A nurse explains all medical options to older adult clients to ensure they have the information they need to make informed decisions about their care. The nurse implements these actions based on which concept?

A. Beginning each day with a set of vital signs obtained for each client: While monitoring vital signs is important, performing this task daily for all clients may not always be necessary and could lead to unnecessary resource utilization. Vital signs should be assessed based on individual client needs and as indicated by their condition or treatment plan.

B. Maintaining a standardized schedule for bathing for all clients: While having a standardized schedule for bathing may streamline workflow, it may not always meet the individual needs and preferences of each client. Flexibility in scheduling based on individual preferences, care needs, and physical condition may be more appropriate to provide personalized care.

C. Encouraging clients' family members to assist with feeding: While family involvement can be beneficial, encouraging family members to assist with feeding may not always be feasible or appropriate for all clients. Some clients may require specialized feeding techniques or supervision by trained staff to ensure safety and proper nutrition.

D. Ensuring that medications are administered by nurses: This option ensures that medications are safely administered by qualified healthcare professionals who are trained to assess medication orders, administer medications correctly, monitor for potential side effects or adverse reactions, and provide education to clients regarding their medications. Adhering to this practice helps prevent medication errors and ensures the safe and effective use of medications, ultimately contributing to quality care and cost-effectiveness.

A. Spiritual care in line with the family's belief system: This option aligns with the principles of hospice care, which emphasize holistic support for both the patient and their family, including addressing spiritual needs. Therefore, this intervention is appropriate and should be included in hospice care.

B. Surgery to remove plaques from the client's cerebral arteries to prevent future strokes: This intervention contradicts the philosophy of hospice care, which prioritizes comfort and quality of life for patients with life-limiting illnesses rather than aggressive treatments aimed at prolonging life or preventing future complications. Therefore, this intervention would not be included in hospice care and indicates a need for further teaching.

C. Psychosocial support aimed at the family's response to their loved one's imminent death: Hospice care recognizes the significant impact of a terminal illness on the patient's family and provides psychosocial support to help them cope with their emotions and prepare for the patient's death. This intervention is consistent with hospice principles and should be included in the care plan.

D. A primary focus on the client's quality of life in the time until the client's death: This is a fundamental aspect of hospice care, which prioritizes the patient's comfort, dignity, and overall well-being during their remaining time. Therefore, this intervention is appropriate and aligns with hospice philosophy.