A client who is dying is experiencing dyspnea. Which end-of-life (EOL) intervention(s) should the practical nurse (PN) implement? Select all that apply

Rationale:
A. This option is incorrect because notifying the family may be appropriate later if the client wishes, but the immediate priority is to honor the client’s spiritual request. Delaying the request could cause distress.

B. This option is incorrect because exploring the client’s thoughts about dying, while supportive, does not address the expressed need for religious rites at the end of life. Spiritual requests take priority in hospice care when the client is actively requesting them.

C. This option is incorrect because suggesting the hospital chaplain may not meet the client’s specific religious preference. The client requested a priest for the “Last Rites,” which is a distinct sacramental ritual that requires a priest.

D. This option is correct because the PN should immediately act to fulfill the client’s request by contacting the priest. This ensures the client’s spiritual needs are met, provides comfort, and respects the client’s autonomy and end-of-life wishes. Prompt action aligns with hospice care principles, which prioritize dignity, comfort, and spiritual support.

Rationale:
A. This option is incorrect because while the client may benefit from prayer, inviting staff and family to pray without confirming the client’s preferences may not align with their spiritual or cultural beliefs. The client’s autonomy and specific spiritual needs should guide the intervention.

B. This option is incorrect because encouraging hope for recovery is inappropriate in hospice care, where the focus is on comfort, dignity, and end-of-life support rather than curative treatment. It could cause distress or give false expectations.

C. This option is correct because contacting the facility’s chaplain ensures the client receives professional spiritual support in accordance with their expressed readiness to make peace with God. Chaplains are trained to provide guidance, comfort, and ritual support that respects the client’s beliefs and end-of-life wishes.

D. This option is incorrect because relying on the family to contact clergy may delay timely spiritual support. The PN should proactively facilitate access to spiritual care resources to address the client’s immediate needs.