A nurse is providing palliative care to a client who is receiving hospice care and is approaching death. Which of the following actions should the nurse take? (Select all that apply.)

Do not force the client to stay awake

Administer pain medication by rectal or transdermal when client can no longer swallow

Position the client on her side

Offer to turn and reposition client every 2 hours

Answer and Explanation

Correct Answer : A,B,C,D

A. Do not force the client to stay awake: Palliative care focuses on providing comfort and dignity to the patient, and forcing the client to stay awake would not align with this goal. Allowing the client to rest as needed is essential for maintaining comfort during the end-of-life process.

B. Administer pain medication by rectal or transdermal when client can no longer swallow: As the client approaches death, they may lose the ability to swallow oral medications. Administering pain medication rectally or via transdermal patches ensures that the client continues to receive adequate pain relief even when oral intake is no longer possible.

C. Position the client on her side: Positioning the client on her side helps prevent aspiration if there is vomiting and promotes comfort by reducing pressure on bony prominences. This position also facilitates effective airway management and can help alleviate respiratory distress.

D. Offer to turn and reposition client every 2 hours: Turning and repositioning can help prevent pressure ulcers and maintain skin integrity, during the terminal stage of illness. The frequency of turning and repositioning may be adjusted based on the client's comfort and clinical condition.

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Correct Answer is B

Explanation

A. Final: This option does not correspond to any stage of the grieving process or Kubler-Ross's stages of dying.

B. Acceptance: In Kubler-Ross's stages of dying, acceptance is the final stage. When a dying patient verbalizes that they are "ready," it suggests they have reached a level of acceptance regarding their impending death.

C. Bargaining: Bargaining is a stage where individuals attempt to negotiate or make deals to change the outcome of their situation. It typically occurs before acceptance in the stages of dying.

D. Denial: Denial is one of the initial stages where individuals refuse to accept the reality of their situation. It does not correspond to a dying patient indicating they are "ready."

A. Depression B. Acceptance C. Bargaining D. Anger E. Denial

Correct Answer is E

Explanation

A. Depression: Depression is characterized by feelings of sadness, hopelessness, and despair. The statement "She's not that sick!" does not directly reflect depressive symptoms.

B. Acceptance: Acceptance is the final stage in Kübler-Ross's stages of dying, characterized by coming to terms with one's impending death or loss. The statement does not indicate acceptance of the situation.

C. Bargaining: Bargaining involves attempts to negotiate or make deals to change the outcome of a situation, often in exchange for a better outcome. The statement does not suggest bargaining behavior.

D. Anger: Anger involves feelings of frustration, resentment, or hostility towards the situation or others. While the statement could potentially lead to anger in others, it does not directly express anger itself. E. Denial: Denial is the initial stage where individuals refuse to accept the reality of their situation or the severity of their illness. The statement "She's not that sick!" directly reflects denial, as it indicates a refusal to acknowledge the seriousness of the situation.

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A nurse is providing palliative care to a client who is receiving hospice care and is approaching death. Which of the following actions should the nurse take? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A dying patient who verbalizes that he “is ready” is indicating that he is in the following stage.

Correct Answer is B

Explanation

Directions: Correlate the behavior with Kübler-Ross's stages of dying from the choices below. "She's not that sick!"

Correct Answer is E

Explanation

A terminal patient in a skilled nursing home has stated that he does not want to get out of bed, because he is too tired and weak to sit in a chair. He sleeps on and off all day and night, his position is changed every 2 hours, and he is comfortable on his pain regimen. The next day the nurse will:

The type of grief that happens before the actual loss is known as:

Directions: Correlate the behavior with Kübler-Ross's stages of dying from the choices below. "My family will be fine after I'm gone "

A terminally ill patient and his family have requested hospice care. The nurse clarifies hospice care philosophy as:

Directions: Correlate the behavior with Kübler-Ross's stages of dying from the choices below. "I’ve had stomach problems for years. I don't have cancer."

A hospice nurse is caring for a client who is approaching death and has fecal incontinence. Which of the following actions should the nurse take?

The emotional feeling of pain and loss is known as