A dying client tells the nurse that he doesn't want to see his family because he doesn't want to cause them more sadness.
Which action by the nurse is most appropriate?
Help the client clarify his values.
Educate the client on death and dying concepts.
Arrange a meeting between the family and the client.
Allow the client time for quiet reflection.
The Correct Answer is D
Choice A rationale
While clarifying values is important in end-of-life care, the immediate need is to respect the client's current wishes and provide space for processing his emotions. Forcing a values clarification at this moment might add pressure.
Choice B rationale
Educating the client on death and dying concepts might be helpful at some point, but it doesn't directly address his immediate emotional need to protect his family from sadness. His focus is on their well-being, not his understanding of the dying process.
Choice C rationale
Arranging a meeting without the client's consent or readiness disregards his autonomy and stated wishes. This could increase his distress and violate his right to make decisions about his interactions.
Choice D rationale
Providing time for quiet reflection acknowledges the client's emotional state and respects his need to process his feelings privately. This allows him to cope with his impending death in a way that feels most comfortable and protective of his family, fostering autonomy and dignity.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Discouraging the family from talking about death can hinder their grieving process and may prevent the dying client from having important conversations and finding closure. Open communication about death and dying is often therapeutic for both the client and their family members, allowing them to express emotions and support each other.
Choice B rationale
Informing the family that the client may soon be out of danger when the client is actively dying of renal failure is providing false reassurance and can erode trust between the nurse and the family. It is crucial to be honest and compassionate about the client's prognosis, preparing the family for the impending death rather than offering false hope.
Choice C rationale
While rest is important for a dying client, encouraging the family to leave the client alone may deprive both the client and the family of valuable time for connection and saying goodbye. The presence and support of loved ones can provide comfort to the dying person and begin the grieving process for the family.
Choice D rationale
Informing the family that it is time to bid farewell acknowledges the reality of the situation and provides an opportunity for the family to express their love, say their goodbyes, and find closure. This supportive action respects the dying process and the emotional needs of the family members as they face the imminent loss of their loved one. .
Correct Answer is B
Explanation
Choice A rationale
Negligence is the failure to exercise the care that a reasonably prudent person would exercise in similar circumstances. While administering the wrong medication is a breach of duty, legal charges of negligence might not fully capture the severity of a serious untoward reaction resulting from a medication error by a professional.
Choice B rationale
Malpractice is a specific type of negligence committed by a professional, such as a nurse, in the performance of their professional duties. Administering the wrong medication, leading to a serious adverse reaction, falls under the scope of professional nursing practice and can be considered a breach of the professional standard of care, thus potentially leading to charges of malpractice.
Choice C rationale
Assault is an intentional act that creates a reasonable apprehension of immediate harmful or offensive contact. Administering medication, even the wrong one, is usually not intended to cause apprehension of harm in the way assault is legally defined.
Choice D rationale
Battery is the intentional touching of another person without consent. While administering the wrong medication involves touching without consent, the more appropriate legal charge in a professional healthcare setting where harm results from a breach of duty is typically malpractice. .
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