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."
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. While creating personalized meal plans is an important task for a dietitian, it does not reflect the interprofessional collaboration often seen in community health settings, where multiple disciplines work together.
B. A team involving a nurse, social worker, and community health worker exemplifies effective interprofessional care, as it shows collaboration among different professionals to address a complex issue such as homelessness.
C. Medication counseling by a pharmacist is a key component of healthcare but is generally considered part of the pharmacist's role rather than interprofessional collaboration.
D. Blood pressure screenings by a nurse are valuable but represent an individual effort rather than a collaborative, interprofessional approach to community health.
Correct Answer is B
Explanation
A. Informing the partner they are unable to care for the client without further assessment and support is not appropriate.
B. Consulting case management is crucial to evaluate the home care situation, including the partner’s ability to provide care, and to arrange appropriate resources or support services.
C. Referring for occupational therapy is important for rehabilitation but does not address the overall home care planning or the partner’s capability to provide care.
D. Facilitating discharge to home without assessing the adequacy of home care arrangements could put the client at risk, so consulting case management is a more comprehensive approach.
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