A nurse is caring for a patient who is about to start ibuprofen therapy for hip pain. What information should the nurse provide about ibuprofen?

Choice A rationale

Confusion or disorientation can be a normal part of the dying process. As the body systems start to shut down, changes in mental status, including confusion, can occur.

Choice B rationale

Sundowning is a phenomenon that is typically associated with dementia, particularly Alzheimer’s disease, and is characterized by confusion and agitation that gets worse in the late afternoon and evening. It is not specifically associated with the dying process.

Choice C rationale

While anxiety can occur at any stage of illness, it is not the most appropriate response in this context. The family member is specifically asking about confusion, not anxiety.

Choice D rationale

Needing more rest could be a part of the dying process, but it does not directly address the family member’s concern about confusion.

Choice A rationale

The nurse should respect the patient’s need for space while also expressing willingness to talk when the patient is ready.

Choice B rationale

Telling the patient “Everything will be okay” may seem dismissive of the patient’s feelings and may not be helpful in this situation.

Choice C rationale

Asking “Do you feel like crying helps?” might come across as judgmental or dismissive.

Choice D rationale

Asking “Would you like to be alone?” might make the patient feel isolated or abandoned.