The nurse is assessing a terminally ill client who is on home hospice care and notes that the client is demonstrating signs of terminal delirium and becoming more unresponsive. Which of the following instructions should the nurse give to the client’s children?

"We recommend that you sit at your parent's bedside so you can document the time of death."

"Limit the amount of environmental noise in your parent's room to decrease stimulation."

"This may be very difficult for you to watch your parent, so take some respite time to re-charge."

"Family often uses this time to tell their parent that it is okay to let go."

Answer and Explanation

The Correct Answer is B

A. Documenting the time of death is not an immediate concern during the process of terminal delirium and does not directly address the patient's comfort.
B. Limiting environmental noise helps reduce stimulation, which can be beneficial for a patient experiencing terminal delirium and unresponsiveness, helping to maintain a calm environment.
C. While taking respite time may be necessary for family members, it does not directly address the needs of the patient with terminal delirium.
D. Telling the patient it is okay to let go is emotionally supportive but does not address the immediate need to manage symptoms and provide comfort during terminal delirium.

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Correct Answer is B

Explanation

A. While palliative care aims to keep clients comfortable, this aspect is not unique to palliative care and can be part of other types of medical care.
B. Palliative care can be provided alongside curative or life-prolonging treatments, which is a unique feature of the specialty, as it focuses on improving quality of life without excluding other treatments.
C. Palliative care is not limited to cases with no other effective measures; it is intended to enhance comfort and quality of life alongside other treatments.
D. Palliative care is not restricted to a specific time frame or to recuperation from illness; it is a comprehensive approach to managing symptoms and improving quality of life throughout the course of serious illness.

A. Physician and nursing staff B. Physician and family C. Spouse and adult children D. Notary and attorney

Correct Answer is C

Explanation

A. "Physician and nursing staff." While the physician and nursing staff play a role in providing medical care and guidance, they are not responsible for making decisions about end-of-life care when the client cannot communicate their wishes.
B. "Physician and family." The physician can provide medical recommendations and guidance, but the family members are responsible for making decisions about end-of-life care when there is no advance directive.
C. "Spouse and adult children." This is correct. In the absence of an advance directive, the responsibility for making end-of-life decisions typically falls to the spouse and/or adult children, as they are usually considered the next of kin or legal decision-makers.
D. "Notary and attorney." Notaries and attorneys are not responsible for making medical decisions about end-of-life care. Their role is more related to legal documentation and advice.

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The nurse is assessing a terminally ill client who is on home hospice care and notes that the client is demonstrating signs of terminal delirium and becoming more unresponsive. Which of the following instructions should the nurse give to the client’s children?

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Naxlex Comprehensive Predictor Exams

The nurse is discussing palliative care with a client who has stage 3 lung cancer. Which aspect of palliative care would the nurse explain is unique to the specialty?

Correct Answer is B

Explanation

The family attorney informed a client's adult children and wife that the client did not have an advance directive after suffering a serious stroke. Who is responsible for EOL (End of Life) measures when the client cannot communicate his or her specific wishes?

Correct Answer is C

Explanation

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