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 C

Explanation

A. A health care proxy form does not provide information about financial resources; it is used to designate someone to make health care decisions on the client's behalf if they are unable to do so.
B. The health care proxy form is not a requirement for hospital admission, and this response does not accurately represent its purpose.
C. This response is appropriate as it emphasizes the client's right to make decisions about their own health care and ensures that their preferences are known and respected.
D. While having a health care proxy may ease concerns about family involvement, its primary purpose is to ensure that health care decisions are made according to the client's wishes.

A. Health care provider B. Nutritionist C. Social worker D. Chaplain E. Registrar

Correct Answer is ["A","B","C","D"]

Explanation

A. Collaborating with a health care provider is essential in palliative care for integrating medical treatments and addressing the overall care plan.
B. A nutritionist is important for managing dietary needs and ensuring nutritional support in palliative care.
C. A social worker assists with psychosocial issues, resource needs, and family support, which are crucial in palliative care.
D. A chaplain provides spiritual care and support, addressing the emotional and spiritual needs of patients and families in palliative settings.
E. A registrar, while important for administrative functions, is not directly involved in patient care and would not be a primary collaborator in interprofessional rounds for palliative care.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is reviewing a health care proxy form with a client. The client asks the nurse, "Why should I have this?" Which of the following responses would be appropriate for the nurse to make?

Correct Answer is C

Explanation

A palliative care nurse is preparing to participate in interprofessional rounds. Which of the following members of the interprofessional team should the nurse plan to collaborate with?

Correct Answer is ["A","B","C","D"]

Explanation

Which of the following factors would the nurse identify as reflecting the current trend in caring for terminally ill older adults?

A case management nurse is evaluating clients for placement in various facilities. Which client would the nurse determine to be the most appropriate candidate for an assisted living community?

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