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. "A nurse explains the importance of medication adherence to a patient using visual aids and simplified language." This is more about education and communication rather than social learning.
B. "A nurse encourages a patient to join a support group where they can observe others coping with similar health challenges." This is correct. Social learning theory emphasizes learning through observation and interaction with others. Joining a support group allows the patient to observe and learn from the experiences of others.
C. "A nurse refers a patient to a physical therapist to learn exercises that promote mobility and strength." This is related to physical therapy and individual instruction rather than social learning.
D. "A nurse demonstrates wound care techniques to a patient and provides written instructions for future reference." This focuses on direct instruction rather than the observational learning component of social learning theory.
Correct Answer is A
Explanation
A. Health disparities can lead to health inequities, which place certain populations at a disadvantage and impact overall health outcomes.
B. Health disparities are not a condition for receiving insurance payments; insurance coverage and health equity are separate issues.
C. While research is important, the identification of health disparities is ongoing and does not solely rely on major research before actions are taken.
D. While there are efforts and policies aimed at reducing health disparities, there is no specific federal legislation that mandates the complete elimination of health disparities.
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