A female client who is receiving hospice care in her home expresses fear that dying will be painful. Which action should the nurse take first?
Include caregiver in discussion of pain relief strategies.
Encourage the client to talk about her fear related to pain.
Explain that analgesics will be given whenever needed.
Provide therapeutic touch along with comfort and support.
The Correct Answer is B
A. Including the caregiver in discussions about pain relief strategies is important, but addressing the client’s immediate concerns and fears should come first.
B. Encouraging the client to talk about her fear related to pain allows the nurse to understand her specific concerns and provide personalized reassurance and support. Addressing the client’s emotional needs is crucial in hospice care.
C. Explaining that analgesics will be given as needed is important for reassurance but may not fully address the client’s fear or allow for an open discussion about her concerns.
D. Providing therapeutic touch and comfort is supportive but does not directly address the client’s fear. Engaging in a conversation about her specific fears allows for more targeted and effective reassurance.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Instructing the client in the use of the PCA pump directly addresses the severe pain by allowing the client to self-administer analgesia as needed, which provides immediate relief and is crucial for effective pain management post-surgery.
B. Assisting the client in changing positions may offer temporary relief but does not address the underlying pain, which should be managed primarily through medication.
C. Initiating CPM is not an appropriate first step for managing severe pain. CPM is used for improving joint mobility and should only be considered after effective pain management is established.
D. Applying ice might provide some temporary relief, but it is not a substitute for effective pain control through medication. Addressing the pain with PCA is the priority.
Correct Answer is D
Explanation
A. Verbal analogies can help in understanding concepts, but they may not fully engage young adults in active problem-solving.
B. Positive reinforcement is important for motivation, but it does not directly involve the clients in problem-solving strategies.
C. Physical demonstrations are effective for teaching skills, but they may not be the most engaging method for problem-solving.
D. Simulation activities are highly effective in engaging young adults in problem-solving strategies. These activities allow participants to actively apply their knowledge and think critically in a controlled environment, making them a valuable tool for teaching problem-solving.
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