A nurse is caring for a client in the dying process. How can the nurse best support the client and their family? (SELECT ALL THAT APPLY)

Assess the family members for potentially poor bereavement outcomes.

Encourage the family to feed the client frequent meals.

Assess the client's family members understanding of the dying process.

Urge the family to limit the time they spend with the client.

Support the client's religious and cultural beliefs and practices.

Answer and Explanation

Correct Answer : A,C,E

A. Assessing family members for potential poor bereavement outcomes, such as complicated grief or unresolved issues, allows the nurse to provide appropriate support and interventions. This may involve identifying risk factors, offering counseling or referrals to support services, and providing emotional support to family members as needed.

C. Assessing the understanding of the dying process among family members helps the nurse identify their informational needs, address misconceptions, and provide education and support accordingly. Clear communication and open dialogue can help alleviate anxiety and uncertainty and empower family members to participate actively in the care of their loved one.

E. Respecting and supporting the client's religious and cultural beliefs and practices is essential in providing culturally competent care. This may involve collaborating with spiritual or religious leaders, facilitating rituals or ceremonies, providing appropriate accommodations, and honoring the client's preferences regarding end-of-life care and decision-making.

B. Encouraging frequent meals may not be appropriate during the dying process, as the client's appetite and ability to eat may be significantly diminished. Instead, the focus should be on providing comfort measures, maintaining oral hygiene, and offering small, manageable amounts of food or fluids based on the client's preferences and comfort level.

D. Urging the family to limit their time with the client is contrary to supporting them during the dying process. Family presence and involvement are essential for providing emotional support, companionship, and comfort to the client. Encouraging meaningful interactions and opportunities for sharing memories and expressions of love can promote a sense of connection and closure for both the client and their family.

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Correct Answer is A

Explanation

A. Confidentiality refers to the ethical duty of healthcare providers to safeguard patient information and maintain privacy. Upholding confidentiality means that healthcare providers must not disclose sensitive information about a patient to unauthorized individuals without the patient's consent. In this scenario, if the client asks the nurse not to disclose their medical diagnosis to their family members, respecting this request would uphold the principle of confidentiality by protecting the privacy of the patient's health information.
B. Justice in healthcare refers to the fair and equitable distribution of resources and the provision of healthcare services. While justice is an important ethical principle, it is not directly applicable to the client's request regarding the disclosure of their medical diagnosis to their family members.
C. Veracity, also known as truthfulness, is the ethical principle of honesty and truthfulness in communication with patients. Upholding veracity means providing patients with accurate and truthful information about their health condition and treatment options. In this scenario, if the nurse complies with the client's request not to disclose their medical diagnosis to their family members, it may involve withholding information and not fully disclosing the truth to the family members. Therefore, upholding the client's request may conflict with the principle of veracity.
D. A healthcare proxy is a legal document that allows an individual (the proxy) to make healthcare decisions on behalf of another person (the principal) if the principal is unable to make decisions for themselves. The existence of a healthcare proxy does not directly relate to the client's request regarding the disclosure of their medical diagnosis to their family members.

A. Decreased pedal pulses B. Tachycardia C. Presence of bibasilar crackles D. Headache

Correct Answer is B

Explanation

B. Tachycardia (elevated heart rate) can be a sign of various underlying conditions, including pain, anxiety, or cardiovascular compromise. While tachycardia may occur as a response to stress or pain associated with the catheter insertion procedure, it can also indicate complications such as hemorrhage, cardiac dysrhythmias, or pulmonary embolism, which require prompt evaluation and intervention.
A. While this can be concerning, it is not typically directly related to complications of a subclavian central venous catheter insertion unless there is evidence of arterial injury or thrombosis.
C. Bibasilar crackles are abnormal lung sounds that can indicate fluid accumulation in the lungs, such as pulmonary edema or pneumonia. However, this may not be directly related to the subclavian central venous catheter insertion itself.
D. Headache is a non-specific symptom that can have numerous causes, including stress, dehydration, or tension.

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A nurse is caring for a client in the dying process. How can the nurse best support the client and their family? (SELECT ALL THAT APPLY)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The client asks the nurse not to tell the family about the medical diagnosis. In meeting this request, the nurse would be upholding which of the following?

Correct Answer is A

Explanation

The nurse is caring for a client who just had a subclavian central venous catheter inserted. Which symptom should the nurse recognize as setting a priority for this client's care?

Correct Answer is B

Explanation

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