduling feeding can be counterproductive and may not align with the client's comfort or preferences at the end of life.
D. “I can get a prescription for a feeding tube if you think this would be okay with the client.” This is not appropriate. At the end of life, a feeding tube may not be in the client's best interest and may not contribute to their comfort. It is important to focus on palliative care rather than invasive interventions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Encouraging a positive attitude is more aligned with behavior change theories rather than the Health Belief Model, which focuses on perceived threats and benefits.
B. Tailoring interventions to readiness is more specific to the Transtheoretical Model rather than the Health Belief Model.
C. Providing educational materials to increase awareness of health risks is a core component of the Health Belief Model, as it aims to enhance perceived susceptibility and severity of health issues.
D. Group interaction and reinforcement are strategies more related to social support and behavioral theories rather than the Health Belief Model’s focus on individual perceptions and risks.
Correct Answer is A
Explanation
A. Referring the client to a social worker is the most appropriate action, as social workers are trained to assist with financial issues, access to resources, and support for medication costs.
B. While suggesting employment opportunities might be helpful in the long term, it does not directly address the immediate need for medication affordability.
C. Nonpharmacological strategies are beneficial but do not resolve the immediate issue of medication access.
D. Budgeting suggestions may be helpful, but they do not directly address the issue of acquiring necessary medications or financial assistance.
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