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.
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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 B
Explanation
A. Advocacy involves supporting or promoting a cause or policy but does not specifically target changing knowledge, attitudes, or behaviors of a population.
B. Social marketing uses marketing principles to influence behaviors and attitudes in a population, making it effective for changing knowledge, values, and practices.
C. Consultation involves providing expert advice and guidance but does not primarily focus on influencing knowledge or behaviors of a large population.
D. Coalition building focuses on bringing together groups to address issues collectively but is not primarily aimed at changing individual knowledge or behaviors.
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