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 C

Explanation

C. This is a critical initial step before administering enteral feedings. Aspirating stomach contents helps confirm the placement of the nasogastric tube in the stomach rather than the respiratory tract. Checking the pH of the aspirate can further confirm gastric placement, as gastric fluid typically has an acidic pH (usually less than 5). This step ensures that the feeding will be delivered to the correct location, minimizing the risk of aspiration.
A. While it's important for the formula to be at an appropriate temperature for administration to prevent discomfort or complications such as cramping, this is not typically the first action to take. It can be done concurrently with other preparatory steps.
B. Proper labeling of the feeding container is essential for patient safety and adherence to institutional policies. However, this is not the first action to be completed. It's usually done after preparing the feeding and confirming the tube placement.
D. Assessing residual volume involves checking for any residual contents in the stomach from previous feedings. This step helps determine how much of the previous feeding remains in the stomach and whether it's safe to administer the next feeding. However, it typically follows confirming tube placement, as it's essential to know the tube is in the correct position before assessing residual volume.

A. induce sleep. B. create a stupor. C. affect pain. D. mimic hypnosis.

Correct Answer is A

Explanation

A. Hypnotic drugs are primarily used to induce sleep or promote sleepiness. They act on the central nervous system to depress its activity, leading to sedation and ultimately sleep. These drugs are commonly prescribed to treat insomnia or to induce anesthesia for surgical procedures.
B. While some hypnotic drugs can cause a stupor-like state, inducing a state of reduced consciousness or awareness, this is not the primary function of all hypnotic medications. Stupor typically refers to a state of extreme lethargy or mental dullness, which may be induced by certain drugs but is not inherent to the classification of hypnotics.
C. Hypnotic drugs are not primarily intended to affect pain. While some hypnotic medications may have analgesic properties, their primary function is to induce sleep or sedation rather than directly targeting pain relief. Pain relief is typically achieved through the use of analgesic medications such as opioids, NSAIDs, or other pain relievers.
D. Hypnotic drugs do not mimic the state of hypnosis induced by techniques such as hypnotherapy. While both hypnosis and hypnotic drugs can alter consciousness, they work through different mechanisms

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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 nurse is preparing to administer an enteral tube feeding to a client via a nasogastric tube. Which nursing action should be completed first?

Correct Answer is C

Explanation

A drug that is classified as being a "hypnotic" means that it will:

Correct Answer is A

Explanation

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